Manor House Care Center

Name: Manor House Care Center
Address: 1212 South Stuart Street, Sigourney, IA, 52591, US
Telephone: 6416222142

1212 South Stuart Street, Sigourney, IA 52591 · Keokuk County · 55 certified beds · avg 42 residents/day · certified since May 1, 1997

Part of chain: LEGACY HEALTHCARE (89 facilities, chain avg rating 2.9★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.43

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · May 15, 2025 · F-0690 · triggered by a complaint

The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.

Why it matters: Poor continence and catheter care leads to infections, skin breakdown, and loss of dignity.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jun 5, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (15)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 25, 2026	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint
May 15, 2025	▲ G · Actual harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint
May 15, 2025	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
May 15, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
May 15, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
May 15, 2025	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
May 15, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
May 15, 2025	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
May 15, 2025	D · Potential for harm, one-off	The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them.
May 15, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jul 18, 2024	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Jul 18, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jul 13, 2023	E · Potential for harm, repeated	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Jul 13, 2023	E · Potential for harm, repeated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Jul 13, 2023	B · Minimal risk, repeated	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 9).

Year	Citations	Serious (G–L)	Worst severity that year
2023	3	0	E
2024	2	0	E
2025	9	1	G ▲
2026	1	0	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Iowa avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.43	4.37	3.95	top 42% in Iowa; top 25% in the U.S.
Registered Nurse hours	0.43	0.85	0.69	bottom 7% in Iowa; bottom 28% in the U.S.
Weekend total nurse staffing	3.75	3.86	3.50	bottom 49% in Iowa; top 31% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.25	0.51	0.48	bottom 5% in Iowa; bottom 21% in the U.S.
Total nursing staff turnover (%)	0.0	44.0	45.8	—
RN turnover (%)	0.0	42.1	42.9	—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.63, RN 0.36, weekend 3.07. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Beasley, Karla	Individual	Operational/Managerial Control	NOT APPLICABLE	08/15/2024
Behounek, Linsey	Individual	Operational/Managerial Control	NOT APPLICABLE	08/15/2024
Borcherding, Jenny	Individual	Operational/Managerial Control	NOT APPLICABLE	08/15/2024
Brubaker, Alisha	Individual	Operational/Managerial Control	NOT APPLICABLE	08/15/2024
Burken, Sheri	Individual	Operational/Managerial Control	NOT APPLICABLE	08/15/2024
Burken, Sheri	Individual	ADP of the SNF	NOT APPLICABLE	08/15/2024
Cascade Capital Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/15/2024
Cascade Capital Partners LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/15/2024
CCG Gorgona LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/15/2024
Friedenberg, Laura	Individual	Operational/Managerial Control	NOT APPLICABLE	08/15/2024
Friedman, Brian	Individual	Trustee of the SNF	NOT APPLICABLE	01/03/2012
Gorgona Holdco LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/15/2024
Gorgona Propco Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/15/2024
Gorgona Sub Holdco LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/15/2024
GPN Family Trust U/A/D 4/28/08	Organization	ADP of the SNF	NOT APPLICABLE	04/03/2025
Hedberg, Jennifer	Individual	Operational/Managerial Control	NOT APPLICABLE	08/15/2024
Hennager, Christina	Individual	Operational/Managerial Control	NOT APPLICABLE	08/15/2024
Heying, Larina	Individual	Operational/Managerial Control	NOT APPLICABLE	08/15/2024
Houston, Mindy	Individual	Operational/Managerial Control	NOT APPLICABLE	08/15/2024
Jaeger, Krystle	Individual	Operational/Managerial Control	NOT APPLICABLE	08/15/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"How are therapy services provided here, and how quickly does therapy start after a doctor orders it?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Stone Cottage Care Center	0.2 mi	Sigourney, IA	★☆☆☆☆	1/5
Harvest Acres Nursing and Rehab	13.7 mi	Keota, IA	★☆☆☆☆	1/5
English Valley Nursing Care Center	14.9 mi	North English, IA	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Sigourney →

Facility data as of CMS processing date 2026-08-01. CCN 165325.

The Care File

Visit checklist — Manor House Care Center

1212 South Stuart Street, Sigourney, IA 52591 · 6416222142

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Most serious findings on record:

▲ May 15, 2025 (F-0690, Actual harm, one-off): The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.

Questions for the administrator:

☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "How are therapy services provided here, and how quickly does therapy start after a doctor orders it?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 165325 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)