Nursing HomeMedicaid Investigative

Manor House Care Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1212 South Stuart Street, Sigourney, IA 52591|55 beds|Licensed & Active

2/5

Medicare

Inspection

Quality

Staffing

Google rating

4.4/5

based on 8 Google reviews

(641) 622-2142 Directions Website

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4/ 10

moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

Low overall rating (1/5 stars)
Low staffing rating (1/5 stars)
Above-median deficiencies (9 vs median 5)

Bottom 25% in IA · Worst in LEGACY HEALTHCARE chain · No penalties on record

Source: Medicare data

What this means for your family

Manor House Care Center receives high marks for its warm, attentive staff and clean environment, making it a strong candidate for those prioritizing a caring atmosphere. Since current reviews are universally positive but lack detail on clinical operations, we recommend scheduling a tour to observe staff-to-resident interactions firsthand.

Google Reviews

8 reviews on Google

“Manor House Care Center is consistently praised for its compassionate and attentive nursing staff who treat residents like family. Families highlight the facility's cleanliness and the staff's willingness to go above and beyond to accommodate individual resident needs.”

Quality Themes

Tap a score for details

Strengths

Compassionate and attentive nursing staff
Clean and comfortable facility environment
Approachable and collaborative interdisciplinary team
Strong commitment to resident quality of life

Rating Trends

Tap a year to see what changed

Distribution · 8 analyzed

How They Respond to Reviews

50%response rate

This facility responds to some reviews.

Questions for Your Tour

1I noticed the facility has a strong reputation for a compassionate nursing team; how do you support your staff in maintaining that level of care during busy shifts?
2Given the recent focus on staffing levels, could you explain how your interdisciplinary team coordinates to ensure consistent attention for all 55 residents?
3I appreciate that you actively engage with feedback online; how do you incorporate family suggestions into your daily operations and quality improvement efforts?
4With your focus on resident quality of life, what specific daily activities or social programs are currently the most popular among your residents?
5Could you walk me through your facility's specific protocols for handling medical emergencies or sudden changes in a resident's health status?
6How does your team address the specific health inspection findings from the past year to ensure the environment remains clean and comfortable for everyone?

Personalized based on this facility's data

Key Review Excerpts

“The staff is great, very caring people, and the facility is clean!”

General visitor · 2024★★★★★

“Staff is wonderful, very caring and attentive to residents. All disciplines are easy to work with and approachable.”

Family member · 2025★★★★★

“The staff treat her like family, they work diligently to give her the best quality of life and go above and beyond to make accommodations for her extra needs.”

Long-term resident's family · 2025★★★★★

Source: 8 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.39hrs

53%

Registered nurses for medical care

Total Nursing

3.64hrs

89%

All nurses + aides combined

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

4/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

🚶

Residents whose walking got worse

↓ Lower is better

This Facility6.6%

Better than Avg

Here

6.6%

15.3%

17.5%

😔

Residents with depression symptoms

↓ Lower is better

This Facility1.6%

Better than Avg

Here

1.6%

12.1%

4.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility11.7%

Better than Avg

Here

11.7%

15.5%

19.4%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility10.0%

Better than Avg

Here

10.0%

14.4%

17.6%

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility99.4%

Better than Avg

Here

99.4%

93.4%

93.9%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility20.8%

Mixed vs Avgs

Here

20.8%

19.4%

25.9%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility69.6%

Worse than Avg

Here

69.6%

79.8%

73.3%

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility84.0%

Mixed vs Avgs

Here

84.0%

81.8%

84.1%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.0%

Better than Avg

Here

0.0%

1.6%

2.0%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

9deficiencies

Above state avg (6.2)

3 complaint-triggered

Families have filed complaints that led to deficiencies regarding resident protection from abuse and quality of care standards. The facility shows recurring issues with care planning and assessment processes, basic care quality including nutrition and bladder/bowel care, and infection control practices. While all violations have been corrected by the provider, the pattern of deficiencies across multiple surveys warrants careful evaluation during your visit.

May 15, 2025Routine9 findings

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0825Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or get specialized rehabilitative services as required for a resident.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

May 15, 2025Complaint1 finding

0690Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Jul 18, 2024Routine2 findings

0883Potential for harm · PatternCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Jul 13, 2023Routine2 findings

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0644Minimal · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Jul 13, 2023Complaint2 findings

0600Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0658Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total

14deficiencies

Jan 26, 2026ComplaintNo deficiencies

Clean