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Nursing HomeMedicaid Investigative

Stone Cottage Care Center

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

900 South Stone Street, Sigourney, IA 5259141 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 13 Google reviews

5
4
3
2
1
Stone Cottage Care Center Nursing Home in Sigourney, IA — Street View
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6/ 10
high 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 (2/5 stars)
  • Above-median deficiencies (15 vs median 5)
  • High staff turnover (61%)
  • High RN turnover (80%)

Bottom 25% in IA · Below recommended RN staffing · Worst in GABRIEL SEBBAG & THE SAMARA FAMILY chain · $18,682 in fines

Source: Medicare data

What this means for your family

The facility is highly regarded for its warm, home-like environment and attentive staff, making it a potentially comfortable choice for residents who value a personal touch. However, because the available reviews are largely general praise, families should schedule an on-site tour to observe daily operations and ask specific questions about clinical care protocols.

Google Reviews

Google Reviews

13 reviews on Google
Stone Cottage Care Center is frequently praised for its warm, home-like atmosphere and dedicated nursing staff who prioritize resident comfort. While recent feedback highlights a welcoming environment and family-style dining, there is a lack of detailed long-term feedback regarding clinical outcomes or complex care management.

Quality Themes

Tap a score for details
Food9.0Staff10.0CleanN/AActivitiesN/AMedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Warm, home-like atmosphere
  • Dedicated and caring nursing staff
  • Inviting facility environment
  • Family-style dining experience

Rating Trends

Tap a year to see what changed

2345.02013(1)3.02021(1)1.02023(1)5.02024(1)5.02025(4)4.22026(5)

Distribution · 13 analyzed

5
10
4
0
3
1
2
0
1
2

How They Respond to Reviews

69%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1I noticed the facility has a very warm, home-like feel; how do you maintain that intimate atmosphere while managing the needs of 41 residents?
  • 2With the recent state health inspections identifying some areas for improvement, what specific steps is the leadership team currently taking to address those findings?
  • 3I see that you actively engage with family feedback online; how do you incorporate that direct input into your daily care planning and facility improvements?
  • 4Given the current staffing levels, how do you ensure that every resident receives consistent, personalized attention throughout the day?
  • 5Could you walk me through your protocol for handling medical emergencies or sudden changes in a resident's health status during evening or weekend hours?
  • 6The family-style dining is a feature we really value; how do you ensure that residents with specific dietary needs or assistance requirements are fully supported during these meal times?

Personalized based on this facility's data


Key Review Excerpts

The CNAs are the heart of this facility. They go the extra mile to help!

Family member · 2026★★★★★

Stone Cottage when you walk in the door you feel like your home. The dining room is warm feeling and the meals are served family style.

Family member · 2025★★★★★

Caring dedicated staff, a very home like atmosphere where residents come first!

Family member · 2025★★★★★
Source: 13 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.53hrs
71%
Registered nurses for medical care
Total Nursing
3.30hrs
81%
All nurses + aides combined
Staff Turnover
57%
Lower is better (< 30% = good)
RN Turnover
60%
Lower is better (< 30% = good)

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

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
1/ 5
Better Than Avg

4

measures

Worse Than Avg

10

measures

Mixed Results

2

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility64.4%
Worse than Avg
Here
64.4%
US
93.4%
IA
93.9%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility78.6%
Worse than Avg
Here
78.6%
US
95.5%
IA
95.3%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility24.6%
Worse than Avg
Here
24.6%
US
15.5%
IA
19.4%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility21.3%
Worse than Avg
Here
21.3%
US
14.4%
IA
17.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility5.4%
Mixed vs Avgs
Here
5.4%
US
12.1%
IA
4.1%

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

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility25.6%
Worse than Avg
Here
25.6%
US
19.5%
IA
20.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility43.5%
Worse than Avg
Here
43.5%
US
81.8%
IA
84.1%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.1%
Worse than Avg
Here
3.1%
US
1.6%
IA
2.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

14deficiencies
3penalties
Well above state avg (6.2)
36 complaint-triggered
$18,682 in fines

Families have repeatedly filed complaints triggering 36 of the 91 deficiencies, indicating ongoing concerns about resident care. The facility has persistent problems with nursing staffing, safety supervision to prevent accidents, and medication management, with these issues recurring across multiple surveys despite reported corrections. While all deficiencies show correction dates, the pattern of repeated violations in core care areas suggests systemic challenges that warrant careful evaluation before placement.

Dec 23, 2025Complaint
2
0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0725Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Nov 5, 2025Complaint
1
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Sep 4, 2025Routine
13
0801Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

0865Potential for harm · WidespreadCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0346Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0232Potential for harm · PatternCorrected

Egress Deficiencies

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0887Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Sep 4, 2025Complaint
4
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Mar 24, 2025Complaint
1
0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Dec 31, 2024Complaint
2
0622Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Federal Penalties

Payment Denial

Nov 5, 2025

29-day denial

Fine

Sep 25, 2023

$18,682

Payment Denial

Sep 25, 2023

112-day denial

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
21deficiencies
Jun 28, 2026Complaint
Clean

Fed violations: 0, State violations: 0

May 28, 2026Complaint
Clean

Fed violations: 5, State violations: 0

Jan 3, 2026Complaint
Clean

Fed violations: 0, State violations: 0

Dec 23, 2025Complaint
Clean

Fed violations: 2, State violations: 0

Nov 5, 2025Complaint
Clean

Fed violations: 1, State violations: 1

Sep 26, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Sep 4, 2025Inspection
Clean

Fed violations: 11, State violations: 0

Apr 2, 2025Other
Clean

Fed violations: 0, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Stone Cottage Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Cedar View Holdings

Chain Size

9 facilities nationwide

Chain avg rating: 1.3/5 · Rank 5 of 7 (Worst)

Ownership & Management

Owners

Amaranthine Holdings LLC

Owner · Organization

100%

Cedar View Holdings LLC

Owner (parent company) · Organization

Iowa 5784 LLC

Owner (parent company) · Organization

Samara Family Holdings LLC

Owner (parent company) · Organization

Sebbag, Gabriel

Owner (parent company)

Gamzeh, David

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Greatorex, Tina

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Schiowitz, Marc

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Sebbag, GabrielManaging Control - Governing BodyCase, JanelleManagerMiller, DanielManagerSebbag, GabrielManager900 S Stone Street Propco LLCAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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