Below average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Manor House Care Center during CMS and state inspections, most recent first.
The facility failed to offer pneumococcal vaccines at recommended times to several residents, despite CDC guidelines and facility policy. The Infection Preventionist ensured new residents were up to date but did not offer updated vaccines to existing residents, leading to a deficiency.
A facility failed to intervene when a resident experienced prolonged constipation, despite being on medications that could cause this condition. The resident's care plan required monitoring for constipation, but the bowel movement record showed no documentation for several days. Pharmaceutical interventions were delayed, and staff interviews revealed inconsistencies in addressing constipation. The facility's bowel protocol was not consistently followed, leading to a significant delay in addressing the resident's condition.
Failure to Offer Recommended Pneumococcal Vaccinations
Penalty
Summary
The facility failed to offer the pneumococcal vaccine at recommended times to four out of five residents reviewed for pneumococcal vaccinations. The residents involved had received previous doses of PCV13 and PCV23 vaccines, but there was no documentation of additional pneumococcal vaccinations being offered to them as per the updated CDC guidelines. The CDC guidelines recommend that adults who have previously received both PCV13 and PPSV23 should receive an additional dose of PCV20 or PPSV23 based on shared clinical decision-making, especially if the last dose was administered at a younger age. The Infection Preventionist at the facility stated that while she ensured new residents were up to date on their vaccines, she did not offer updated vaccines to residents who were already in the facility. This oversight was contrary to the facility's policy, which stated that pneumococcal vaccines would be offered to eligible residents per CDC recommendations. The lack of adherence to these guidelines resulted in the deficiency noted in the report.
Failure to Address Resident's Constipation in a Timely Manner
Penalty
Summary
The facility failed to intervene appropriately when a resident went several days without a bowel movement, despite being on medications that could cause constipation. The resident, who had schizophrenia, mild intellectual disabilities, and a pressure ulcer, was noted to have a moderately impaired cognition with a BIMs score of 10 out of 15. The care plan required monitoring for adverse reactions to antipsychotic and antidepressant medications, including constipation. However, the resident's bowel movement record showed no documentation of a bowel movement from the 1st to the 8th of the month, with an extra-large bowel movement recorded on the 9th. The Medication Administration Record (MAR) indicated that pharmaceutical interventions for constipation were not documented until the 5th, despite the facility's bowel protocol requiring intervention after three days without a bowel movement. Staff interviews revealed inconsistencies in the administration of interventions for constipation. Staff A, an LPN, and Staff B, an RN, described different practices for addressing constipation, with Staff B indicating that interventions should begin after two days without a bowel movement. The Director of Nursing (DON) confirmed that bowel movements were only documented on the Bowel Movement record and acknowledged hearing about the resident's prolonged constipation. The facility's bowel protocol policy directed staff to administer Milk of Magnesia after three days without a bowel movement and a suppository after four days, but these steps were not consistently followed. The lack of documentation and timely intervention led to a significant delay in addressing the resident's constipation, as evidenced by the absence of physician notification and additional assessments during the period of concern.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 87 citations issued within 25 miles in the last 12 months — including the 1 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Sigourney
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Stone Cottage Care Center | 0.2 mi | ★★★★★ | 25 | 0 |
| Harvest Acres Nursing And Rehab | 13.7 mi | ★★★★★ | 17 | 0 |
| English Valley Nursing Care Center | 14.9 mi | ★★★★★ | 3 | 0 |
| Parkview Manor | 21.9 mi | ★★★★★ | 13 | 0 |
| Northern Mahaska Specialty Care | 22.7 mi | ★★★★★ | 9 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.