Average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of October 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.
A resident with an indwelling Foley catheter, intact cognition, renal insufficiency, and neurogenic bladder had the drainage bag repeatedly observed touching the floor while seated in a recliner. Staff, the MDS Coordinator, and the DON confirmed the bag should be kept off the floor for infection control, and the facility policy required the drainage bag to be off the floor and in a dignity bag.
Incomplete documentation after a choking emergency: A resident with anxiety disorder, mild intellectual disabilities, and dysphagia was eating pancakes when she began gasping for air. Staff performed the Heimlich maneuver and suctioned the resident, but the record did not show whether she died in the facility or at the hospital, whether she left with EMS, or any follow-up information or hospital contact. The DON stated documentation should provide a clear picture and a paper trail.
Failure to offer an updated COVID-19 booster to a resident with severe cognitive impairment. A resident with Alzheimer's disease, non-Alzheimer's dementia, and a history of falls had documentation of a prior Moderna bivalent booster, but the chart lacked evidence that a more recent booster was offered or declined. The IP stated she was not aware residents should receive the booster until the survey date and said she would add it to the vaccine form.
The facility failed to hold QAPI meetings with the required members present at least quarterly. Attendance records showed the DON present at one meeting, but the DON was absent from multiple subsequent QAPI meetings. The facility’s QAPI policy stated the team must meet at least quarterly, and the Provisional Administrator stated she expected the DON or interim DON to attend QAPI meetings.
A resident with intact cognition signed an admission agreement that included a binding arbitration section missing required language. The agreement did not clearly allow declination, did not state it was not required for admission or continued care, did not give the right to rescind within 30 days, and did not include language permitting communication with federal, state, or local officials. The Administrator said the resident signed the form before ownership changed and the updated forms were not applied to this resident.
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.
Catheter drainage bag left touching the floor
Penalty
Summary
The facility failed to keep a urinary catheter drainage bag off the floor for Resident #42, who had an indwelling Foley catheter, intact cognition, renal insufficiency, neurogenic bladder, and was dependent for toileting hygiene. The resident’s care plan and physician orders directed use of a Foley catheter and included interventions to ensure the dignity bag remained in place and the tubing remained off the floor. The facility policy also required the drainage bag to be off the floor and in a dignity bag. During multiple observations, Resident #42 was seated in a recliner while the catheter bag was hooked to the side of a trash can or recliner and touched the floor or ground. The trash can contained trash during one observation. Staff interviews confirmed the catheter bag should not touch the floor, and the MDS Coordinator and DON both stated it was an infection control concern. The DON also confirmed she observed the catheter bag touching the floor prior to observing catheter care.
Incomplete Documentation After Choking Emergency
Penalty
Summary
The facility failed to ensure the medical record was complete and accurate for one discharged resident. The resident had diagnoses that included anxiety disorder, mild intellectual disabilities, and dysphagia, and the MDS documented a BIMS score of 9 out of 15, indicating moderately impaired cognition. The record showed that the resident died in the facility, but the documentation did not clearly establish whether the resident passed away at the facility or at the hospital after the emergency event. The record documented that the resident was sitting at the dining room table eating bite-sized pieces of pancakes when she reached for her chest and began gasping for air. Four nurses performed the Heimlich maneuver with no return of food debris, and staff suctioned the resident and obtained a scant amount of residual. The ambulance arrived, but the clinical record lacked further information about the resident’s condition, whether she left the building with the ambulance crew, any follow-up information, and any call to the hospital regarding what occurred. The Administrator stated there was no additional documentation, and the DON stated documentation should reflect a clear picture of what occurred with a resident and that there should be a paper trail for backup.
Failure to Offer Updated COVID-19 Booster
Penalty
Summary
The facility failed to offer a COVID-19 booster to 1 of 5 residents reviewed for immunizations, Resident #9. Resident #9 had diagnoses of Alzheimer's disease, non-Alzheimer's dementia, and a history of falling, and the MDS dated 6/16/26 documented a BIMS score of 2 out of 15, indicating severely impaired cognition. The resident's admission record showed an admission date of 3/9/26, and the immunization record documented a Moderna bivalent booster on 1/5/23. The clinical record did not contain documentation that a more recent booster was offered or that the resident declined it. The facility's Infection Control Manual Vaccination and Screening policy stated that the CDC recommended a booster 6 months after the primary series and future vaccinations based on CDC recommendations. The CDC guidance reviewed on 6/24/26 stated that the CDC recommended a 2025-2026 COVID-19 vaccine for people ages 6 months and older based on individual-based decision-making, and that protection from the COVID-19 vaccine decreased with time. On 6/24/26, the Infection Preventionist stated she was not aware residents should receive the booster until that day and said she would add this to the vaccine form.
QAPI Committee Failed to Meet Required Attendance and Quarterly Frequency
Penalty
Summary
The facility failed to conduct QAPI meetings at least quarterly with the minimum required members present. Review of QAPI Committee Meeting Attendance Records showed a meeting on 12/9/25 with the DON present, but subsequent attendance sheets from 12/9/25 through 6/25/26 showed the DON was not present at meetings on 1/20/26, 2/17/26, 3/31/26, 4/20/26, and 5/26/26. The facility’s QAPI policy, revised 10/2023, stated that the QAPI team develops and implements plans of action to correct identified quality of care, quality of life, or safety problems and that QAPI members must meet at least quarterly. During interview on 6/25/26 at 1:59 p.m., the Provisional Administrator stated she expected the DON or interim DON to attend QAPI meetings.
Binding Arbitration Agreement Missing Required Resident Rights Language
Penalty
Summary
The facility failed to ensure the signed binding arbitration agreement for Resident #42 met required standards. Resident #42 had an admission date of 11/9/2022 and an MDS dated 4/28/26 showed a BIMS score of 15 out of 15, indicating intact cognition. Review of the resident’s signed admission agreement, including the section titled Arbitration and Limitation of Liability, showed the agreement did not include an option to decline binding arbitration as a condition of admission or continued care, did not explicitly state the resident or representative could rescind the agreement within 30 calendar days, and did not state that signing was not required for admission or continued care at the facility. The agreement also did not include language allowing the resident or anyone else, including a representative, to communicate with federal, state, or local officials such as surveyors, health department employees, or the Office of the State Long Term Care Ombudsman. During interview, the Administrator stated the resident signed the admission agreement and arbitration agreement before the current owner took over the facility on 8/1/24, and that the current owner later changed the forms to meet federal regulatory standards, but the forms were not updated for Resident #42. The facility policy titled Voluntary Arbitration Agreement stated the arbitration agreement is voluntary, does not need to be signed for admission or continued care, may be revoked in writing, and does not prohibit communication with officials.
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.
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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.
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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 | ★★★★★ | 7 | 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 | ★★★★★ | 2 | 0 |
| Northern Mahaska Specialty Care | 22.7 mi | ★★★★★ | 9 | 0 |
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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 October 2026) and official state health department websites.