With a score of 24/100, Stone Cottage Care Center ranks in the bottom tier of Iowa nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing levels are a potential concern at Stone Cottage Care Center, with 3.17 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent CMS inspections identified 64 deficiencies at Stone Cottage Care Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: reasonably accommodate the needs and preferences of each resident..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.17 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.46 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.76 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 1.95 | 2.4 | Below Average |
| Weekend Total Nursing | 2.77 | 3.8 | Below Average |
| Weekend RN Hours | 0.42 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0558 Severity DReasonably accommodate the needs and preferences of each resident.Dec 22, 2025 · Resident Rights Deficiencies
- Tag 0725 Severity DProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Dec 22, 2025 · Nursing and Physician Services Deficiencies
- Tag 0689 Severity GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Nov 4, 2025 · Quality of Life and Care Deficiencies
- Tag 0801 Severity FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a quSep 3, 2025 · Nutrition and Dietary Deficiencies
- Tag 0865 Severity FHave a plan that describes the process for conducting QAPI and QAA activities.Sep 3, 2025 · Administration Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 5.8% | 4.5% | Worse |
| Falls with major injury | 4.4% | 3.0% | Worse |
| On antipsychotic medication | 21.8% | 14.5% | Worse |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 14.6% | 14.0% | Average |
| Excessive weight loss | 2.5% | 7.5% | Better |
| New/worsened incontinence | 27.1% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $18,682
How This Grade Was Calculated
This facility's grade of F is based on a score of 24 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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