Total staff
83
Employees
61
Contractors
22
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Guttenberg Care Center
CMS overall rating
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Guttenberg Care Center
CMS overall rating
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Guttenberg Care Center accepts Medicare, Medicaid, and private pay.
Guttenberg Care Center is a 92-bed nursing home in Guttenberg, Iowa, offering memory care in addition to skilled nursing. The facility is operated by ABCM Corporation and is committed to a person-directed care philosophy. It accepts Medicare, Medicaid, and private pay.
CMS rates Guttenberg Care Center at 5 out of 5 stars overall — the top rating in Iowa — driven by a 5-star Health Inspection score that sits 75% above the state average. The facility has recorded no federal fines or civil money penalties in the past three years, a clean enforcement record that helps explain the top inspection rating. Quality Measures are rated 2 out of 5 stars, placing the facility below the Iowa average on clinical outcome indicators; families evaluating long-term placement should weigh that alongside the strong compliance record.
Nurse staffing averages 3 hours and 32 minutes per resident per day, roughly 18% below Iowa’s average of 4 hours and 18 minutes — a meaningful gap for residents requiring frequent hands-on care. The facility holds a state-approved Nurse Aide Training and Competency Evaluation Program on-site, reflecting a commitment to staff development. Occupancy is around 39%, well below the Iowa average of 75%, suggesting current availability is not a barrier to admission.
Guttenberg Care Center suits families in Clayton County seeking a post-acute or long-term placement where inspection compliance and regulatory standing are primary considerations, and who are prepared to review the Quality Measures data alongside the facility’s strong oversight record.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
This home is ranked 213th out of 241 homes in Iowa for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 213th out of 241 homes in Iowa for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 32m per day
Rank #213 / 241Nurse hours — State benchmarkedThis home is ranked 213th out of 241 homes in Iowa. Shows adjusted nurse hours per resident per day benchmarked to the Iowa average, with a ranking across 241 Iowa facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Iowa avg
-18%
Standout metric
LPN / LVN is +17% above state avg
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 39m per day | ▼ 11% State avg: 44m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 40m per day | ▲ 17% State avg: 34m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 17m per day | ▼ 10% State avg: 2h 32m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 15m per day | ▼ 3% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 44% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 24m per day | ▼ 19% State avg: 30m per day · National avg: 28m per day |
Capacity and availability
This home usually has availability
Occupancy rate
38.7%
Rank #355 / 401Occupancy rate — State benchmarkedThis home is ranked 355th out of 401 homes in Iowa. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 401. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
102 days
Walk Score: 26 / 100 Rank #391 / 528Walk Score — State benchmarkedThis home is ranked 391st out of 528 homes in Iowa. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Iowa facilities. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
2.24 : 1
10% more staff per resident than Iowa average
Avg staff/day
22
Average shift
6.6 hours
11% worse than Iowa average
Total staff hours (quarter)
13,441
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
7 total: 5 full-time employees and 2 contractors.
7
7 total: 5 full-time employees and 2 contractors.
7
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
8 total: 6 full-time employees and 2 contractors.
8
8 total: 6 full-time employees and 2 contractors.
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
46 total: 31 full-time employees and 15 contractors.
46
46 total: 31 full-time employees and 15 contractors.
46
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.7 hoursContractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
4.4%
585 contractor hours this quarter
Certified Nursing Assistant: 15
Licensed Practical Nurse: 2
Registered Nurse: 2
Medication Aide/Technician: 1
Occupational Therapy Assistant: 1
Medical Director: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 31 | 15 | 46 | 7,097 | 92 | 100% | 6.7 |
| Licensed Practical Nurse | 6 | 2 | 8 | 2,068 | 92 | 100% | 8.9 |
| Registered Nurse | 5 | 2 | 7 | 1,229 | 86 | 93% | 9.3 |
| Administrator | 1 | 0 | 1 | 460 | 58 | 63% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 444 | 56 | 61% | 7.9 |
| Dental Services Staff | 1 | 0 | 1 | 421 | 59 | 64% | 7.1 |
| Dietitian | 1 | 0 | 1 | 387 | 56 | 61% | 6.9 |
| Speech Language Pathologist | 1 | 0 | 1 | 380 | 59 | 64% | 6.4 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 373 | 62 | 67% | 6 |
| Physical Therapy Aide | 1 | 0 | 1 | 262 | 60 | 65% | 4.4 |
| Other Dietary Services Staff | 4 | 0 | 4 | 89 | 48 | 52% | 1.8 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 58 | 43 | 47% | 1.3 |
| Qualified Social Worker | 1 | 0 | 1 | 53 | 33 | 36% | 1.6 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 36 | 29 | 32% | 1.3 |
| Occupational Therapy Aide | 1 | 0 | 1 | 30 | 7 | 8% | 4.3 |
| Medication Aide/Technician | 1 | 1 | 2 | 24 | 4 | 4% | 6 |
| Physical Therapy Assistant | 1 | 0 | 1 | 11 | 7 | 8% | 1.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 11 | 3 | 3% | 3.6 |
| Medical Director | 0 | 1 | 1 | 7 | 3 | 3% | 2.4 |
46 Certified Nursing Assistant
% of Days
100%
8 Licensed Practical Nurse
% of Days
100%
7 Registered Nurse
% of Days
93%
1 Administrator
% of Days
63%
1 Nurse Practitioner
% of Days
61%
1 Dental Services Staff
% of Days
64%
1 Dietitian
% of Days
61%
1 Speech Language Pathologist
% of Days
64%
1 Clinical Nurse Specialist
% of Days
67%
1 Physical Therapy Aide
% of Days
65%
4 Other Dietary Services Staff
% of Days
52%
3 Respiratory Therapy Technician
% of Days
47%
1 Qualified Social Worker
% of Days
36%
1 Therapeutic Recreation Specialist
% of Days
32%
1 Occupational Therapy Aide
% of Days
8%
2 Medication Aide/Technician
% of Days
4%
1 Physical Therapy Assistant
% of Days
8%
1 Occupational Therapy Assistant
% of Days
3%
1 Medical Director
% of Days
3%
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.4
In line with Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.3
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.3
13% worse than Iowa averageIowa average: 21.6
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
18.9%
Percent of long-stay residents whose need for help with daily activities has increased
18.9%
In line with Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
20.9%
Percent of long-stay residents whose ability to move independently worsened
20.9%
6% worse than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.1%
26% worse than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.8%
Percent of long-stay residents experiencing one or more falls with major injury
4.8%
33% worse than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
0.6%
Percent of long-stay high risk residents with pressure ulcers
0.6%
87% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.4%
Percent of long-stay residents with a urinary tract infection
2.4%
In line with Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
6.7%
Percent of long-stay residents who lose too much weight
6.7%
33% worse than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.8%
Percent of long-stay residents who have depressive symptoms
2.8%
28% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
28.8%
Percent of long-stay residents who received an antipsychotic medication
28.8%
52% worse than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.4%
In line with Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Iowa averageIowa average: 95.3%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
2.42
Number of hospitalizations per 1,000 long-stay resident days.
2.42
64% worse than Iowa averageIowa average: 1.48
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.93
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.93
40% worse than Iowa averageIowa average: 2.09
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.9%
5% better than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.7%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.7%
25% better than Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Breakdown by payment type
Medicare
21% of new residents, usually for short-term rehab.
Typical stay
26 days
Private pay
58% of new residents, often for short stays.
Typical stay
1 - 2 months
Medicaid
21% of new residents, often for long-term daily care.
Typical stay
9 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
37
Medicare
4
10.8% of residents
Medicaid
23
62.2% of residents
Private pay or other
10
27% of residents
Programs & Services
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Guttenberg Care Center based on CMS SNF Cost Reports.
Occupancy Rate
38.7%
↑ 3.1pp vs 2022
Net Income
-$270.4K
↑ ~$166.5K vs 2022
Total Payroll
$2.5M
↑ ~$342.5K vs 2022
Profit Margin
-6.9%
↑ 5.1pp vs 2022
Finances and operations
Privately-owned community
Operated by a single business entity.
Home revenue
$4.0M
Operating loss
-$270.4K
Privately-owned community
Operated by a single business entity.
Home revenue
$4.0M Rank #207 / 242Revenue — State benchmarkedThis home is ranked 207th out of 242 homes in Iowa. Shows this facility's annual revenue compared to the Iowa average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$270.4K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #190 / 242Payroll — State benchmarkedThis home is ranked 190th out of 242 homes in Iowa. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #190 / 242Payroll — State benchmarkedThis home is ranked 190th out of 242 homes in Iowa. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.3M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Guttenberg Care Center
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Estimated distance in miles from Guttenberg's city center to Guttenberg Care Center's address, calculated via Google Maps.
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Financial Assistance for
Nursing Home in Iowa
Guttenberg Care Center is located in Guttenberg, Iowa.
Here are the financial assistance programs available to residents in Iowa.
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The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
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$3.1M
Rank
#132 / 242 | 64%
Facility
64%
IA AVG
46.3%
Rank
#51 / 242 | 165500 |
Frequently Asked Questions about Guttenberg Care Center
Is Guttenberg Care Center in a walkable area?
Guttenberg Care Center has a walk score of 26. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
What is the occupancy rate at Guttenberg Care Center?
Guttenberg Care Center's occupancy is 38.7%.
Are there photos of Guttenberg Care Center?
Yes — there are 3 photos of Guttenberg Care Center in the photo gallery on this page.
What is the address of Guttenberg Care Center?
Guttenberg Care Center is located at 1315 Acre Street.
What is the phone number of Guttenberg Care Center?
(563) 252-2281 will put you in contact with the team at Guttenberg Care Center.
Is Guttenberg Care Center Medicare or Medicaid certified?
Yes — Guttenberg Care Center is a CMS-certified provider of Medicare and Medicaid.
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