The New Homestead Care Center
Nursing Home, Assisted Living, Independent Living & Nursing Care · Guthrie Center, IA
CMS overall rating Info 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.

The New Homestead Care Center

Nursing Home, Assisted Living, Independent Living & Nursing Care · Guthrie Center, IA
CMS overall rating Info 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.
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The New Homestead Care Center accepts Medicare, Medicaid, and private pay.

Overview of The New Homestead Care Center

The New Homestead Senior Living Community in Guthrie Center, Iowa provides quality independent and assisted living options, nursing home care, and skilled rehabilitation. It offers a homelike setting for residents, focusing on enriching lives through kind and compassionate care. The facility is equipped to provide both short-term and long-term care.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
Health Inspection Info 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.
Staffing Info 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.
Quality Measures Info 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

Info 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.

Hours per resident per day — compared to state averages

Total nursing care / resident Info 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 48m per day
Rank #183 / 249Nurse hours — State benchmarkedThis home is ranked 183rd out of 249 homes in Iowa. Shows adjusted nurse hours per resident per day benchmarked to the Iowa average, with a ranking across 249 Iowa facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg

3 of 6 metrics below state avg

Standout metric Physical Therapist is +30% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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. 31m per day ▼ 31% State avg: 44m per day · National avg: 41m per day
LPN / LVN Info 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. 24m per day ▼ 29% State avg: 34m per day · National avg: 52m per day
Nurse Aide Info 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 36m per day ■ Avg State avg: 2h 32m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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 14m per day ▼ 3% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Info 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. 3m per day ▲ 30% State avg: 2m per day · National avg: 4m per day
Weekend RN Info 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. 31m per day ▲ 3% State avg: 30m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay
421 days
Bed community size
58-bed community Rank #228 / 407Bed count — State benchmarkedThis home is ranked 228th out of 407 homes in Iowa. Shows this facility's certified or reported bed count compared to other Iowa facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 44 / 100 Rank #269 / 528Walk Score — State benchmarkedThis home is ranked 269th 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.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.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

Occupancy

Occupancy rate
81%
Rank #118 / 407Occupancy rate — State benchmarkedThis home is ranked 118th out of 407 homes in Iowa. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 407. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Iowa average: 75.4%
Occupied beds
47 / 58
Average occupied beds in Iowa homes 51 beds

License Details

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility
StatusActive
ExpirationAugust 1, 2026
CountyGuthrie
License Number390375
CMS Certification Number165525
Certification TypeFALSE

Ownership & Operating Entity

The New Homestead Care Center is administered by Hilaree Stringham.

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
24-Hour Staffing

Additional Services

2 services
Skilled Rehabilitation
Long-Term Nursing Care

Contact Information

Fax6413322982

Contact The New Homestead Care Center

Inspection History

In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.

Since 2003 · 23 years of data 83 deficiencies 25 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2003 vs. Iowa state average
Overall vs. IA average 4 Worse Metrics worse than Iowa average:
• Total deficiencies (207% above)
• Deficiencies per year (200% above)
• Deficiencies per inspection (83% above)
• Total inspections (67% above)
0 Better No metrics in this bucket.
Latest Inspection January 7, 2026

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This FacilityIA Averagevs. IA Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 8327 This facility has 207% more total deficiencies than a typical Iowa assisted living residence (83 vs. IA avg 27).↑ 207% worse
Deficiencies per year Info Average deficiencies per year since 2003. 3.61.2 This facility has 200% more deficiencies per year than a typical Iowa assisted living residence (3.6 vs. IA avg 1.2).↑ 200% worse
Deficiencies per inspection Info Average deficiencies per inspection. 3.31.8 This facility has 83% more deficiencies per inspection than a typical Iowa assisted living residence (3.3 vs. IA avg 1.8).↑ 83% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityIA Averagevs. IA Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 2515 This facility has 67% more total inspections than a typical Iowa assisted living residence (25 vs. IA avg 15).↑ 67% worse

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • The most recent inspection on January 7, 2026, found the facility in substantial compliance with only one deficiency corrected by an accepted plan of correction.
  • The October 22, 2025 complaint investigation substantiated failure to provide sufficient nursing staff and timely call light responses for all three residents reviewed.
  • The April 24, 2025 annual survey found 10 deficiencies including inadequate nursing staff response, failure to prevent pressure ulcers, poor infection control, and food safety violations.

Health Inspection History

Inspections since 2022
Total health inspections 7

State average N/A


Last Health inspection on Oct 2025

Total health citations
25 Rank #174 / 250Health citations — State benchmarkedThis home is ranked 174th out of 250 homes in Iowa. Shows this facility's total health deficiency citations benchmarked to the Iowa State average, with a ranking across all 250 IA facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
3.57 Rank #118 / 250Citations per inspection — State benchmarkedThis home is ranked 118th out of 250 homes in Iowa. Shows average deficiency citations per CMS inspection for this facility versus the Iowa mean across 250 facilities with citation data. Lower is better.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

12 of 25 citations resulted from standard inspections; 5 of 25 resulted from complaint investigations; and 8 of 25 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 4 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

25 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 4 years)
Nursing Services moderate citation Oct 22, 2025

Infection Control moderate citation Apr 24, 2025
Corrected

Nursing Services moderate citation Apr 24, 2025
Corrected

Nutrition moderate citation Apr 24, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 99
Employees 55
Contractors 44
Staff to resident ratio 1.98 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 25
Average shift 7.6 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 17,559

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info 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 Info 6 total: 4 full-time employees and 2 contractors. 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.6 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 4 total: 2 full-time employees and 2 contractors. 4
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.7 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 66 total: 38 full-time employees and 28 contractors. 66
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.8 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

23.5%

4,122 contractor hours this quarter

Certified Nursing Assistant: 28 Registered Nurse: 2 Licensed Practical Nurse: 2 Clinical Nurse Specialist: 2 Qualified Social Worker: 2 Respiratory Therapy Technician: 2 Speech Language Pathologist: 1 Physical Therapy Assistant: 1 Other Dietary Services Staff: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant38286610,44592100%7.8
Licensed Practical Nurse2241,7548896%8.7
Registered Nurse4261,5359098%9.6
Medication Aide/Technician2028155964%12
Other Dietary Services Staff4156577986%5.4
Mental Health Service Worker2026366368%6.4
Nurse Practitioner1014966267%8
Administrator1014826166%7.9
Respiratory Therapy Technician0221883538%5.4
Clinical Nurse Specialist1231832527%7
Physical Therapy Assistant0111434650%3.1
Occupational Therapy Aide011932426%3.9
Qualified Social Worker022573235%1.7
Speech Language Pathologist011521921%2.7
Occupational Therapy Assistant0111933%6.2
Medical Director011733%2.3
66 Certified Nursing Assistant
% of Days 100%
4 Licensed Practical Nurse
% of Days 96%
6 Registered Nurse
% of Days 98%
2 Medication Aide/Technician
% of Days 64%
5 Other Dietary Services Staff
% of Days 86%
2 Mental Health Service Worker
% of Days 68%
1 Nurse Practitioner
% of Days 67%
1 Administrator
% of Days 66%
2 Respiratory Therapy Technician
% of Days 38%
3 Clinical Nurse Specialist
% of Days 27%
1 Physical Therapy Assistant
% of Days 50%
1 Occupational Therapy Aide
% of Days 26%
2 Qualified Social Worker
% of Days 35%
1 Speech Language Pathologist
% of Days 21%
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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 7.3
28% better than State average

State average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 12.8
41% better than State average

State average: 21.6

Long-stay resident measures
Above average State avg: 3.3 Info 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 Info Percent of long-stay residents whose need for help with daily activities has increased 6.8%
64% better than State average

State average: 18.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 4.5%
77% better than State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 27.0%
In line with State average

State average: 26.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 5.1%
40% worse than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 12.8%
192% worse than State average

State average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.7%
30% better than State average

State average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.5%
50% worse than State average

State average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than State average

State average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 6.5%
66% better than State average

State average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
6% better than State average

State average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.8%
In line with State average

State average: 95.3%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 0.57
61% better than State average

State average: 1.48

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.13
In line with State average

State average: 2.09

Short-stay resident measures
Above average State avg: 2.6 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 89.8%
6% better than State average

State average: 85.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than State average

State average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 78.6%
7% better than State average

State average: 73.3%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 24.1%
55% worse than State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 38.4%
24% worse than State average

State average: 50.6%

Breakdown by payment type

Medicare

44% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

53% of new residents, often for short stays.

Typical stay 1 years

Medicaid

2% of new residents, often for long-term daily care.

Typical stay 27 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 50
Medicare
2
4% of residents
Medicaid
21
42% of residents
Private pay or other
27
54% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

CCRC

Part of a Continuing Care Retirement Community offering multiple care levels

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Nonprofit
Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.0M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$493.1K
Nonprofit Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$6.0M Rank #140 / 251Revenue — State benchmarkedThis home is ranked 140th out of 251 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 %.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$493.1K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$39.5K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #138 / 251Payroll — State benchmarkedThis home is ranked 138th out of 251 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.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.5M 42.7% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #123 / 251Payroll % — State benchmarkedThis home is ranked 123rd out of 251 homes in Iowa. Shows payroll as a percentage of revenue versus the Iowa average. Well-run Iowa facilities typically land around 61–69% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.9M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$5.5M

Who this home usually serves

TYPE OF STAY

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.

Most new residents arrive under private pay (53% of admissions), and a typical private pay stay runs around 1 years.

Admissions
43 total

Coverage residents most often arrive under.

Medicare 44%
Private pay 53%
Medicaid 2%
Discharges
44 total

Coverage residents most often leave under.

Medicare 16%
Private pay 57%
Medicaid 27%

Places of interest near The New Homestead Care Center

Address 0.0 miles from city center Info Estimated distance in miles from Guthrie Center's city center to The New Homestead Care Center's address, calculated via Google Maps.

Calculate Travel Distance to The New Homestead Care Center

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Address

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The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.

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Frequently Asked Questions about The New Homestead Care Center

Is The New Homestead Care Center in a walkable area?

The New Homestead Care Center has a walk score of 44. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of The New Homestead Care Center?

According to IA state health department records, The New Homestead Care Center's license number is 390375.

When does The New Homestead Care Center's license expire?

According to IA state health department records, The New Homestead Care Center's license expires on August 1, 2026.

What is the occupancy rate at The New Homestead Care Center?

The New Homestead Care Center's occupancy is 81%.

What is the best email address for The New Homestead Care Center?

The team at The New Homestead Care Center can be reached at hstringham@thenewhomestead.org.

Does The New Homestead Care Center operate as a for-profit or non-profit?

The New Homestead Care Center is registered as a non-profit in IA.

Who is the administrator of The New Homestead Care Center?

Hilaree Stringham is the administrator of The New Homestead Care Center.

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