We arrange tours, appointments, and even moving support so you don’t have to
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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.
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.
This home is ranked 174th out of 224 homes in Iowa.| Staff type | Hours / day | 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.
| 34m per day | ▼ 23% 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.
| 20m per day | ▼ 41% 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 22m per day | ▼ 7% State avg: 2h 32m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
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.
| 2h 54m per day | ▼ 13% 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.
| 3m per day | ▲ 50% State avg: 2m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 33m per day | ▲ 10% State avg: 30m per day · National avg: 28m per day |
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
44% of new residents, usually for short-term rehab.
53% of new residents, often for short stays.
2% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #157 / 226Payroll — state benchmarkedThis home is ranked 157th out of 226 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Iowa average: 75.4%The New Homestead Care Center is administrated by Hilaree Stringham.
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.
This scorecard compares key inspection, citation, 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.
Deficiencies are formal regulatory issues recorded during state inspections.
| Metric | This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 50 | 27 | This facility has 85% more total deficiencies than a typical Iowa nursing home (50 vs. IA avg 27).↑ 85% worse |
|
Deficiencies per year
Average deficiencies per year since 2003.
| 2.2 | 1.2 | This facility has 83% more deficiencies per year than a typical Iowa nursing home (2.2 vs. IA avg 1.2).↑ 83% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 2 | 1.8 | This facility has 11% more deficiencies per inspection than a typical Iowa nursing home (2 vs. IA avg 1.8).↑ 11% worse |
State inspections evaluate whether the facility meets health and safety standards.
| Metric | This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 25 | 15 | This facility has 67% more total inspections than a typical Iowa nursing home (25 vs. IA avg 15).↑ 67% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on January 7, 2026, identified one deficiency related to acceptance of a credible allegation of substantial compliance and plan of correction. Earlier inspections showed a pattern of deficiencies involving insufficient nursing staff to respond timely to call lights, issues with resident care such as pressure ulcer prevention and bathing, infection control lapses, and failures in notification and documentation practices. Several substantiated complaint investigations found concerns including resident abuse by staff, medication misappropriation, and failure to protect resident rights and dignity. Enforcement actions included staff terminations and criminal charges related to medication diversion, but fines or license suspensions were not listed in the available reports. The facility has shown some improvement with recent acceptance of plans of correction and certification of compliance following prior deficiencies.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsIowa average 4.9
Last Health inspection on Oct 2025
Iowa average 21.7
Iowa average 4.11
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).
100% better than Iowa averageIowa average: 0.6
0
100% better than Iowa averageIowa average: 0.9
Issues related to the availability and quality of nursing staff and the care they provide.
Oct 22, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 24, 2025
Corrected
Issues related to the availability and quality of nursing staff and the care they provide.
Apr 24, 2025
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 24, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
The New Homestead Care Center is located in Guthrie Center, Iowa.
Here are the financial assistance programs available to residents in Iowa.
0.0 miles from city center
Estimated distance in miles from Guthrie Center's city center to The New Homestead Care Center's address, calculated via Google Maps.
Add your location
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
17% worse than Iowa averageIowa average ratio: 2.00:1
8% better than Iowa averageIowa average: 7.4 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursThis role is partially covered by contractors.
Total hours from contractors
5,487 contractor hours this quarter
| Certified Nursing Assistant | 26 | 21 | 47 | 9,805 | 91 | 100% | 8.3 |
| Registered Nurse | 6 | 3 | 9 | 2,561 | 91 | 100% | 9.1 |
| Licensed Practical Nurse | 2 | 2 | 4 | 1,188 | 70 | 77% | 9.1 |
| Mental Health Service Worker | 2 | 0 | 2 | 754 | 65 | 71% | 6.3 |
| Other Dietary Services Staff | 3 | 0 | 3 | 621 | 77 | 85% | 5.4 |
| Nurse Practitioner | 1 | 0 | 1 | 557 | 64 | 70% | 8.7 |
| Medication Aide/Technician | 1 | 0 | 1 | 553 | 53 | 58% | 10.4 |
| Administrator | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 309 | 52 | 57% | 5.6 |
| Physical Therapy Assistant | 0 | 2 | 2 | 261 | 54 | 59% | 4.8 |
| Occupational Therapy Aide | 0 | 2 | 2 | 111 | 30 | 33% | 3.7 |
| Speech Language Pathologist | 0 | 1 | 1 | 78 | 23 | 25% | 3.4 |
| Clinical Nurse Specialist | 0 | 3 | 3 | 56 | 9 | 10% | 6.2 |
| Physical Therapy Aide | 0 | 1 | 1 | 44 | 12 | 13% | 3.7 |
| Qualified Social Worker | 0 | 2 | 2 | 38 | 24 | 26% | 1.6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 20 | 3 | 3% | 6.5 |
| Medical Director | 0 | 1 | 1 | 1 | 1 | 1% | 1 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
50Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 Iowa averageIowa average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.8
41% better than Iowa averageIowa average: 21.6
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
6.8%
64% better than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
4.5%
77% better than Iowa averageIowa average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.0%
In line with Iowa averageIowa average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
5.1%
40% worse than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
12.8%
192% worse than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
1.7%
30% better than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
7.5%
50% worse than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
6.5%
66% better than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.8%
In line with Iowa averageIowa average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
0.57
61% better than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.13
In line with Iowa averageIowa average: 2.09
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.8%
6% better than Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa averageIowa average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
78.6%
7% better than Iowa averageIowa average: 73.3%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Iowa averageIowa average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
24.1%
55% worse than Iowa averageIowa average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
38.4%
24% worse than Iowa averageIowa average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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.
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| Akron Care Center, INC |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Akron | 45 | 98.1% | +30% | 4.71 | +15% | +10% | 0 | 4 | 2.0 | - | 42 | 37 | City Of Akron | $4.7M | $2.1M | 45.1% | 165595 | ||||
| Accura HealthCare of Carlisle |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Carlisle | 80 | 80.5% | +7% | 5.85 | -40% | +36% | 0 | 17 | 5.7 | 2 | 39 | 50 | American Healthcare Associates Inc | $4.1M | $2.5M | 59.6% | 165311 | ||||
| The New Homestead Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Guthrie Center | 58 | 87.5% | +16% | 3.81 | -7% | -11% | 0 | 25 | 3.6 | - | 51 | 44 | Hilaree Stringham | $6.4M | $2.3M | 35.5% | 165525 | ||||
| Accura Healthcare of Spirit Lake |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Spirit Lake | 85 | 66.6% | -12% | 4.29 | -8% | 0% | 1 | 21 | 7.0 | 1 | 65 | 76 | - | $7.1M | $3.0M | 42.3% | 165528 | ||||
| Accura Healthcare of Lake City, LLC |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Lake City | 46 | 70.4% | -7% | 5.17 | -33% | +20% | 4 | 39 | 3.9 | 4 | 40 | 51 | Accura Healthcare Of The Heartland LLC | $2.1M | $1.0M | 46.7% | 165082 |
Historical financial and operational data for The New Homestead Care Center based on CMS SNF Cost Reports.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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.
According to IA state health department records, The New Homestead Care Center's license number is 390375.
According to IA state health department records, The New Homestead Care Center's license expires on August 1, 2026.
The New Homestead Care Center's occupancy is 81%.
The team at The New Homestead Care Center can be reached at [email protected].
Hilaree Stringham is the administrator of The New Homestead Care Center.
The New Homestead Care Center has 58 beds.
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
