Total staff
86
Employees
73
Contractors
13
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
Nursing Home in Iowa
CMS overall rating
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.
Guttenberg Care Center
Nursing Home in Iowa
CMS overall rating
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.
Guttenberg Care Center is a facility that is part of ABCM Corporation. It focuses on providing care for residents and offers various services. The center is committed to a person-directed care philosophy.
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 240 homes in Iowa.
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 240 homes in Iowa.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 / 240Nurse hours — state benchmarkedThis home is ranked 213th out of 240 homes in Iowa.Shows adjusted nurse hours per resident per day benchmarked to the Iowa average, with a ranking across 240 Iowa SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.
vs Iowa avg
-18%
Standout metric
LPN / LVN is +12% above state avg
| 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.
| 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.
| 38m per day | ▲ 12% 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 11m per day | ▼ 14% 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.
| 3h 20m per day | ■ Avg 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.
| 2m per day | ■ Avg 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.
| 29m per day | ▼ 3% State avg: 30m per day · National avg: 28m per day |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
38.7%
Rank #243 / 246Occupancy rate — state benchmarkedThis home is ranked 243rd out of 246 homes in Iowa.Shows this facility's occupancy rate versus the Iowa average, with its statewide rank out of 246. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
102 days
Occupancy rate
38.7%
Rank #243 / 246Occupancy rate — state benchmarkedThis home is ranked 243rd out of 246 homes in Iowa.Shows this facility's occupancy rate versus the Iowa average, with its statewide rank out of 246. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
102 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
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
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$4.0M
Operating loss
-$270.4K
Privately-owned community
Operated by a business corporation.
Home revenue
$4.0M Rank #205 / 241Revenue — state benchmarkedThis home is ranked 205th out of 241 homes in Iowa.Shows this facility's annual revenue compared to the Iowa SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
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 #185 / 241Payroll — state benchmarkedThis home is ranked 185th out of 241 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.
$2.1M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #185 / 241Payroll — state benchmarkedThis home is ranked 185th out of 241 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.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.3M
About this community
Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Filter by care type
| Guttenberg 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. | Guttenberg | 93 | 38.7% | -49% | 3.53 | -30% | -18% | 0 | 0 | 0.0 | 0 | 32 | - | - | - | $4.0M | $2.1M | 53.1% | 165334 | ||||
| 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 | 0 | 42 | - | - | 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 | - | - | American Healthcare Associates Inc | $4.1M | $2.5M | 59.6% | 165311 | ||||
| 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 | - | - | - | $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 | - | - | Accura Healthcare Of The Heartland Llc | $2.1M | $1.0M | 46.7% | 165082 |
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Nursing Home in Iowa
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Staff to resident ratio
2.32:1
16% better than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
21
Average shift
6.7 hours
9% worse than Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
12,837
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
7
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
45
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.5 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
2.5%
318 contractor hours this quarter
Certified Nursing Assistant: 6
Licensed Practical Nurse: 3
Registered Nurse: 2
Occupational Therapy Assistant: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 39 | 6 | 45 | 6,632 | 91 | 100% | 6.5 |
| Licensed Practical Nurse | 7 | 3 | 10 | 2,532 | 91 | 100% | 8.7 |
| Registered Nurse | 5 | 2 | 7 | 722 | 63 | 69% | 9 |
| Administrator | 1 | 0 | 1 | 509 | 64 | 70% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 444 | 58 | 64% | 7.7 |
| Dietitian | 1 | 0 | 1 | 383 | 62 | 68% | 6.2 |
| Dental Services Staff | 1 | 0 | 1 | 363 | 58 | 64% | 6.3 |
| Speech Language Pathologist | 1 | 0 | 1 | 351 | 59 | 65% | 5.9 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 324 | 55 | 60% | 5.9 |
| Physical Therapy Aide | 2 | 0 | 2 | 282 | 59 | 65% | 4.7 |
| Medication Aide/Technician | 2 | 0 | 2 | 71 | 11 | 12% | 5.9 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 51 | 28 | 31% | 1.8 |
| Other Dietary Services Staff | 6 | 0 | 6 | 47 | 23 | 25% | 1.9 |
| Qualified Social Worker | 1 | 0 | 1 | 43 | 34 | 37% | 1.3 |
| Occupational Therapy Aide | 1 | 0 | 1 | 34 | 6 | 7% | 5.7 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 32 | 28 | 31% | 1.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 13 | 3 | 3% | 4.2 |
| Physical Therapy Assistant | 1 | 0 | 1 | 3 | 2 | 2% | 1.7 |
| Medical Director | 0 | 1 | 1 | 2 | 2 | 2% | 1.2 |
45 Certified Nursing Assistant
% of Days
100%
10 Licensed Practical Nurse
% of Days
100%
7 Registered Nurse
% of Days
69%
1 Administrator
% of Days
70%
1 Nurse Practitioner
% of Days
64%
1 Dietitian
% of Days
68%
1 Dental Services Staff
% of Days
64%
1 Speech Language Pathologist
% of Days
65%
1 Clinical Nurse Specialist
% of Days
60%
2 Physical Therapy Aide
% of Days
65%
2 Medication Aide/Technician
% of Days
12%
2 Respiratory Therapy Technician
% of Days
31%
6 Other Dietary Services Staff
% of Days
25%
1 Qualified Social Worker
% of Days
37%
1 Occupational Therapy Aide
% of Days
7%
1 Therapeutic Recreation Specialist
% of Days
31%
1 Occupational Therapy Assistant
% of Days
3%
1 Physical Therapy Assistant
% of Days
2%
1 Medical Director
% of Days
2%
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.
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.
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
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