Show Inspection Reports
Total health inspections
7
Iowa average 4.9
Last Health inspection on Oct 2025
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.
The New Homestead Care Center
Nursing Home
The New Homestead Care Center
Nursing Home
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
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
58
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
87.5%
Residents per day (avg)
51
Occupancy rate
87.5%
Residents per day (avg)
51
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
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
Finances and operations
Voluntary non-profit home
Other
Home revenue
$6.4M
Surplus of revenue
$1.0M
Voluntary non-profit home
Other
Home revenue
$6,350,561.00
Surplus of revenue
$1,038,448.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.8M
58-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
License Status
ActiveFacility Type
Free Standing NF/SNF
License Expiration
August 1, 2026
Additional licensing details
License number:
390375
CMS Certification Number:
165525
Certification type:
FALSE
County:
Guthrie
Ownership & operating entity
The New Homestead Care Center is administrated by Hilaree Stringham.
Care Services
Nursing Services
Rehabilitation Services
Independent Living
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
All Levels of Care
Contact Information
Email:
[email protected]
Fax:
6413322982
Programs & Activities
Specific Programs
Independent Living, Assisted Living, Skilled Rehabilitation, Long-term Nursing Care
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.
25 visits/inspections
Latest inspection
Date:January 7, 2026
Compare Nursing Homes around Iowa
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Akron Care Center, INC
+15%
+10%
+30%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 510017716
45
No
CITY OF AKRON
98.1%
$4,650,730.00
$2,144,112.00
46.1%
42.00
4.7098
-
4
-
+15%+10%+30%
Accura HealthCare of Carlisle
-40%
+36%
+7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 500478733
46
No
AMERICAN HEALTHCARE ASSOCIATES INC
80.5%
$4,098,046.00
$2,453,646.00
59.9%
38.90
5.8515
-
17
2
-40%+36%+7%
The New Homestead Care Center
-7%
-11%
+16%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 501158896
58
No
STRINGHAM, HILAREE
87.5%
$6,311,102.00
$2,257,251.00
35.8%
51.00
3.8083
-
25
-
-7%-11%+16%
Accura Healthcare of Spirit Lake
-8%
-12%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 513601000
85
No
-
66.6%
$7,053,735.00
$3,009,392.00
42.7%
65.20
4.2922
1
21
1
-8%
0%
-12%
Accura Healthcare of Lake City, LLC
-33%
+20%
-7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 514499701
46
No
ACCURA HEALTHCARE OF THE HEARTLAND LLC
70.4%
$2,045,587.00
$969,532.00
47.4%
39.80
5.1665
4
39
4
-33%+20%-7%
Akron Care Center, INC
Type of care:
SNF
AL
Community:
IA 510017716
Bed Count:
45
Pets Allowed:
No
Operator:
CITY OF AKRON
CCN:
165595
Occupancy:
98.1%
Home Revenue:
$4,650,730.00
Payroll Costs:
$2,144,112.00
Payroll %:
46.1%
Avg Residents/Day:
42.00
Overall Rating:
Adj Nurse Hours:
4.7098
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
+15%
+15%
Staffing vs State Avg:
+10%
+10%
Occupancy vs State Avg:
+30%
+30%
Accura HealthCare of Carlisle
Type of care:
SNF
AL
Community:
IA 500478733
Bed Count:
46
Pets Allowed:
No
Operator:
AMERICAN HEALTHCARE ASSOCIATES INC
CCN:
165311
Occupancy:
80.5%
Home Revenue:
$4,098,046.00
Payroll Costs:
$2,453,646.00
Payroll %:
59.9%
Avg Residents/Day:
38.90
Overall Rating:
Adj Nurse Hours:
5.8515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
17
Severe Citations:
2
RN share vs State Avg:
-40%
-40%
Staffing vs State Avg:
+36%
+36%
Occupancy vs State Avg:
+7%
+7%
The New Homestead Care Center
Type of care:
SNF
AL
Community:
IA 501158896
Bed Count:
58
Pets Allowed:
No
Operator:
STRINGHAM, HILAREE
CCN:
165525
Occupancy:
87.5%
Home Revenue:
$6,311,102.00
Payroll Costs:
$2,257,251.00
Payroll %:
35.8%
Avg Residents/Day:
51.00
Overall Rating:
Adj Nurse Hours:
3.8083
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
25
RN share vs State Avg:
-7%
-7%
Staffing vs State Avg:
-11%
-11%
Occupancy vs State Avg:
+16%
+16%
Accura Healthcare of Spirit Lake
Type of care:
SNF
AL
Community:
IA 513601000
Bed Count:
85
Pets Allowed:
No
CCN:
165528
Occupancy:
66.6%
Home Revenue:
$7,053,735.00
Payroll Costs:
$3,009,392.00
Payroll %:
42.7%
Avg Residents/Day:
65.20
Overall Rating:
Adj Nurse Hours:
4.2922
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
21
Severe Citations:
1
RN share vs State Avg:
-8%
-8%
Staffing vs State Avg:
0%
Occupancy vs State Avg:
-12%
-12%
Accura Healthcare of Lake City, LLC
Type of care:
SNF
AL
Community:
IA 514499701
Bed Count:
46
Pets Allowed:
No
Operator:
ACCURA HEALTHCARE OF THE HEARTLAND LLC
CCN:
165082
Occupancy:
70.4%
Home Revenue:
$2,045,587.00
Payroll Costs:
$969,532.00
Payroll %:
47.4%
Avg Residents/Day:
39.80
Overall Rating:
Adj Nurse Hours:
5.1665
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
4
Citations:
39
Severe Citations:
4
RN share vs State Avg:
-33%
-33%
Staffing vs State Avg:
+20%
+20%
Occupancy vs State Avg:
-7%
-7%Places of interest near The New Homestead Care Center
Guthrie Center, IA 501158896
Guthrie Center, IA 501158896
Calculate Travel Distance to The New Homestead Care Center
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
83
Total Staff
42
Employees
41
Contractors
17,458
Total Hours (Quarter)
24
Avg Staff/Day
8
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 9 | 9.1 | Yes |
| Licensed Practical Nurse | 4 | 9.1 | Yes |
| Certified Nursing Assistant | 47 | 8.3 | Yes |
Staff by Category
Administration ⓘ
2 staff
7.9hs shift avg
Nursing Staff ⓘ
61 staff
8.6hs shift avg
Physicians & Practitioners ⓘ
4 staff
8.4hs shift avg
Therapy Services ⓘ
9 staff
4.6hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
1.6hs shift avg
Dietary Services ⓘ
3 staff
5.4hs shift avg
Other Services ⓘ
2 staff
6.3hs shift avg
Contractor Analysis
31.4%
of total hours from contractors
5,487 contractor hours this quarter
Speech Language Pathologist: 1
Registered Nurse: 3
Certified Nursing Assistant: 21
Licensed Practical Nurse: 2
Qualified Social Worker: 2
Occupational Therapy Aide: 2
Occupational Therapy Assistant: 1
Physical Therapy Assistant: 2
Physical Therapy Aide: 1
Respiratory Therapy Technician: 2
Clinical Nurse Specialist: 3
Medical Director: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| 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 |
Health Inspection History
Inspections
Total health citations
25
Citations per inspection
3.57
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 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
0
0
100% better than Iowa averageIowa average: 0.9
0 critical citations
0 serious citations
25 moderate citations
0 minor citations
Citations history (last 3 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
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.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: Non-Profit Corporation
Resident Census by Payment Source
50
Total Residents
Medicare
2
(4%)
ⓘ
Medicaid
21
(42%)
ⓘ
Private Pay/Other
27
(54%)
ⓘ
Programs & Services
Residents' Group
ⓘ
CCRC
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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.
7.3
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.8
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
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
6.8%
Percent of long-stay residents whose need for help with daily activities has increased
6.8%
64% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
4.5%
Percent of long-stay residents whose ability to move independently worsened
4.5%
77% better 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
27.0%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
5.1%
Percent of long-stay residents experiencing one or more falls with major injury
5.1%
40% worse than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
12.8%
Percent of long-stay high risk residents with pressure ulcers
12.8%
192% worse than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.7%
Percent of long-stay residents with a urinary tract infection
1.7%
30% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
7.5%
Percent of long-stay residents who lose too much weight
7.5%
50% worse than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
6.5%
Percent of long-stay residents who received an antipsychotic medication
6.5%
66% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.8%
In line with Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.8%
6% 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
78.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
78.6%
7% 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 The New Homestead Care Center based on CMS SNF Cost Reports.
Occupancy Rate
87.5%
↓ 0.3pp vs 2022
Net Income
$1,038,448
↑ ~$797K vs 2022
Total Payroll
$3,521,969
↑ ~$232K vs 2022
Profit Margin
16.5%
↑ 12.2pp vs 2022
Loading trend charts...
Guides for Better Senior Living
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
Financial Aid for Iowa Seniors
Get financial aid guidance
Planning a tour? Check our touring checklist.
Thinking of living here? We can help you speak to a current resident
Looking for a job? Apply for Open Positions at The New Homestead Care Center
Thinking about senior living? Use our bidding system to get competitive quotes from the best homes in your area.
Touring Checklist for Senior Living
Touring a community? Use this expert-backed checklist to stay organized, ask the right questions, and find the perfect fit.
Location
Community Spaces and Overall Environment
Services
Staffing
Accommodations
Finances
Other Notes
0/250
Send Checklist to Your Email
We'll send you a PDF version of the touring checklist.
Feedback
