Occupancy rate
81%
In line with Iowa averageMix 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.
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Nursing Home in Iowa
CMS overall rating
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.
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.
The New Homestead Care Center
Nursing Home in Iowa
CMS overall rating
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.
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.
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
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
58
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
81%
Residents per day (avg)
51
Occupancy rate
81%
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 community
Home revenue
$6.4M
Surplus of revenue
$1.0M
Voluntary non-profit community
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
Occupancy
In line with Iowa averageOccupied beds
47 / 58
Average residents
51 per day
Facility TypeFree Standing Nf/snf
StatusActive
ExpirationAugust 1, 2026
CountyGuthrie
License Number390375
CMS Certification Number165525
Certification TypeFALSE
The New Homestead Care Center is administrated by Hilaree Stringham.
Rehabilitation Services
Skilled Nursing
24-Hour Staffing
Skilled Rehabilitation
Long-Term Nursing Care
Email
[email protected]
Fax6413322982
Specific ProgramsIndependent 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
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date
January 7, 2026
50 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Iowa average: 27 deficiencies
Inspection Report Summary for The New Homestead Care Center
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.
Health Inspection History
Inspections
Total health inspections
7
Iowa average 4.9
Last Health inspection on Oct 2025
Total health citations
25
Iowa average 21.7
Citations per inspection
3.57
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).
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
Issues related to the availability and quality of nursing staff and the care they provide.
Oct 22, 2025
Issues related to the availability and quality of nursing staff and the care they provide.
Oct 22, 2025
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 24, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 24, 2025
Corrected
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Apr 24, 2025
Issues related to the availability and quality of nursing staff and the care they provide.
Apr 24, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Apr 24, 2025
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.
Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Filter by care type
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
+10%
0
4
2.0
0
42
City Of Akron
$4.7M
$2.1M
46.1%
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
46
80.5%
+7%
5.85
+36%
0
17
5.7
2
39
American Healthcare Associates Inc
$4.1M
$2.5M
59.9%
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
-11%
0
25
3.6
0
51
Stringham, Hilaree
$6.3M
$2.3M
35.8%
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
0%
1
21
7.0
1
65
-
$7.1M
$3.0M
42.7%
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
+20%
4
39
3.9
4
40
Accura Healthcare Of The Heartland Llc
$2.0M
$1.0M
47.4%
165082
Places of interest near The New Homestead Care Center
0.0 miles from city center
2306 State Street, Guthrie Center, IA 501158896
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
83
Employees
42
Contractors
41
Staff to resident ratio
1.66:1
17% worse than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
24
Average shift
8 hours
8% better than Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
17,458
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
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.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
4
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
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.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
47
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
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.
Contractor staffing
Total hours from contractors
31.4%
5,487 contractor hours this quarter
Certified Nursing Assistant: 21
Registered Nurse: 3
Clinical Nurse Specialist: 3
Licensed Practical Nurse: 2
Qualified Social Worker: 2
Occupational Therapy Aide: 2
Physical Therapy Assistant: 2
Respiratory Therapy Technician: 2
Speech Language Pathologist: 1
Occupational Therapy Assistant: 1
Physical Therapy Aide: 1
Medical Director: 1
Staff by category
| 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 |
47 Certified Nursing Assistant
% of Days
100%
9 Registered Nurse
% of Days
100%
4 Licensed Practical Nurse
% of Days
77%
2 Mental Health Service Worker
% of Days
71%
3 Other Dietary Services Staff
% of Days
85%
1 Nurse Practitioner
% of Days
70%
1 Medication Aide/Technician
% of Days
58%
1 Administrator
% of Days
69%
2 Respiratory Therapy Technician
% of Days
57%
2 Physical Therapy Assistant
% of Days
59%
2 Occupational Therapy Aide
% of Days
33%
1 Speech Language Pathologist
% of Days
25%
3 Clinical Nurse Specialist
% of Days
10%
1 Physical Therapy Aide
% of Days
13%
2 Qualified Social Worker
% of Days
26%
1 Occupational Therapy Assistant
% of Days
3%
1 Medical Director
% of Days
1%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
50 residents
Residents by payment source
Medicare
2 residents (4%)
Medicaid
21 residents (42%)
Private pay or other
27 residents (54%)
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.
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.
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
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