The New Homestead Care Center

2306 State Street, Guthrie Center, IA 50115 · CCN 165525 · 58 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections2 of 5CMS staffing3 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

No immediate-jeopardy or actual-harm citations, and no CMS enforcement fines, appear in this facility's current record.

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Serious inspection findings

No citations at CMS's actual-harm or immediate-jeopardy levels appear in this facility's current record.

Staffing, from payroll records

Nursing hours / resident / day

2.97

state median 3.10

Weekend staffing gap

−5%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.33

registered nurses only

Contract (agency) staff

16%

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

56%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

CMS records no penalties for this facility.

Ownership

Ownership type: Non profit - Corporation. Part of the HEALTHCARE OF IOWA chain.

Other facilities under the same ownership, with their CMS overall ratings:

Monticello Nursing & Rehab Center (Monticello, IA) — CMS overall4 of 5
Mill Valley Care Center (Bellevue, IA) — CMS overall5 of 5
Anamosa Care Center (Anamosa, IA) — CMS overall5 of 5
Winslow House Care Center (Marion, IA) — CMS overall2 of 5
Wellington Place (Decorah, IA) — CMS overall3 of 5

Full citation history

By severity: Potential for more than minimal harm: 24

Survey date	Tag	Category	Severity	Corrected
2025-10-22	F0725	Nursing and Physician Services Deficiencies	D	not recorded
2025-04-24	F0582	Resident Rights Deficiencies	D	not recorded
2025-04-24	F0623	Resident Rights Deficiencies	D	not recorded
2025-04-24	F0677	Quality of Life and Care Deficiencies	D	not recorded
2025-04-24	F0686	Quality of Life and Care Deficiencies	D	not recorded
2025-04-24	F0688	Quality of Life and Care Deficiencies	D	not recorded
2025-04-24	F0725	Nursing and Physician Services Deficiencies	E	not recorded
2025-04-24	F0757	Pharmacy Service Deficiencies	D	not recorded
2025-04-24	F0804	Nutrition and Dietary Deficiencies	E	not recorded
2025-04-24	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2025-04-24	F0880	Infection Control Deficiencies	D	not recorded
2025-02-20	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-06-13	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-06-13	F0676	Quality of Life and Care Deficiencies	D	not recorded
2024-06-13	F0690	Quality of Life and Care Deficiencies	D	not recorded
2024-06-13	F0693	Quality of Life and Care Deficiencies	D	not recorded
2024-06-13	F0725	Nursing and Physician Services Deficiencies	E	not recorded
2024-06-13	F0880	Infection Control Deficiencies	D	not recorded
2023-09-20	F0550	Resident Rights Deficiencies	D	not recorded
2023-06-08	F0623	Resident Rights Deficiencies	D	not recorded
2023-06-08	F0625	Resident Rights Deficiencies	E	not recorded
2023-06-08	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-06-08	F0742	Quality of Life and Care Deficiencies	D	not recorded
2023-06-08	F0812	Nutrition and Dietary Deficiencies	F	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “The New Homestead Care Center, Guthrie Center” at medicare.gov/care-compare.