The New Homestead Care Center
2306 State Street · Guthrie Center, IA · 50115 · 6413322204
58 certified beds Non profit - Corporation Chain: Healthcare of Iowa Part of a CCRC
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 75 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.51 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.51 | 0.55–0.75 |
| Weekend hours / resident-day | 3.24 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (24 in the current record)
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Potential for harm · D October 22, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected January 7, 2026 · Nursing and Physician Services
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Potential for harm · D April 24, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected May 24, 2025 · Resident Rights
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Potential for harm · D April 24, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected May 24, 2025 · Resident Rights
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Potential for harm · D April 24, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected May 24, 2025 · Pharmacy Service
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Potential for harm · E April 24, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected May 24, 2025 · Nutrition and Dietary
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Potential for harm · E April 24, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 24, 2025 · Nutrition and Dietary
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Potential for harm · D April 24, 2025
Provide and implement an infection prevention and control program.
Corrected May 24, 2025 · Infection Control
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Potential for harm · D April 24, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected May 24, 2025 · Quality of Life and Care
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Potential for harm · D April 24, 2025 · found via complaint
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected May 24, 2025 · Quality of Life and Care
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Potential for harm · E April 24, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected May 24, 2025 · Nursing and Physician Services
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Potential for harm · D April 24, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 24, 2025 · Quality of Life and Care
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Potential for harm · D February 20, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 26, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 13, 2024
Ensure each resident receives an accurate assessment.
Corrected July 13, 2024 · Resident Assessment and Care Planning
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Potential for harm · D June 13, 2024
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected July 13, 2024 · Quality of Life and Care
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Potential for harm · D June 13, 2024
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected July 13, 2024 · Quality of Life and Care
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Potential for harm · D June 13, 2024
Provide and implement an infection prevention and control program.
Corrected July 13, 2024 · Infection Control
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Potential for harm · D June 13, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected July 13, 2024 · Quality of Life and Care
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Potential for harm · E June 13, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected July 13, 2024 · Nursing and Physician Services
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Potential for harm · D September 20, 2023 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 6, 2023 · Resident Rights
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Potential for harm · D June 8, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 6, 2023 · Resident Assessment and Care Planning
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Potential for harm · D June 8, 2023
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
Corrected July 6, 2023 · Quality of Life and Care
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Potential for harm · D June 8, 2023 · found via complaint
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected July 6, 2023 · Resident Rights
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Potential for harm · E June 8, 2023 · found via complaint
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected July 6, 2023 · Resident Rights
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Potential for harm · F June 8, 2023 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 6, 2023 · Nutrition and Dietary
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165525 · certified since January 1, 2004. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.