Nursing Home Lookup

Federal inspection record · CMS data as of October 1, 2026

Guttenberg Care Center

1315 Acre Street, Guttenberg, IA · (563) 252-2281

  • CMS high-performer trophy

CMS overall rating

5 of 5

Compare with a nearby home →
Certified beds
46
Residents per day
35
Ownership
For-Profit
Chain
Legacy Healthcare
Medicare / Medicaid
Medicare + Medicaid
Certified since
June 1, 1997

1

How this home got 5 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    5 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Iowa homes

Guttenberg Care Center carries 0 inspection points, the cleanest record possible.

5★4★3★2★1★+12 homes above 18305102550100inspection points → fewer is better on the leftThis home · 0 pts · 5★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–7 pts
  • 4★ 7–21 pts
  • 3★ 21–41 pts
  • 2★ 41–86.5 pts
  • 1★ over 86.5 pts

Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

No health citations on record in this data.

Inspection history

  1. 2025-11-20

    0 health deficiencies · 1 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

  2. 2024-11-07

    0 health deficiencies · 7 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

  3. 2023-11-09

    0 health deficiencies · 4 fire-safety deficiencies

    No concentrated health issue counts in this cycle.

4

Nursing time per resident, per day

Each resident here gets about 3 h 37 min of nursing staff time a day, 42 min of it from a registered nurse.

This home

3 h 37 min

Iowa average

3 h 52 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 34% of nursing staff and 17% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.3 pts better1.11.41.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts worse2.31.91.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.8 pts better100.0%94.2%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.2 pts better100.0%95.8%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts better3.3%3.9%3.2%
Percentage of long-stay residents who have depressive symptoms12 pts worse16.2%4.2%13.5%
Percentage of long-stay residents who lose too much weight1.2 pts better3.2%4.4%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication0.1 pts worse21.1%21.0%19.5%
Percentage of long-stay residents who received an antipsychotic medication15.7 pts worse35.5%19.8%15.4%
Percentage of long-stay residents who were physically restrained0.2 pts better0.0%0.2%0.1%
Percentage of long-stay residents whose ability to walk independently worsened2.4 pts better12.8%15.2%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.7 pts better14.9%16.6%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better0.6%1.4%0.7%
Percentage of long-stay residents with a urinary tract infection0.7 pts better1.7%2.4%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.4 pts better22.6%25.0%18.3%
Percentage of long-stay residents with pressure ulcers1 pts better3.1%4.1%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16 pts better100.0%84.0%82.3%
Percentage of short-stay residents who newly received an antipsychotic medicationAbout the same2.1%2.1%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine17.6 pts better92.0%74.4%80.1%

·

Who owns and runs it

56 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Beasley, KarlaOperational/Managerial Control · Individual0%29 facilities
Beasley, KarlaAdp Of The SNF · Individual0%29 facilities
Behounek, LinseyOperational/Managerial Control · Individual0%29 facilities
Behounek, LinseyAdp Of The SNF · Individual0%29 facilities
Borcherding, JennyOperational/Managerial Control · Individual0%29 facilities
Borcherding, JennyAdp Of The SNF · Individual0%29 facilities
Burgin, LexiaOperational/Managerial Control · Individual0%1 facilities
Burgin, LexiaAdp Of The SNF · Individual0%1 facilities
Burken, SheriOperational/Managerial Control · Individual0%30 facilities
Burken, SheriAdp Of The SNF · Individual0%30 facilities
Cascade Capital Holdings LLCAdp Of The SNF · Organization0%30 facilities
Cascade Capital Partners LLCAdp Of The SNF · Organization0%30 facilities
Ccg Gorgona LLCAdp Of The SNF · Organization0%29 facilities
Dikkers, MicheleOperational/Managerial Control · Individual0%1 facilities
Dikkers, MicheleAdp Of The SNF · Individual0%1 facilities
Friedenberg, LauraOperational/Managerial Control · Individual0%29 facilities
Friedenberg, LauraAdp Of The SNF · Individual0%29 facilities
Friedman, BrianIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%28 facilities
Gorgona Holdco LLCAdp Of The SNF · Organization0%28 facilities
Gorgona Propco Holdings LLCAdp Of The SNF · Organization0%29 facilities
Gorgona Sub Holdco LLCAdp Of The SNF · Organization0%29 facilities
Gpn Family Trust U/A/D 4/28/08Trustee Of The SNF · Organization0%80 facilities
Guttenberg Ia Property Holdings, LLCAdp Of The SNF · Organization0%1 facilities
Hedberg, JenniferOperational/Managerial Control · Individual0%29 facilities
Hedberg, JenniferAdp Of The SNF · Individual0%29 facilities
Heying, LarinaOperational/Managerial Control · Individual0%29 facilities
Heying, LarinaAdp Of The SNF · Individual0%29 facilities
Houston, MindyOperational/Managerial Control · Individual0%30 facilities
Houston, MindyAdp Of The SNF · Individual0%30 facilities
Jaeger, KrystleOperational/Managerial Control · Individual0%29 facilities
Jaeger, KrystleAdp Of The SNF · Individual0%29 facilities
Kann, HayleyOperational/Managerial Control · Individual0%1 facilities
Kann, HayleyAdp Of The SNF · Individual0%1 facilities
Larson, MelissaOperational/Managerial Control · Individual0%29 facilities
Larson, MelissaAdp Of The SNF · Individual0%29 facilities
Legacy Healthcare Financial Services LLCOperational/Managerial Control · Organization0%78 facilities
Legacy Healthcare Financial Services LLCAdp Of The SNF · Organization0%78 facilities
Mcclure, DorothyOperational/Managerial Control · Individual0%29 facilities
Mcclure, DorothyAdp Of The SNF · Individual0%29 facilities
Mn8 Rh Holdco LLCAdp Of The SNF · Organization0%28 facilities
Otterbeck, PatriciaOperational/Managerial Control · Individual0%29 facilities
Otterbeck, PatriciaAdp Of The SNF · Individual0%29 facilities
Rajchenbach, AvrumTrustee Of The SNF · Individual0%27 facilities
Rajchenbach, ChaimOperational/Managerial Control · Individual0%55 facilities
Rajchenbach, ChaimAdp Of The SNF · Individual0%55 facilities
Rajchenbach, RivkaTrustee Of The SNF · Individual0%28 facilities
Shabat, AhuvaIndividual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual0%29 facilities
Shabat, MenachemCorporate Officer · Individual0%86 facilities
Shabat, MenachemOperational/Managerial Control · Individual0%86 facilities
Shabat, MenachemAdp Of The SNF · Individual0%86 facilities
Shear, KileyOperational/Managerial Control · Individual0%29 facilities
Shear, KileyAdp Of The SNF · Individual0%29 facilities
Van Veghel, ElizabethOperational/Managerial Control · Individual0%29 facilities
Van Veghel, ElizabethAdp Of The SNF · Individual0%29 facilities
Wierschem, BobbieOperational/Managerial Control · Individual0%29 facilities
Wierschem, BobbieAdp Of The SNF · Individual0%29 facilities

·

Fire safety

12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Gas, Vacuum, and Electrical Systems5F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    November 20, 2025 · K918 · Corrected December 2, 2025

  2. F

    Have generator or other power source capable of supplying service within 10 seconds.

    November 7, 2024 · K918 · Corrected November 14, 2024

  3. E

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    November 7, 2024 · K914 · Corrected November 22, 2024

  4. D

    Ensure proper usage of power strips and extension cords.

    November 7, 2024 · K920 · Corrected November 14, 2024

  5. D

    Ensure proper usage of power strips and extension cords.

    November 9, 2023 · K920 · Corrected November 14, 2023

Smoke3F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    November 7, 2024 · K353 · Corrected December 14, 2024

  2. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    November 9, 2023 · K345 · Corrected November 28, 2023

  3. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    November 9, 2023 · K321 · Corrected November 14, 2023

Emergency Preparedness2F
  1. F

    Develop a communication plan.

    November 7, 2024 · E29 · Corrected November 20, 2024

  2. F

    Develop and maintain an Emergency Preparedness Program (EP).

    November 7, 2024 · E4 · Corrected November 20, 2024

Services1D
  1. D

    Have properly installed electrical wiring and gas equipment.

    November 7, 2024 · K511 · Corrected November 14, 2024

Miscellaneous1F
  1. F

    Have simulated fire drills held at unexpected times.

    November 9, 2023 · K712 · Corrected November 14, 2023

·

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