Guttenberg, IA

Guttenberg Care Center

5-star overall rating with 5-star inspections with 1 fire-safety deficiencies in the latest cycle

1315 Acre Street, Guttenberg, IA

(563) 252-2281

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

46

Certified beds

Average residents

35

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Legacy Healthcare

Operator or chain grouping

Approved since

1997-06-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

90 facilities

Chain averages 3 overall / 3 health / 3 staffing / 3 quality stars

Changed ownership

No

Within the last 12 months

Family council

No

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.65

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.64

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

2.18

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

3.46

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.28

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

3.14

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.49

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.67

CMS adjusted RN staffing hours

Adjusted total hours

3.60

CMS adjusted total nurse staffing hours

Case-mix index

1.32

Higher values indicate more complex resident acuity

RN turnover

60%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

32%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,567

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

29.41

Composite VBP score used to determine payment impact.

Payment multiplier

0.9854

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

3.93

Baseline 51.28% · Performance 47.62% · Measure score 3.93 · Achievement 3.93 · Improvement 0.89

Adjusted total nurse staffing

1.95

Baseline 3.45 hours · Performance 3.63 hours · Measure score 1.95 · Achievement 1.95 · Improvement 0.31

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 24 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 13 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	0.98	1.02 About the same
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 13 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 5 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 78
Staff flu vaccination coverage	53.01%	42% 11 pts better	Numerator 44 · Denominator 83
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.4	1.5 0.9 pts worse	1.9 0.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 1.6 · Expected 1.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.9	2.1 0.8 pts worse	1.8 1.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 2.1 · Expected 1.2 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.4%	94.0% 4.4 pts better	93.4% 5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 97.1% · Q2 96.9% · Q3 100.0% · Q4 100.0% · 4Q avg 98.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.2% 4.8 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	6.4%	3.7% 2.7 pts worse	3.3% 3.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 6.2% · Q3 7.1% · Q4 6.7% · 4Q avg 6.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	4.6%	4.0% 0.6 pts worse	11.4% 6.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.8% · Q3 3.8% · Q4 10.3% · 4Q avg 4.6%
Percentage of long-stay residents who lose too much weight	6.7%	4.9% 1.8 pts worse	5.4% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 9.1% · Q3 14.3% · Q4 4.5% · 4Q avg 6.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	18.0%	20.6% 2.6 pts better	19.6% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 27.3% · Q3 14.3% · Q4 18.2% · 4Q avg 18.0%
Percentage of long-stay residents who received an antipsychotic medication	29.7%	19.8% 9.9 pts worse	16.7% 13 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.0% · 4Q avg 29.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	24.2%	18.5% 5.7 pts worse	16.3% 7.9 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 24.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	21.1%	18.3% 2.8 pts worse	14.9% 6.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q4 15.0% · 4Q avg 21.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.7% 1.7 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.4%	2.5% 0.1 pts better	1.7% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 7.1% · Q4 0.0% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	34.7%	26.0% 8.7 pts worse	19.8% 14.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 52.9% · Q2 28.7% · Q3 26.6% · Q4 28.3% · 4Q avg 34.7%
Percentage of long-stay residents with pressure ulcers	1.3%	4.3% 3 pts better	5.1% 3.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.0% · Q3 0.0% · Q4 3.1% · 4Q avg 1.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	92.1%	84.3% 7.8 pts better	81.7% 10.4 pts better	Short Stay · 2024Q4-2025Q3 · Q2 87.0% · Q4 100.0% · 4Q avg 92.1%
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.9% 1.9 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	91.7%	73.3% 18.4 pts better	79.7% 12 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 91.7%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-11-20 · Fire 2025-11-20

0 health deficiencies

No concentrated health issue counts in this cycle.

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 2 Health 2024-11-07 · Fire 2024-11-07

0 health deficiencies

No concentrated health issue counts in this cycle.

7 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 3 Health 2023-11-09 · Fire 2023-11-09

0 health deficiencies

No concentrated health issue counts in this cycle.

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-11-20

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-12-02

F · Potential for more than minimal harm 2024-11-07

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2024-11-20

F · Potential for more than minimal harm 2024-11-07

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-11-20

F · Potential for more than minimal harm 2024-11-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-12-14

F · Potential for more than minimal harm 2024-11-07

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-11-14

E · Potential for more than minimal harm 2024-11-07

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-11-22

D · Potential for more than minimal harm 2024-11-07

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-11-14

D · Potential for more than minimal harm 2024-11-07

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-11-14

F · Potential for more than minimal harm 2023-11-09

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-11-28

F · Potential for more than minimal harm 2023-11-09

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-11-14

D · Potential for more than minimal harm 2023-11-09

K321 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-11-14

D · Potential for more than minimal harm 2023-11-09

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-11-14

Inspection history

Recent health citations

Penalties and ownership

What sits behind the stars

Ownership

Iowa Portfolio Opco Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 20 facilities 2024-08-15

Chaim Rajchenbach Descendants Tr Ua 04282008

5% Or Greater Indirect Ownership Interest · Organization

46% 83 facilities 2024-08-15

Oakway Operations LLC

5% Or Greater Indirect Ownership Interest · Organization

23% 48 facilities 2024-08-15

Doros Generation Trust U/A/D 1/3/12

5% Or Greater Indirect Ownership Interest · Organization

5% 78 facilities 2024-08-15

Beasley, Karla