Federal inspection record · CMS data as of October 1, 2026
The New Homestead Care Center
2306 State Street, Guthrie Center, IA · (641) 332-2204
- Certified beds
- 58
- Residents per day
- 46
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 2004
1
How this home got 3 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
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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.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
The New Homestead Care Center carries 26 inspection points. That is fewer than 59% of Iowa's 385 rated homes.
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
20 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care6D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
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.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
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.
Infection Control3D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services3E
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Resident Assessment and Care Planning2D
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure each resident receives an accurate assessment.
Nutrition and Dietary2E
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights2D
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Pharmacy Service1D
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspection history
2026-06-25
3 health deficiencies · 4 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2025-04-24
11 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-06-13
6 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 33 min of nursing staff time a day, 33 min of it from a registered nurse.
This home
3 h 33 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
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.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.5 pts better | 0.9 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts better | 1.8 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine9.8 pts worse | 84.4% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.8 pts worse | 94.0% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.4 pts worse | 4.3% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.6 pts better | 0.6% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.4 pts worse | 7.8% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4 pts worse | 25.0% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication12.5 pts better | 7.3% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.1 pts worse | 16.3% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.9 pts worse | 24.5% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better | 0.0% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 1.6% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.6 pts worse | 26.6% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers10 pts worse | 14.1% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine4.6 pts worse | 79.4% | 84.0% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
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Who owns and runs it
19 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| The Capstone Group Inc | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Bascom, Steven | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bascom, Steven | Adp Of The SNF · Individual | 0% | 1 facilities |
| Brown, Tiffany | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Brown, Tiffany | Adp Of The SNF · Individual | 0% | 1 facilities |
| Cambridge Realty Capital Ltd Of Illinois | 5% Or Greater Mortgage Interest · Organization | 0% | 3 facilities |
| Cambridge Realty Capital Ltd Of Illinois | Adp Of The SNF · Organization | 0% | 3 facilities |
| Clark, Brandy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Clark, Brandy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Johnson, Julie | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Johnson, Julie | Adp Of The SNF · Individual | 0% | 3 facilities |
| Lock, James | Corporate Director · Individual | 0% | 2 facilities |
| Lock, James | Corporate Officer · Individual | 0% | 2 facilities |
| Michaud, Michael | Corporate Director · Individual | 0% | 1 facilities |
| Michaud, Michael | Corporate Officer · Individual | 0% | 1 facilities |
| Slessor, Gregory | Corporate Director · Individual | 0% | 1 facilities |
| Slessor, Gregory | Corporate Officer · Individual | 0% | 1 facilities |
| Stringham, Hilaree | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Stringham, Hilaree | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
14 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- E
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- D
Install a fire alarm system that can be heard throughout the facility.
- D
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems4F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Ensure that testing and maintenance of electrical equipment is performed.
- D
Have proper medical gas storage and administration areas.
Egress2F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- E
Have properly located and lighted "Exit" signs.
Emergency Preparedness2F
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
Miscellaneous1E
- E
Have simulated fire drills held at unexpected times.
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Other homes nearby
-
Panora Specialty Care
Panora, IA · Care Initiatives
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 2 h 55 min
- Fines
- $0
-
Community Care Center
Stuart, IA
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 12 min
- Fines
- $0
-
Thomas Rest Haven
Coon Rapids, IA
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 19 min
- Fines
- $11,190