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Nursing HomeMedicaid Top Rated

Guttenberg Care Center

Strong Medicare quality ratings; families often praise compassionate and attentive nursing staff. Still worth an in-person visit.

1315 Acre Street, Guttenberg, IA 5205246 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.6/5

based on 23 Google reviews

5
4
3
2
1
Guttenberg Care Center Nursing Home in Guttenberg, IA — Street View
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What this means for your family

This facility is highly regarded for its compassionate nursing care and responsiveness to families, particularly during end-of-life transitions and rehabilitation. However, if daily engagement and activity levels are a priority for your loved one, we recommend visiting in person to observe the daily routine and asking management specifically about their current activity programming.

Google Reviews

Google Reviews

23 reviews on Google
Guttenberg Care Center receives high praise for its compassionate nursing staff and effective rehabilitation services, with family members specifically highlighting the facility's support during end-of-life care. However, there is a stark contrast in feedback, as some observers express significant concern regarding a perceived lack of stimulating activities and a focus on end-of-life care over active rehabilitation. Families should weigh the positive reports of attentive bedside care against the critical feedback regarding daily engagement and staffing levels.

Quality Themes

Tap a score for details
FoodN/AStaff9.0CleanN/AActivities3.0MedsN/AMemoryN/AComms8.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Effective physical therapy and rehabilitation
  • Supportive and accommodating end-of-life care
  • Responsive communication with families

Concerns

  • Lack of stimulating activities for residents (mentioned by 2 reviewers)
  • Understaffing impacting resident quality of life (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02017(1)4.02018(1)1.02022(1)4.62025(14)5.02026(7)

Distribution · 24 analyzed

5
20
4
2
3
0
2
0
1
2

How They Respond to Reviews

87%response rate

This facility actively engages with reviewer feedback.

Questions for Your Tour

  • 1I noticed your team is very active in responding to feedback online; how do you incorporate that family input into your daily operations?
  • 2With a smaller community of 46 residents, how do you ensure that staffing levels remain consistent enough to provide personalized attention throughout the day?
  • 3What specific steps are you taking to expand your activity calendar to ensure residents stay engaged and stimulated throughout the week?
  • 4Given your strong reputation for rehabilitation and end-of-life care, how does your nursing team coordinate with families during critical medical transitions?
  • 5Since you have maintained a high CMS health inspection rating, what is your approach to maintaining those safety standards during busy shifts?
  • 6How do you balance the need for structured care with opportunities for residents to socialize and participate in group events?

Personalized based on this facility's data


Key Review Excerpts

The staff quickly moved Mom to the Hospice Room, when we knew she was declining. They even moved her things, like her dresser and statues and hung pictures on the wall. You were very accommodating to us, being such a large family.

Long-term resident's family · 2025★★★★★

Questions we had for any staff were always answered with care and was explained - and we were updated alot with both of them on their care !

Long-term resident's family · 2025★★★★★

PT Staff were very helpful in getting my strength back with a positive therapy plan. All in all, it was very beneficial for starting my recovery.

Rehab patient · 2025★★★★★
Source: 23 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.65hrs
87%
Registered nurses for medical care
Total Nursing
3.59hrs
88%
All nurses + aides combined
Staff Turnover
46%
Lower is better (< 30% = good)
RN Turnover
67%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

8

measures

Worse Than Avg

6

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility32.8%
Worse than Avg
Here
32.8%
US
15.5%
IA
19.4%
Clayton
7.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.2%
Better than Avg
Here
99.2%
US
93.4%
IA
93.9%
Clayton
88.9%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility25.8%
Worse than Avg
Here
25.8%
US
19.4%
IA
25.9%
Clayton
22.1%
😔

Residents with depression symptoms

↓ Lower is better
This Facility6.3%
Mixed vs Avgs
Here
6.3%
US
12.1%
IA
4.1%
Clayton
5.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility19.2%
Worse than Avg
Here
19.2%
US
14.4%
IA
17.6%
Clayton
14.1%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility1.5%
Better than Avg
Here
1.5%
US
4.9%
IA
4.3%
Clayton
6.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility91.7%
Better than Avg
Here
91.7%
US
79.8%
IA
73.3%
Clayton
70.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility94.1%
Better than Avg
Here
94.1%
US
81.8%
IA
84.1%
Clayton
81.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
IA
2.0%
Clayton
2.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

0deficiencies
Well below state avg (6.2)
Clean record — no deficiencies

Guttenberg Care Center shows a concerning pattern of recurring safety deficiencies, particularly with electrical systems and emergency preparedness. The facility has struggled with generator backup power issues appearing in both 2024 and 2025 surveys, and problems with power strip usage found in 2023 and 2024. While all deficiencies have correction dates, the repeated violations in critical safety areas suggest ongoing maintenance and preparedness challenges that families should discuss during visits.

Nov 20, 2025Routine
1
0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

Nov 7, 2024Routine
7
0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0029Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop a communication plan.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0914Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Nov 9, 2023Routine
4
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

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

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
2deficiencies
Nov 20, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Nov 7, 2024Inspection
Clean

Fed violations: 0, State violations: 0

Jul 1, 2024Complaint
Clean

Fed violations: 0, State violations: 0

Nov 9, 2023Inspection
Clean

Fed violations: 0, State violations: 0

Apr 12, 2023Complaint
Clean

Fed violations: 0, State violations: 0

Aug 17, 2022Complaint
Clean

Fed violations: 0, State violations: 0

Aug 14, 2022Inspection
Clean

Fed violations: 0, State violations: 0

Jul 14, 2022Inspection
Clean

Fed violations: 2, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Guttenberg Care Center

Organization Type

for profit

Chain Affiliation

Chain Name

Legacy Healthcare

Chain Size

89 facilities nationwide

Chain avg rating: 3.0/5 · Rank 8 of 89 (Best)

Ownership & Management

Owners

Friedman, Brian

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Shabat, Ahuva

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Shabat, MenachemOfficer / DirectorLegacy Healthcare Financial Services LLCManagerBeasley, KarlaManagerBehounek, LinseyManagerBorcherding, JennyManager
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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