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Nursing HomeMedicaid Investigative

The New Homestead Care Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

2306 State Street, Guthrie Center, IA 5011558 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 9 Google reviews

5
4
3
2
1
The New Homestead Care Center Nursing Home in Guthrie Center, IA — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (11 vs median 5)
  • High staff turnover (61%)

Below average in IA · Below recommended RN staffing · Worst in HEALTHCARE OF IOWA chain · No penalties on record

Source: Medicare data

What this means for your family

The facility offers a vibrant activity program and a well-maintained environment that many visitors appreciate. However, given the recent reports of insufficient staffing, I strongly recommend asking the administration about their current nurse-to-patient ratios and how they manage care during peak hours to ensure your loved one's needs will be met.

Google Reviews

Google Reviews

9 reviews on Google
The New Homestead Care Center receives praise for its active social environment and well-maintained facilities, particularly from visitors and family members. However, recent feedback highlights significant concerns regarding chronic understaffing, which reviewers suggest is negatively impacting the quality of patient care.

Quality Themes

Tap a score for details
FoodN/AStaff5.0Clean9.0Activities10.0MedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Well-maintained facility
  • Engaging daily activities
  • Attentive staff interactions
  • Comprehensive continuum of care

Concerns

  • Insufficient staffing levels (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2344.02016(1)2.02018(1)5.02020(1)5.02023(1)5.02024(1)3.42025(5)

Distribution · 10 analyzed

5
6
4
1
3
0
2
1
1
2

How They Respond to Reviews

56%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1I noticed you are very active in responding to feedback online; how do you use that family input to make ongoing improvements to the care here?
  • 2With 11 recent health inspection deficiencies noted, what specific steps is the leadership team taking to address those areas and ensure a higher standard of care moving forward?
  • 3I see that daily activities are a highlight for many families; could you walk me through what a typical afternoon looks like for a resident who enjoys staying social?
  • 4Given that staffing levels can fluctuate, how do you ensure that residents receive consistent, attentive care during peak times like morning routines or shift changes?
  • 5Since the facility offers a comprehensive continuum of care, how does the team coordinate medical support if a resident’s health needs change suddenly?
  • 6How do you maintain the well-maintained environment mentioned by families while balancing the demands of the current staffing capacity?

Personalized based on this facility's data


Key Review Excerpts

I found it to be well maintained, staff was attentive to the people, they have all levels of care which I think provides peace of mind.

Visitor/Touring family member · 2020★★★★★

Love watching our residents at daily activities!!! They have so much enjoyment!!!

Visitor/Community member · 2025★★★★★

Don't have enough help to take adequate care of the patients.

Family member · 2025☆☆☆☆
Source: 9 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.51hrs
68%
Registered nurses for medical care
Total Nursing
3.51hrs
86%
All nurses + aides combined
Staff Turnover
57%
Lower is better (< 30% = good)
RN Turnover
55%
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
4/ 5
Better Than Avg

10

measures

Worse Than Avg

4

measures

Mixed Results

3

measures

Long-Stay Residents
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility19.5%
Worse than Avg
Here
19.5%
US
4.9%
IA
4.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
IA
4.1%

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

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility8.5%
Better than Avg
Here
8.5%
US
15.5%
IA
19.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility7.5%
Better than Avg
Here
7.5%
US
15.3%
IA
17.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility10.6%
Better than Avg
Here
10.6%
US
14.4%
IA
17.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.5%
Better than Avg
Here
99.5%
US
93.4%
IA
93.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility78.6%
Mixed vs Avgs
Here
78.6%
US
79.8%
IA
73.3%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility84.9%
Better than Avg
Here
84.9%
US
81.8%
IA
84.1%
💊

Short-stay residents newly given antipsychotics

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

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

10deficiencies
Well above state avg (6.2)
12 complaint-triggered

This facility shows a concerning pattern with persistent nursing staffing shortages appearing across multiple surveys and complaint-triggered reports from families. The most recurring issues involve inadequate nursing staff levels, food safety and dietary services, and fire safety systems. While the facility reports correcting deficiencies, the repeated staffing violations suggest ongoing challenges that could impact daily care quality and safety for residents.

Oct 22, 2025Complaint
1
0725Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Apr 24, 2025Routine
8
0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0757Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Apr 24, 2025Complaint
4
0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Feb 20, 2025Complaint
1
0600Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Jun 13, 2024Routine
12
0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0346Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

0914Potential for harm · WidespreadCorrected

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.

0712Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0341Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0921Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Jun 13, 2024Complaint
2
0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
18deficiencies
Jan 7, 2026Complaint
Clean

Fed violations: 0, State violations: 0

Oct 22, 2025Complaint
Clean

Fed violations: 1, State violations: 0

Jul 3, 2025Other
Clean

Fed violations: 0, State violations: 0

May 24, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Apr 24, 2025Inspection
Clean

Fed violations: 10, State violations: 0

Feb 20, 2025Complaint
Clean

Fed violations: 1, State violations: 0

Dec 26, 2024Complaint
Clean

Fed violations: 0, State violations: 0

Jul 13, 2024Inspection
Clean

Fed violations: 0, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

The New Homestead Care Center

Organization Type

nonprofit

Chain Affiliation

Chain Name

Healthcare of Iowa

Chain Size

6 facilities nationwide

Chain avg rating: 3.8/5 · Rank 8 of 8 (Worst)

Ownership & Management

Owners

The Capstone Group INC

Owner · Organization

100%

Key personnel

Cambridge Realty Capital Ltd of Illinois5% or Greater Mortgage InterestLock, JamesOfficer / DirectorMichaud, MichaelOfficer / DirectorSlessor, GregoryOfficer / DirectorLock, JamesOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

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.

Safer Alternatives Nearby

Based on current clinical data, we identified 4 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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