The New Homestead Care Center
Guthrie Center, Iowa · CCN 165525
26 surveys since 2010, 5 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 100
- Surveys
- 26
- Harm or worse
- 5
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 58
- Ownership
- Non profit - Corporation
- Chain
- Independent
- County
- Guthrie
- Medicare-certified since
- 2004
CMS ratings
- Overall
- 3
- Health inspection
- 3
- Staffing
- 3
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded somewhat more weighted findings than its peer group.
Weighted by harm level, against 102 not-for-profit facilities with fewer than 66 beds in Iowa.
Last survey on record
Jun 25, 2026
137 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.47 | 3.76 |
| Registered-nurse hours per resident day | 0.47 | — |
| Annual nurse turnover | 56.3% | 40.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D2076.9% | E519.2% | F13.8% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F7253×
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- F8803×
Provide and implement an infection prevention and control program.
- F6232×
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- F8122×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F5501×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
In the surveyor’s words
From the most serious findings on record at The New Homestead Care Center, in the surveyor’s own words.
- No harm, potential for more than minimal, widespreadF812Jun 8, 2023
Based on observation, interview, and policy review, the facility failed to label, date, and cover stored foods, discard outdated expired yogurt and keep the kitchen's electric slicer, electric mixer, and manual can opener clean. This failure had the potential to affect all 50 residents who consumed food prepared from the facility's kitchen. Findings include: The undated Cleaning of Kitchen Items policy specified, Mixer 1. Use warm soapy water to remove all debris. 2. Wash base and underside of the head as well as the top. 3. Remove the plastic insert (wash in the dish machine). 4. Wash base. 5. Use sanitizer cloth to wash over the entire surface. 6. Allow drying. Can Opener 1. Use soapy water to wash the handle and blade area carefully. 2. Use a sanitizer cloth to wash/sanitize area. 3. […]
- No harm, potential for more than minimal, patternF725Apr 24, 2025
Based on clinical record review, facility document review, resident interviews, observation and staff interviews the facility failed to provide nursing staff to assure residents safety by not responding to call lights in a timely manner for 5 of 5 residents reviewed (Resident #1, #2, #40, #22 and #42). The facility reported a census of 50 residents. Findings include: 1. Review of Resident #1's Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 15 indicating intact cognition. Interview on 4/21/25 at 1:27 PM with Resident #1 revealed call lights take over 15 minutes constantly. 2. […]
- No harm, potential for more than minimal, patternF804Apr 24, 2025
Based on observations, resident interviews, staff interviews, and policy review the facility failed to provide food at an appetizing temperature to 2 of 5 residents ( Residents #1, and #40) reviewed. The facility reported a census of 50 residents. Findings include: 1. Review of Resident #1's Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 15 indicating intact cognition. Interview on 4/21/25 at 1:30 PM with Resident #1 revealed food temps are terrible, and the food quality has diminished. 2. Review of Resident #40's MDS dated [DATE] revealed a BIMS score of 15 indicating intact cognition. Interview on 4/21/25 at 12:13 PM with Resident #40 revealed food is often cool when delivered on room trays. 47079 3. […]
- No harm, potential for more than minimal, patternF812Apr 24, 2025
Based on observation, interview, and policy review, the facility failed to properly label stored food and failed to maintain sanitary practices by failing to prevent cross-contamination during meal service. The facility reported a census of 50 residents. Findings include: On 4/21/25 at 10:03 AM, a kitchen observation revealed the following: The Victory refrigerator contained an open, unlabeled bottle of reddish-brown liquid. The Frigidaire deep freezer contained the following items: a) an unlabeled bag of round, green, pea-sized contents; b) an unlabeled bag of green, thick-stalked, flower-head contents; c) an unlabeled bag of multicolored sliced contents; d) an unlabeled bag of dark purple contents. […]
- No harm, potential for more than minimal, patternF725Jun 13, 2024
Based on clinical record review, observations, resident interviews and staff interviews, the facility failed to answer the residents' call light in less than 15 minutes for 3 resident call lights seen during observation. Additionally, two residents (Resident #1 and Resident #50) reported extended call light response time during resident interviews. The facility reported a census of 48 residents. Findings include: 1. The Social Services Assessment of Resident #50 dated 6/6/24 documented the resident to have a Brief Interview of Mental Status (BIMS) score of 15, indicating cognition intact. On 6/10/24 at 11:19 am, Resident #50 stated that she experiences long wait times for her call light to be answered, often greater than 15 minutes. 2. […]
Read 25 findings in full →The most serious and the most recent: 25 of 100 on record.
Every survey on record
FindingsAt actual harm or above
- Jun 25, 2026Standard2 findings
- Oct 22, 2025Complaint1 finding
- Apr 24, 2025Standard and complaint10 findings
- Feb 20, 2025Complaint1 finding
- Jun 13, 2024Standard and complaint6 findings
- Sep 20, 2023Infection control1 finding
- Jun 8, 2023Standard5 findings
- Dec 20, 2022Complaint1 finding
Show the 18 earlier surveys
- Jan 6, 2022Standard3 findings
- Feb 24, 2021Complaint5 findings
- Aug 17, 2020Complaint3 findings · 1 harm
- Jan 9, 2020Standard11 findings
- Nov 7, 2018Standard9 findings · 1 harm
- Jan 31, 2018Complaint2 findings · 1 harm
- Jul 20, 2017Standard and complaint5 findings
- Nov 11, 2016Complaint1 finding
- Jun 9, 2016Standard2 findings
- Jul 23, 2015Standard4 findings
- May 8, 2014Standard6 findings
- Jul 9, 2013—1 finding · 1 harm
- Feb 14, 2013—3 findings
- Feb 9, 2012—5 findings
- Dec 2, 2011—2 findings
- Aug 1, 2011—2 findings · 1 harm
- Dec 22, 2010—8 findings
- Sep 9, 2010—1 finding
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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