The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
The New Homestead Care Center
Guthrie Center, IA · Medicare-certified · 58 beds
In good standing
Non-profitChain member
Data as of July 1, 2026
2 of 5 overall
The New Homestead Care Center has a 2-star overall rating, with a 2-star health inspection rating, 3-star staffing, and 4-star quality measures. Reported nurse staffing is 3.47 hours per resident per day, below the federal benchmark of 4.1, and there were $0 fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.467 hrs/resident/day
Quality measures
Last inspection: October 22, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.467.
Staffing detail
- Registered nurses
- 0.47
- Licensed practical nurses
- 0.42
- Nurse aides
- 2.58
- Weekend nursing
- 3.16
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 50%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
9.1%10%Worsening
Residents with a fall causing major injury
4.3%2.1%Improving
Residents with pressure ulcers (bedsores)
20%10.1%Improving
Residents with a urinary tract infection
4.3%0%Improving
Residents who lost too much weight
12.2%10.5%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
2.5%25.6%Worsening
Residents whose ability to walk got worse
2.8%14.2%Worsening
Long-stay residents on antianxiety or sleep medication
26.8%23.1%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
1.5%0%Improving
Residents with new or worsening incontinence
22.7%43.7%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—95.8%—
Long-stay residents given the pneumonia vaccine
100%44.7%Worsening
Short-stay residents given the seasonal flu vaccine
—78.6%—
Short-stay residents given the pneumonia vaccine
82.1%85.7%Improving
What the inspectors found
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: E
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited April 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: E
The home failed to tell residents or their representatives in writing how long their bed would be held after a hospital transfer or therapeutic leave. Cited June 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 625 — 42 CFR §483.15 — S/S: E
The home failed to give residents clear notice about what Medicare or Medicaid would cover and what costs they might have to pay themselves. Cited April 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 582 — 42 CFR §483.10 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
Recent ownership change · Aug 1, 2021
Now operated by The New Homestead Care Center, previously The New Homestead.
- Ownership
- Non profit - Corporation
- Chain
- Part of HEALTHCARE OF IOWA · 6 homes · 3.5 stars avg
- Occupancy
- 46.9 residents on an average day (81% of 58 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 22 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.