All states › Iowa › Guthrie Center › The New Homestead Care Center
2306 State Street Guthrie Center, IA 50115 · Guthrie County
CMS certification number 165525 · See this home on Medicare Care Compare
Is The New Homestead Care Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for The New Homestead Care Center as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Iowa average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.55 hours per resident per day at The New Homestead Care Center, below the Iowa median of 3.76 (US median: 3.72). About 0.55 of those hours are from registered nurses. Weekend staffing is close to its all-week average.
About this nursing home
Paying for care at The New Homestead Care Center: Medicare and Medicaid
The New Homestead Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Iowa's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on June 25, 2026 and found 2 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 20 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 20 citations at The New Homestead Care Center across 5 inspection dates, 8 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 20 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were quality of life and care (6) and infection control (3). The most serious was cited under the CMS rule to "provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift" (tag F0725, level E, April 24, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.
June 25, 2026 · 2 citations
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide and implement an infection prevention and control program.
October 22, 2025 · 1 citation · includes complaint inspection
DProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
April 24, 2025 · 10 citations · includes complaint inspection
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide 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.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DProvide and implement an infection prevention and control program.
February 20, 2025 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
June 13, 2024 · 6 citations · includes complaint inspection
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
DEnsure each resident receives an accurate assessment.
DEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure 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.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of The New Homestead Care Center
- CMS cited the home under its abuse and neglect rules on February 20, 2025. How are staff trained, and how are concerns reported?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 3/5 | 4/5 |
| August 2026 | 3/5 | 3/5 | 3/5 | 4/5 |
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Location
Hospitals near The New Homestead Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.5 mi
Guthrie County Hospital Guthrie CenterEmergency roomMedian ER visit 2h 0m for patients treated and sent home
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22.7 mi
Dallas County Hospital PerryEmergency roomMedian ER visit 1h 53m for patients treated and sent home
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23.5 mi
Audubon County Memorial Hospital AudubonEmergency roomMedian ER visit 1h 24m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Higher-rated nursing homes within 10 miles
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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.