The New Homestead Care Center

Nursing Home · Guthrie Center, IA

CMS overall rating 3/5 Non profit - Corporation

CMS certification number165525

Contact & location

2306 State Street
Guthrie Center, IA 50115
Guthrie County
Phone
(641) 332-2204
ZIP code
50115 – all care providers

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Facility details

Certified beds
58
Residents per day
46.9 (81% occupied)
Ownership
Non profit - Corporation
Legal name
TNH Operations, LLC
Medicare certified since
January 1, 2004
Participates in
Medicare and Medicaid
Continuing care
Part of a continuing care retirement community
Council
Resident council

CMS star ratings

Overall★★★★★ 3/5
State avg 3.1
Health inspections★★★★★ 3/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 3.7
Quality measures★★★★★ 4/5
State avg 3.3
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.47 (state 3.82 · U.S. 3.86)
Registered nurses (RN)
0.47 (state 0.74 · U.S. 0.69)
Licensed practical nurses
0.42 (state 0.56 · U.S. 0.86)
Nurse aides
2.58 (state 2.51 · U.S. 2.32)
Weekend total
3.16 (state 3.37 · U.S. 3.42)
Nursing staff turnover
56.3 (state 44.0 · U.S. 45.8)%
RN turnover
50.0 (state 42.1 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
June 25, 2026
Health deficiencies (last cycle)
3.0 (state 6.5 · U.S. 9.3)
From complaints
1
Infection control citations
1
Citations on record (3 years)
21 health · 14 fire safety
DateCitationSeverityStatus
2026-06-25 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-20
2026-06-25 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-20
2025-10-22 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-01-07
2025-04-24 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-24
2025-04-24 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-24
2025-04-24 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-24
2025-04-24 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-24
2025-04-24 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-24
2025-04-24 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-24
2025-04-24 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-24
2025-04-24 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.
F0688 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-24
2025-04-24 Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-24
2025-04-24 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-24
2025-02-20 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-12-26
2024-06-13 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2024-07-13
2024-06-13 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-13
2024-06-13 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
F0676 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-13
2024-06-13 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-13
2024-06-13 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.
F0693 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-13
2024-06-13 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-13
2023-09-20 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2023-10-06

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
The Capstone Group INC (organization)5%+ Direct Ownership Interest · 100%
Cambridge Realty Capital LTD of Illinois (organization)5%+ Mortgage Interest · NOT APPLICABLE
Bascom, Steven (individual)Administrator · NOT APPLICABLE
Brown, Tiffany (individual)Administrator · NOT APPLICABLE
Cambridge Realty Capital LTD of Illinois (organization)Administrator · NOT APPLICABLE
Clark, Brandy (individual)Administrator · NOT APPLICABLE
Johnson, Julie (individual)Administrator · NOT APPLICABLE
Stringham, Hilaree (individual)Administrator · NOT APPLICABLE
Lock, James (individual)Corporate Director · NOT APPLICABLE
Michaud, Michael (individual)Corporate Director · NOT APPLICABLE
Slessor, Gregory (individual)Corporate Director · NOT APPLICABLE
Lock, James (individual)Corporate Officer · NOT APPLICABLE
Michaud, Michael (individual)Corporate Officer · NOT APPLICABLE
Slessor, Gregory (individual)Corporate Officer · NOT APPLICABLE
Bascom, Steven (individual)Operational/managerial Control · NOT APPLICABLE
Brown, Tiffany (individual)Operational/managerial Control · NOT APPLICABLE
Clark, Brandy (individual)Operational/managerial Control · NOT APPLICABLE
Johnson, Julie (individual)Operational/managerial Control · NOT APPLICABLE
Stringham, Hilaree (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of The New Homestead Care Center?

The New Homestead Care Center has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Iowa.

How many beds does The New Homestead Care Center have?

It has 58 certified beds and cares for about 47 residents per day.

Has The New Homestead Care Center been fined?

CMS lists no federal fines or payment denials in the last three years.

What is the phone number of The New Homestead Care Center?

(641) 332-2204. The facility is located at 2306 State Street, Guthrie Center, IA 50115.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.