The New Homestead Care Center
2306 State Street, Guthrie Center, IA, 50115
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Non profit - Corporation · Chain: Healthcare Of Iowa
- Certified beds
- 58 · avg 47 residents/day
- Total nursing staff turnover
- 57.4% — higher than most Iowa nursing homesIowa avg: 44.4% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 54.5% — higher than most Iowa nursing homesIowa avg: 42.9% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Iowa averageIowa avg: 0.5 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Infection control citations
- 1
Medicare certification
- CMS Certification Number
- 165525
- Certified beds
- 58 beds · avg 47 residents/day
- Ownership type
- Non profit - Corporation
- Continuing-care community
- Yes
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Tnh Operations, Llc
- Chain affiliation
- Healthcare Of Iowa
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Healthcare of Iowa chain — 6 facilities. Chain-wide average overall rating 3.7 / 5.
Parent entity
The Capstone Group Inc
Disclosed owners (11 on record)
- Hilaree Stringham
Operational/managerial Control · since 2025
- Brandy Clark
Adp of The Snf · since 2025
- Tiffany Brown
Operational/managerial Control · since 2025
- Julie Johnson
Operational/managerial Control · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- Gregory t Slessor
Corporate Officer · 33% · since 2023
+ 5 additional owners on the federal record.
Recent change of ownership
August 2021 (4 years ago) · acquired from The New Homestead
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 24)
- D0725·Oct 22, 2025Complaint
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.
- D0677·Apr 24, 2025Complaint
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E0725·Apr 24, 2025Complaint
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.
- D0688·Apr 24, 2025Complaint
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.
- D0686·Apr 24, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D0880·Apr 24, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Apr 24, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0804·Apr 24, 2025
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Fire-safety citations
11 Life-Safety-Code citations on file. Most recent: Apr 24, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about The New Homestead Care Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.