The New Homestead Care Center — nursing home in Guthrie Center, IA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid · part of a continuing care retirement community (CCRC)
Certified beds: 58 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 46.0 CMS, MDS-derived
CMS Certification Number: 165525
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 1, 2004
Ownership type: Non profit - Corporation
Operator (legal business name): Tnh Operations, LLC
CMS chain: Not part of a CMS-reported chain
Phone: (641) 332-2204
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

8

latest Jun 25, 2026

Citations

34

20 health · 14 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D20	E7	F7
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 165525
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 58
First approved: Jan 1, 2004
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Iowa.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Jun 25, 2026	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Jun 25, 2026	Health	Health Standard	2	Potential harm	—	Open →
Oct 22, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Apr 24, 2025	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Apr 24, 2025	Health	Health Complaint, Health Standard	10	Potential harm	—	Open →
Feb 20, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Jun 13, 2024	Fire safety	Fire Safety Standard	8	Potential harm	—	Open →
Jun 13, 2024	Health	Health Complaint, Health Standard	6	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D20	E7	F7
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jun 25, 2026	K-0291	Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 25, 2026
Jun 25, 2026	K-0293	Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 25, 2026
Jun 25, 2026	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 25, 2026
Jun 25, 2026	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 25, 2026
Jun 25, 2026	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 20, 2026
Jun 25, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jul 20, 2026
Oct 22, 2025	F-0725	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Jan 7, 2026	Complaint
Apr 24, 2025	E-0039	Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected May 13, 2025
Apr 24, 2025	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Apr 24, 2025
Apr 24, 2025	F-0582	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 24, 2025
Apr 24, 2025	F-0623	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 24, 2025
Apr 24, 2025	F-0677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 24, 2025	Complaint
Apr 24, 2025	F-0686	Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 24, 2025	Complaint
Apr 24, 2025	F-0688	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. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 24, 2025	Complaint
Apr 24, 2025	F-0725	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected May 24, 2025	Complaint
Apr 24, 2025	F-0757	Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected May 24, 2025
Apr 24, 2025	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected May 24, 2025
Apr 24, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected May 24, 2025
Apr 24, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected May 24, 2025
Feb 20, 2025	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Past non-compliance Dec 26, 2024	Complaint
Jun 13, 2024	E-0004	Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Jun 19, 2024
Jun 13, 2024	K-0341	Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 15, 2024
Jun 13, 2024	K-0346	Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jun 19, 2024
Jun 13, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 15, 2024
Jun 13, 2024	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jul 19, 2024
Jun 13, 2024	K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 5, 2024
Jun 13, 2024	K-0921	Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 12, 2024
Jun 13, 2024	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 19, 2024
Jun 13, 2024	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 13, 2024
Jun 13, 2024	F-0676	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 13, 2024
Jun 13, 2024	F-0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 13, 2024	Complaint
Jun 13, 2024	F-0693	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. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 13, 2024
Jun 13, 2024	F-0725	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Jul 13, 2024	Complaint
Jun 13, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Jul 13, 2024

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.8

Staffingstate 3.8

Quality measuresstate 3.4

Long-stay QM

Short-stay QMNot rated

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.55

State avg 3.86US avg 3.90

Registered nurse (RN)0.55

State avg 0.74US avg 0.69

Licensed practical nurse0.26

State avg 0.56US avg 0.86

Nurse aide2.74

State avg 2.56US avg 2.35

Weekend total nurse3.44

State avg 3.38US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.94 (case-mix index 1.26).

Staff turnover

Total nursing staff turnoverNot reported

State avg 44.1%US avg 45.3%

Registered nurse turnoverNot reported

State avg 42.1%US avg 42.5%

Administrators who left1

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Jun 25, 2026
Cycle 1 health score: 12
Total weighted score: 26

Operating entity

Tnh Operations, LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

19

Organizations

2

Individuals

16

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
The Capstone Group Inc	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Apr 1, 2021

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
The Capstone Group Inc	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	Apr 1, 2021
Steven Bascom	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 15, 1990
Tiffany Brown	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 10, 2025
Brandy Clark	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 22, 2025
Julie Johnson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 5, 2025
Hilaree Stringham	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 1, 2025
James Lock	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 12, 2022
Michael Michaud	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Aug 1, 2021
Gregory Slessor	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Aug 1, 2021
James Lock	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jul 28, 2023
Michael Michaud	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 1, 2021
Gregory Slessor	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jul 28, 2023
Cambridge Realty Capital Ltd of Illinois	Organization	Mortgage / security interest	5% OR GREATER MORTGAGE INTEREST	not provided	Mar 24, 2022
Cambridge Realty Capital Ltd of Illinois	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 24, 2022
Steven Bascom	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 15, 1990
Tiffany Brown	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 10, 2025
Brandy Clark	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 22, 2025
Julie Johnson	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 5, 2025
Hilaree Stringham	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 1, 2025

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 2306 State Street, Guthrie Center, IA 50115
ZIP: 50115
County: Guthrie County FIPS 19077
State: Iowa
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Panora Specialty Care 805 East Main, Panora, IA 50216 CCN 165253	10.9 km	46		Jan 5, 2026	31	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	165525	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	165525	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 165525

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction