The New Homestead Care Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

38.4% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 32 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 66.7% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 21 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.11 therapist hours per resident per day in 2026Q1 — more than 7% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 2% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 58 beds and averages 46.9 residents a day — about 81% occupied, or roughly 11 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.47 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.47 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.58 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.16 hrs/resident/day on weekends vs 3.59 on weekdays — 12% thinner on weekends. RN hours go from 0.48 to 0.43 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 56% is well above the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

• Potential for harm · D2026-06-25 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, observations, staff interviews, and policy review the facility failed to provide professional standards of care by not providing treatments per physician orders for 2 of 2 (Residents #30, #3). The facility reported a census of 47 residents. Findings include: 1. Resident #30's (Minimum Data Set) MDS assessment dated [DATE] revealed the resident had a Brief Interview of Mental Status (BIMS) score of 11/15 indicating moderate cognitive impairment. The document coded the resident required total assistance for toileting hygiene and had an indwelling catheter. The Care Plan, revised 4/8/26, identified a problem area related to the resident's suprapubic catheter (initiated 4/8/26) provided staff interventions of changing the catheter bag as ordered and providing catheter care as per facility policy. The clinical record's Physician Orders identified an order to clean the suprapubic site with soap and water, pat dry, daily, then apply split gauze to the suprapubic site, every day shift…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-06-25 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, clinical record review, staff interviews, and policy review the facility failed to maintain infection control practices for 3 of 4 residents reviewed (Residents #10, #3, and #30). The facility failed to perform hand hygiene and change gloves when completing resident cares, failed to ensure use of enhanced barrier precautions (EBP) when required, and failed to maintain a catheter bag off the floor. The facility reported a census of 47 residents.Findings include: 1. The Minimum Data Set (MDS) for Resident #10, dated 5/7/26, included diagnoses of stroke and right sided hemiplegia (paralysis of 1 side of the body). The MDS identified the resident was dependent on staff for toileting hygiene and always incontinent of bladder and frequently incontinent of bowel. A Brief Interview for Mental Status (BIMS) Score of 15, indicating no cognitive impairment for decision-making. Observation on 6/22/2026 at 11:42 AM, with Resident #10 lying in bed, Staff A, Certified Nurse Aide (CNA) applied gloves,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-10-22 · tag F0725 — failed to have enough nursing staff — isolated
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, resident, family, and staff interview, and policy review the facility failed to provide nursing staff to assure residents safety by not responding to call lights in a timely manner for 3 of 3 residents (Resident #1, #2 and #4) reviewed for call lights. The facility reported a census of 47 residents.Findings include: 1. Review of Resident #1's Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 15 indicating intact cognition. The MDS further revealed diagnoses of neurogenic bladder, hyperlipidemia, and multiple sclerosis. Interview 10/21/25 at 8:15 AM with Resident #1's family member revealed that while at the facility on 10/20/25 Resident #1 had their call light on for almost an hour and no staff came to assist Resident #1. Interview 10/21/25 at 9:50 AM with Resident #1 revealed that call lights take over fifteen minutes frequently, and that on 10/20/25 she had a call light on for almost an hour. Resident #1 then revealed that she…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-04-24 · tag F0725 — failed to have enough nursing staff — pattern
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, facility document review, resident interviews, observation and staff interviews the facility failed to provide nursing staff to assure residents safety by not responding to call lights in a timely manner for 5 of 5 residents reviewed (Resident #1, #2, #40, #22 and #42). The facility reported a census of 50 residents. Findings include: 1. Review of Resident #1's Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 15 indicating intact cognition. Interview on 4/21/25 at 1:27 PM with Resident #1 revealed call lights take over 15 minutes constantly. 2. Review of Resident #2's MDS dated [DATE] revealed a BIMS score of 13 indicating intact cognition. Interview on 4/21/25 at 11:26 AM Resident #2 revealed call lights can often take longer than 15 minutes, and it is usually longer on the weekends. 3. Review of Resident #40's MDS dated [DATE] revealed a BIMS score of 15 indicating intact cognition. Interview on 4/21/25 at 12:12 PM Resident #40…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-04-24 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, resident interviews, staff interviews, and policy review the facility failed to provide food at an appetizing temperature to 2 of 5 residents ( Residents #1, and #40) reviewed. The facility reported a census of 50 residents. Findings include: 1. Review of Resident #1's Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 15 indicating intact cognition. Interview on 4/21/25 at 1:30 PM with Resident #1 revealed food temps are terrible, and the food quality has diminished. 2. Review of Resident #40's MDS dated [DATE] revealed a BIMS score of 15 indicating intact cognition. Interview on 4/21/25 at 12:13 PM with Resident #40 revealed food is often cool when delivered on room trays. 3. On 4/23/25 at 7:49 AM, Staff A, Certified Nurse Aide (CAN) placed a resident's breakfast room tray on the unit kitchen serving counter. At 7:58 AM, a different resident's breakfast room tray was observed on the nurses' station counter. At 7:59 AM, Staff A grabbed the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-04-24 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and policy review, the facility failed to properly label stored food and failed to maintain sanitary practices by failing to prevent cross-contamination during meal service. The facility reported a census of 50 residents. Findings include: On 4/21/25 at 10:03 AM, a kitchen observation revealed the following: The Victory refrigerator contained an open, unlabeled bottle of reddish-brown liquid. The Frigidaire deep freezer contained the following items: a) an unlabeled bag of round, green, pea-sized contents; b) an unlabeled bag of green, thick-stalked, flower-head contents; c) an unlabeled bag of multicolored sliced contents; d) an unlabeled bag of dark purple contents. The [NAME] walk-in refrigerator contained the following items: a) two (2) unlabeled, undated, uncovered pans of green gelatin-like substance; b) an unlabeled, undated, clear plastic bucket of sliced, solid green items; c) an unlabeled, clear bag of brown, disk shaped meat-like items; d) a pan labeled beef stroganoff with a torn aluminum foil cover that exposed the contents; e) an…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-24 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on clinical document review, staff interview, and policy review the facility failed to notify a resident 48 hours in advance when the end of a Medicare Part A stay or when all of Part B therapies were ending to 2 of 3 residents (Resident #204, and #205) reviewed. The facility reported a census of 50 residents. Findings include: 1. Review of Resident #204's Advanced Beneficiary Notice (ABN) revealed Resident #204's last covered day of Part A services was dated 12/23/24. This document further revealed that Resident #204 and the family were notified by telephone of the notice for Part A services being ended by the previous Administrator, but this notice could not be located. 2. Review of Resident #205's ABN revealed the residents last covered day of Part A services was dated 12/30/24. This document further revealed that Resident #205 and the family were notified by telephone of the notice for Part A services being ended by the previous Administrator, but this notice could not be located. Interview on 4/22/25 at 10:28 AM with the Administrator revealed that she was not the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-24 · tag F0623 — isolated
  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, policy review, and staff interview the facility failed to notify the Long-Term Care Ombudsman of a transfer to a hospital for 1 of 3 residents (Resident #26) reviewed. The facility reported a census of 50 residents. Findings include: Review of Resident #26's Electronic Healthcare Record (EHR) revealed that Resident #26 was in the hospital from [DATE] through 12/20/24. Further review of the EHR page titled Clinical Census, confirmed that Resident #26 was in the hospital on these dates. Review of a facility provided document titled, Notice of Transfer Form to Long-Term Care Ombudsman with transfer dates of 12/13/24 through 12/30/24 revealed Resident #26 was not listed on the document. Interview on 4/22/25 at 11:30 AM with the Administrator revealed that Resident #26 was not on the Ombudsman notification for the month of December 2024. The Administrator then revealed that her expectation would be for appropriate notification to the Ombudsman when residents are sent to the hospital. Follow up…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-24 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, family interview, staff interview and policy review the facility failed to offer residents a bath or shower on a regular basis for 1 of 3 residents reviewed (Resident #103.) The facility reported a census of 50 residents. Findings include: According to the Minimum Data Set (MDS) dated [DATE], Resident #103 had a Brief Interview for Mental Status (BIMS) score of 15 (intact cognitive ability). The resident was totally dependent on staff for hygiene and showers. Resident #103 had a fracture related to a fall in the 6 months prior to admission. His diagnoses included; heart failure, type 2 diabetes, chronic kidney disease, and unspecified fracture of the shaft of left tibia. The Care Plan for Resident #103, initiated on 2/26/25, showed that he was admitted to the facility for rehabilitation services for a fractured leg, with the hope to return home. His ability to complete Activities of Daily Living (ADL) had deteriorated related to a fall. The resident was to have a whirlpool/shower…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-04-24 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, observation, staff interviews and facility document review, the facility failed to implement timely interventions to prevent pressure ulcers for 1 of 2 residents reviewed. In an observation on 4/22/25 at 8:35 AM, Resident #16 was found to have a small open sore on her buttocks. On 4/23/25 at 7:00 AM nursing staff had not yet followed up with a skin assessment or intervention. The facility reported a census of 50 residents. Findings include: According to the Minimum Data Set (MDS) dated [DATE], Resident #16 had a Brief Interview for Mental Status (BIMS) score of 0 (severe cognitive deficit.) She was totally dependent on staff for toileting, dressing, chair to bed transfer and bed mobility. Her diagnoses included cancer, renal insufficiency, diabetes mellitus, dementia, rheumatoid arthritis and osteoarthritis. The resident did not have any skin concerns at the time of the MDS assessment. The Care Plan for Resident #16, updated on 3/26/25, showed that she had impaired cognition,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 19 rows in the source record cover these 10 parties — each is shown once here with every role it holds. Nothing is omitted.

2 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IA