Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at The New Homestead Care Center during CMS and state inspections, most recent first.
Several residents with intact cognition and complex medical conditions experienced significant delays in call light response, with documented wait times frequently exceeding the facility's 15-minute policy. Staff interviews and call light logs confirmed that timely assistance was not consistently provided, resulting in unmet resident needs.
A resident who was fully dependent on staff for hygiene and admitted for rehabilitation after a leg fracture did not receive regular baths or showers as required by facility policy. Documentation showed only two baths or showers were provided during the stay, despite the care plan and policy specifying two per week. The DON acknowledged the deficiency based on facility records.
A resident with a history of stroke and anxiety was subjected to rough handling by a CNA during a transfer, as captured on camera. The CNA rushed the process, used her foot to position the resident's leg, and denied a restroom request, causing the resident discomfort and pain. The resident's POA reported the CNA's behavior as rude and condescending, leading to an altercation where the resident hit the CNA in self-defense. The facility's failure to protect the resident from abuse resulted in mental anguish and physical discomfort.
The facility failed to respond to residents' call lights within the expected time frame, as reported by two residents with intact cognition and observed during a survey. Call lights were left unanswered for extended periods, with one instance lasting approximately 51 minutes. Staff were unaware of active call lights due to a turned-off tablet at the nurses' station, and the facility lacked a policy on call light response times.
The facility failed to ensure accurate MDS assessments for two residents. One resident's weight was incorrectly recorded from 2019, despite a recent hospital weight. Another resident's MDS inaccurately documented anticoagulant use and omitted restorative nursing activities, despite evidence of participation. The MDS Coordinator acknowledged errors and cited instructions not to document restorative nursing due to the lack of a Restorative Nurse.
A resident's restorative program was not consistently completed as per the Care Plan, which required 3-5 sessions per week. Records showed the program was completed 5 times in March, 7 times in April, 3 times in May, and 3 times in June. The DON confirmed the expectation for aides to follow the Care Plan and document in PCC.
A facility failed to follow infection prevention standards during incontinence care for a resident with memory problems and total dependence on toileting. A CNA did not rinse soap off the resident, reused a soiled washcloth, and placed soiled linen on the floor without a barrier. The DON confirmed these actions did not meet the facility's incontinence care policy.
A resident with muscular dystrophy, dependent on a feeding tube, did not receive the prescribed amount of tube feeding due to a miscalculation by an LPN. The LPN, unfamiliar with the resident, administered 522 mls instead of the ordered 552 mls, as verified by an RN consultant.
An LPN failed to perform hand hygiene between administering medications to three residents and used bare fingers to handle pills, contrary to the facility's infection control policy. The DON confirmed the expectation for hand hygiene and avoiding direct contact with medications.
Failure to Respond to Resident Call Lights Within Policy Timeframe
Penalty
Summary
The facility failed to provide adequate nursing staff to ensure timely response to resident call lights, as evidenced by multiple instances where call lights were not answered within the facility's policy requirement of 15 minutes. Clinical record reviews and interviews with three residents, all with intact cognition and various medical diagnoses such as neurogenic bladder, multiple sclerosis, cancer, coronary artery disease, and others, revealed that call lights frequently remained unanswered for over fifteen minutes, with one instance documented at nearly an hour. Residents consistently reported watching the clock and experiencing significant delays in receiving assistance after activating their call lights. Staff interviews confirmed that call lights often took longer than the expected response time, with staff acknowledging that they could not always guarantee a response within fifteen minutes. The facility's call light logs corroborated these reports, showing several instances of call lights being active for 16 to 48 minutes. The facility's policy requires staff to respond to call lights within 15 minutes, but this standard was not met for at least three residents during the review period.
Failure to Provide Regular Bathing to Dependent Resident
Penalty
Summary
The facility failed to provide regular bathing or showering to a resident who was totally dependent on staff for hygiene and showers. Clinical record review showed that the resident, who had intact cognitive ability and was admitted for rehabilitation following a leg fracture, was care planned to receive a whirlpool or shower two times a week and as needed. However, documentation revealed that during the resident's stay, only two baths or showers were recorded, which did not meet the facility's policy of offering two baths per week. A family member reported being unaware if the resident had been offered any baths or showers during their visits. The DON confirmed that, according to facility records, the resident did not receive baths as frequently as required. The facility's policy emphasized the importance of hygiene activities for maintaining skin integrity and dignity, specifying that each resident should be offered two baths per week.
Failure to Protect Resident from Abuse by CNA
Penalty
Summary
The facility failed to protect a resident from abuse, as evidenced by an incident involving a Certified Nurse Assistant (CNA) and a resident with a history of stroke, hemiplegia, anxiety, and depression. The resident, who required total dependence on staff for daily activities, was subjected to rough handling by the CNA during a transfer using a mechanical lift. The CNA was recorded on camera rushing through the process, not communicating with the resident, and using her foot to position the resident's leg, causing discomfort and pain. The resident's request to use the restroom was denied, and the CNA's actions were described as lacking compassion. The resident's Power of Attorney (POA) reviewed the camera footage and reported the CNA's behavior as rude, condescending, and rough, particularly towards the resident's paralyzed left side. The POA expressed concern over the CNA's treatment, which included denying the resident a shawl when cold and threatening to give a cold shower. The resident reported feeling overworked and in pain, leading to an altercation where she hit the CNA in self-defense. The resident expressed fear and anxiety due to the CNA's behavior, which had been escalating over time. Interviews with staff revealed that the CNA had been suspended pending investigation and was later terminated. The facility's policy on abuse prevention and reporting was reviewed, highlighting the requirement to protect residents from abuse, including mental and physical mistreatment. Despite the facility's policy, the incident demonstrated a failure to ensure the resident's safety and well-being, resulting in mental anguish and physical discomfort for the resident.
Delayed Call Light Response in LTC Facility
Penalty
Summary
The facility failed to respond to residents' call lights within the expected time frame of less than 15 minutes, as observed and reported by residents and staff. Resident #50, with a BIMS score of 15 indicating intact cognition, reported experiencing long wait times for call light responses, often exceeding 15 minutes. Similarly, Resident #1, with a BIMS score of 14, also reported delays in call light responses and perceived the facility as short-staffed. These reports were corroborated by observations made on 6/12/24, where call lights were left unanswered for extended periods, with one instance lasting approximately 51 minutes. During the observation, it was noted that the staff tablet at the nurses' station, which alerts staff to call lights, was turned off, and staff were unaware of the active call lights. Staff D, a CNA, was observed turning the tablet back on and logging into the system, but was unaware of the duration the call light had been active. The Director of Nursing checked the monitor but did not ensure consistent monitoring by other staff. The facility lacked a policy regarding call light response times, relying instead on regulatory expectations, which were not met as evidenced by the prolonged response times.
Inaccurate MDS Assessments for Two Residents
Penalty
Summary
The facility failed to ensure the Minimum Data Set (MDS) assessments accurately reflected the status of two residents. For one resident, the MDS inaccurately recorded a weight of 355 pounds, which was based on a weight from 2019, despite the resident being weighed at the hospital at 284 pounds, 14.4 oz upon admission in 2024. The MDS Coordinator acknowledged the error, stating that the 2019 weight should not have been documented on the MDS. For another resident, the MDS inaccurately indicated the administration of an anticoagulant medication during the lookback period, while the Medication Administration Record (MAR) only showed the administration of antiplatelet medications, Aspirin and Plavix. Additionally, the MDS failed to document restorative nursing activities, despite records showing the resident participated in 'Walk to Dine' three times a day. The MDS Coordinator admitted to errors in coding and stated that she was instructed not to document restorative nursing on any MDS due to the absence of a Restorative Nurse, with Certified Nurse Aides completing the programs instead.
Inconsistent Completion of Restorative Program
Penalty
Summary
The facility failed to adhere to the prescribed restorative program for a resident, as outlined in the Care Plan. The Care Plan, revised in March 2024, specified that the resident's restorative program should be completed 3-5 times a week. However, a review of records showed that the program was not consistently followed. In March 2024, the resident completed the program 5 times, in April 2024, 7 times, in May 2024, 3 times, and in June 2024, 3 times. This inconsistency in completing the restorative program was confirmed during an interview with the Director of Nursing, who stated that the expectation was for restorative aides to complete the exercises as per the Care Plan and document them in Point of Care (PCC).
Infection Prevention Standards Not Followed During Incontinence Care
Penalty
Summary
The facility failed to adhere to infection prevention standards during incontinence care for a resident with both short-term and long-term memory problems, who was totally dependent on toileting and personal hygiene. The resident was always incontinent of urine and bowel, as documented in the Minimum Data Set (MDS) assessment and the care plan. During an observation, a Certified Nurse Aide (CNA) provided incontinence care without using a washcloth to rinse soap off the resident after cleaning, and used the same soiled washcloth to clean the resident's buttocks. Additionally, the CNA placed soiled linen on the floor without a barrier. The Director of Nursing (DON) confirmed that the staff did not use enough washcloths, failed to perform handwashing, did not change gloves, and improperly placed washcloths on the floor. The facility's policy on incontinence care, revised in March 2024, requires maintaining clean perineal skin for incontinent residents, examining the skin, and preventing skin irritation. The actions observed during the care of the resident did not align with these policy requirements, leading to the deficiency.
Deficiency in Tube Feeding Administration
Penalty
Summary
The facility failed to administer tube feeding per physician orders for a resident with muscular dystrophy who was dependent on a feeding tube for nutrition. The resident's care plan indicated they were NPO and required tube feeding as ordered. The Medication Administration Record (MAR) specified an order for Osmolite 1.2 Cal, to be given at 552 mls via G-Tube three times a day. However, during an observation, a Licensed Practical Nurse (LPN) administered only 522 mls of the feeding formula instead of the prescribed 552 mls. The LPN, who had been off work for three weeks and was unfamiliar with the resident, prepared and administered the feeding under the observation of a Registered Nurse (RN) consultant. Despite following proper hygiene and procedural protocols, the LPN miscalculated the feeding amount, administering less than the ordered volume. The RN consultant verified the discrepancy between the administered amount and the physician's order, confirming the deficiency in the feeding administration process.
Infection Control Breach During Medication Administration
Penalty
Summary
The facility failed to implement appropriate infection prevention and control practices during medication administration. During an observation, a Licensed Practical Nurse (LPN) was seen preparing and administering medication to three different residents consecutively without performing hand hygiene before or after the medication pass. The LPN used bare fingers to handle pills, including placing one pill back into the bottle and pulling another pill out of a medication bottle with bare fingers. The facility's policy, revised on April 1, 2023, requires staff to wash hands with soap and water before beginning medication pass and allows the use of alcohol-based hand sanitizer between residents. The Director of Nursing stated that the expectation is for staff to complete hand hygiene before and after administering medications, between residents, and to avoid touching medications with bare hands.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 99 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Guthrie Center
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Panora Specialty Care | 6.8 mi | ★★★★★ | 7 | 0 |
| Community Care Center | 15.2 mi | ★★★★★ | 14 | 0 |
| Thomas Rest Haven | 16.4 mi | ★★★★★ | 9 | 0 |
| Exira Care Center | 21.4 mi | ★★★★★ | 7 | 0 |
| Caring Acres Nursing And Rehab Center | 22.4 mi | ★★★★★ | 20 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.