CCN 165525 · Guthrie County, Iowa
The New Homestead Care Center
2306 State Street, Guthrie Center, IA 50115
The New Homestead Care Center is a 58-bed nonprofit nursing home in Guthrie Center, Iowa, first certified for Medicare or Medicaid in 2004. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 46.9 residents a day, about 81% of its certified beds. It has an active FHA-insured Section 232 loan: $5.3 million originally, at 2.47%, with $4.9 million outstanding as of September 30, 2026 and maturity in April 2057.
Facility facts
- Certified beds
- 58
- Average residents per day
- 46.9 (80.9% of beds)
- Ownership type
- Non profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Tnh Operations, LLC
- Certified since
- Jan 1, 2004
- Chain or affiliated group
- None listed by CMS
- Location
- Urban, part of a continuing care retirement community
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Iowa median | US median |
|---|---|---|---|
| Overall rating | 3 of 5 | State spread: 78 at 1, 61 at 2, 86 at 3, 69 at 4, 91 at 5 | |
| Health inspections | 3 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 3.47 | 3.69 | 3.68 |
| RN hours per resident per day | 0.47 | 0.70 | 0.58 |
| Weekend nurse hours per resident per day | 3.16 | ||
| Nursing staff turnover | 56.3% | 41.9% | 44.9% |
| Occupancy (residents / beds) | 80.9% | 83.6% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 3 (Jun 25, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). The New Homestead Care Center meets that part today: 3 stars overall, 3 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| The Capstone Group IncOrganization | Direct Ownership Interest | 100% | 04/01/2021 |
| Cambridge Realty Capital Ltd of IllinoisOrganization | Mortgage Interest | n/a | 03/24/2022 |
| Bascom, StevenIndividual | Operational / Managerial Control | n/a | 01/15/1990 |
| Brown, TiffanyIndividual | Operational / Managerial Control | n/a | 03/10/2025 |
| Clark, BrandyIndividual | Operational / Managerial Control | n/a | 03/22/2025 |
| Johnson, JulieIndividual | Operational / Managerial Control | n/a | 03/05/2025 |
| Stringham, HilareeIndividual | Operational / Managerial Control | n/a | 04/01/2025 |
Holders of a 5% or greater mortgage interest reported in the enrollment record: Cambridge Realty Capital Ltd of Illinois.
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Aug 1, 2021 | Tnh Operations, LLC | The Capstone Group Inc |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Mar 24, 2022 | 223(f) refinance or purchaseHUD project name: New Homestead, 89 beds. Lender at endorsement: Cambridge Realty Capital Il | $5,309,500 | Active: 2.47%, $4,863,828 balanceMatures Apr 1, 2057. Servicer: Cambridge Realty Capital Il | 07422078 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.