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Below Standard

Guttenberg Care Center

1315 Acre Street · Guttenberg, IA 52052

5632522281 · For profit - Limited Liability company

46 beds34.6 residents70 staff

CMS Five-Star Ratings

Overall

★★★★★

Staffing

★★★★★

Quality

★★★★★

Inspections

★★★★★

Staffing Grades

Below Standard

Total Staff

Good

RN Staff

Below Standard

Overall

✗CMS Benchmark(≥ 3.48 HPRD)

✗RN Recommendation(≥ 0.75 HPRD)

✗Research Standard(≥ 4.10 HPRD)

📋

What This Means in Plain English

Guttenberg Care Center receives an overall staffing grade of C (Below Standard). With 3.4712 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.6524 HPRD, below the recommended 0.75. It is 0.43 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 12.42% compared to weekdays. The facility has low agency staff usage (1.15% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.4712 HPRD — needs 0.01 more hours per resident per day.

⚠️RN staffing (0.6524 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter

✅Low agency staff usage (1.15%) — mostly permanent, familiar staff

Total Nurse HPRD

3.4712hrs/resident/day▼ 0.43

CMS benchmark: 3.48

RN HPRD

0.6524hrs/resident/day▼ 0.03

Recommended: 0.75

Weekend Drop-off

12.42%

3.5975 weekday → 3.1508 weekend

Agency Staff

1.15%

1.37% of RN hours from contractors

Days with Zero RN

0days this quarter

4+ days = auto 1-star

CNA HPRD

2.1779hrs/resident/day

Direct care aides

LPN HPRD

0.6352hrs/resident/day

Licensed practical nurses

Consistency

0.3313std dev

Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Clayton County Average-0.23 HPRD

3.70

03.47 HPRD

vs. Iowa State Average-0.35 HPRD

3.82

03.47 HPRD

vs. National Average-0.43 HPRD

3.90

03.47 HPRD

■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

Facility	Distance	Grade	Total HPRD	RN HPRD	CMS Rating
Guttenberg Care Center ★ Guttenberg · This facility	—	C	3.4712	0.6524	★★★★★
Elkader Care Center Elkader	15.8 mi	B	3.5241	1.0005	★★★★☆
Great River Care Center Mc Gregor	17 mi	C	3.0665	0.5323	★★★★☆
Edgewood Convalescent Home Edgewood	17.8 mi	C	3.4695	0.8833	★★★★★
Strawberry Point Lutheran Home STRAWBERRY POINT	22.6 mi	A	4.9881	1.2601	★★★★☆
Dubuque Specialty Care Dubuque	27.3 mi	C	3.1585	0.5698	★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys

No inspection data available for this facility.

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.