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Skilled Care allows patients to receive extended care at Guttenberg Municipal Hospital & Clinics. Our facility offers specialized nursing, physical, occupational, respiratory and speech therapy to help you or your loved one achieve optimal health and independence. 

Who is Eligible?

Most Skilled Care admissions require a 3-day acute inpatient hospital stay within the last 30 days. Patients who require daily specialized skilled care or are unable to return home safely would benefit from skilled care. Call us at 563-252-5522 to see if you qualify.

Skilled Care

Patients Who May Benefit from Skilled Care Services:

  • Recent stroke
  • Recent cardiac event
  • Orthopedic injuries or joint replacement surgery
  • Extensive wound care
  • Need for IV antibiotics or medications
  • Complicated hospital stay with subsequent loss of functional independence

I’m so thankful for the GMHC staff who lovingly cared for me during my stay in Skilled Care. It was such a fun & comfortable healing setting.

Maureen, Skilled Care Patient

Skilled Care Patients Will Receive:

  • 24-hour nursing care
  • Physician-led care with multidisciplinary team updates daily and care conferences when needed
  • Pharmacist oversite to review medications, give input to the team about treatment and answer questions patients may have about medications. Patients should bring their medications in the original bottles.
  • Personalized rehabilitation and care. The patient may bring their own pajamas, robe and slippers or GMHC can provide if requested. If part of the patient’s therapy plan is to practice dressing it may be helpful to have their own clothing.
  • Assistance in arranging follow-up services

Additional Services:

Activity Coordinator: All Skilled Care patients are visited by an Activity Coordinator who will determine their interests and help to keep them engaged and active during their stay at the hospital.

Social Services: A social worker visits the patients frequently to identify the social and emotional needs of each patient. The social worker collaborates with the patient, their family and the GMHC staff to coordinate the needs of the patient.

Transition of Care Planning:

The GMHC staff works closely with patients and families to determine the needs the patient may have after discharge. We can help make arrangements for services such as living arrangements, home medical equipment, home health care, and other outpatient services. Our multidisciplinary team, led by a physician and including our social worker, care coordinator, physical and occupational therapists, respiratory therapists, pharmacist and nurse, will meet with the patient and/or family members to discuss and coordinate the transition from the hospital to the home setting.

For More Information About Skilled Care:

Contact us by calling our Social Worker, Lynn, at 563-252-5521 or email:

Or by calling our Care Coordinator, Megan, at 563-252-5522 or email:

Physical Therapy in Guttenberg

Physical therapy is one of the many therapy and rehabilitation services offered close to home in a spacious and welcoming environment at GMHC.

Physical Therapy patient and provider

Whether you are recovering from surgery, illness or injury, or are dealing with a long-term health condition, physical therapy can often be the difference between living with limited movement and being able to live life on your own terms.

Physical therapy can help you manage and relieve pain, restore function, and reduce risk of disability through improving strength, flexibility, balance, coordination, and endurance. Not only do our therapists help to treat existing injuries, but also help to prevent or decrease risk of future injuries.

Our highly skilled physical therapists and physical therapy assistants are trained in the use of heat, cold, electrical stimulation, massage and exercise therapies, as well as the Graston Technique to treat health problems or injuries that make movement difficult.

With private treatment rooms and a variety of the latest equipment and tools, our therapists work together with patients, caregivers, and the healthcare team to develop a customized treatment plan to provide the best care. Services are provided on the second floor, directly above Cornerstone Family Practice on an outpatient basis. You may also receive physical therapy services as an inpatient during a hospital stay.

Some of the services offered through the Physical Therapy department include:

  • Therapeutic exercises to decrease pain through movement
  • Soft Tissue Mobilization
  • Joint Mobilization
  • Graston Technique
  • Lymphedema
  • Vestibular Rehab
  • Fenzel Goggles
  • Pre and Post-Operative Treatment Education
  • Sports Medicine Consults and Treatments
  • ImPACT Concussion Testing and Treatment
  • Functional Compacity Evaluations (FCE)
  • Balance
  • Fall Prevention
  • Neuromuscular Education
  • Home Safety Assessments 
  • Pelvic Floor Dysfunction
  • Gait and Mobility Training
  • Assistive Device Training
  • Electrical Stimulation
  • Ultrasound
  • Iontophoresis
  • TENS (Transcutaneous electrical nerve stimulation)
  • Hot and Cold Therapy
  • And More

At your first visit the physical therapist will perform an in-depth evaluation and create a customized treatment specific to you. From there, throughout your treatments our physical therapists and physical therapy assistants will provide a collaborative, team effort experience working together to help you achieve your goals.

In physical therapy, our number one priority is to help you achieve your goals through utilization of the most effective techniques. We work to get you back to doing the things you love as quickly and safely as possible.

We treat a wide variety of patients of all ages. Some examples of diagnoses we treat include:

  • Arthritis
  • Joint Pain/Inflammation
  • Dizziness
  • Unsteadiness and Falls
  • Weakness/Fatigue
  • Fractures
  • Joint Replacements
  • Meniscal Injuries
  • Strains
  • Sprains
  • Tendonitis
  • Bursitis
  • Sports Injuries
  • Parkinson’s
  • Lymphedema
  • Rotator Cuff Injuries and Repairs
  • Concussions
  • Vertigo
  • Tight muscles
  • Strokes/ Neurological Diseases
  • Fibromyalgia
  • Chronic Regional Pain Syndrome
  • Low back pain
  • Sciatica
  • Degenerative Disc Disease
  • Posture
  • Neck Pain
  • Headaches
  • Plantar Fasciitis 
  • Neuropathy
  • Spinal Stenosis

Overall, we can assist with maintaining functional mobility in the elderly, returning adolescents to sports, or helping children to achieve their developmental milestones. We can also assist in work injuries and chronic injuries including low back pain. Nothing makes our staff happier than assisting you with getting the results you want and optimizing your outcomes.

Parkinson’s Therapy

Physical Therapy: LSVT BIG®

LSVT BIG® is a treatment that focuses on training people with Parkinson disease (PD) to use their body more normally. It’s an intensive, effective, one-on-one treatment created to help people with PD and other neurological conditions.

Our Physical Therapists Address: 

  • Walking
  • Balance
  • Dressing 
  • Job-Related Tasks
  • Getting up from low surfaces
  • Any task that the patient has found difficult to perform and would like to improve

The One Month Program includes one hour sessions with four sessions per week, four weeks in a row and includes daily homework and carryover exercises. See demonstration here.

Speech Therapy: LSVT LOUD®

LSVT LOUD® is treatment through the GMHC Speech Therapy department that trains people with Parkinson Disease (PD) to use their voice at a more normal loudness level while speaking at home, work, or in the community. Learn More Here.

Lymphedema Therapy 

Lymphedema is chronic swelling that results from damage to the lymphatic system. The lymphatic system filters excess fluid through lymph nodes to remove bacteria and debris from the body. When the system is damaged, fluid can build up under the skin, usually in the arms and legs. Lymphedema can occur after cancer treatment, infection, surgery, venous insufficiency, or injury.

Our therapists provide non-invasive lymphedema therapy to patients in Guttenberg and surrounding communities. Treatment includes manual lymphatic drainage, exercises and compression wrapping to help reduce swelling and return skin to a more normal condition. Therapists also teach the patient and family/caregiver how to apply treatment at home.

Podiatry Care in Guttenberg

Foot and ankle problems can affect your daily life. Seek expert care locally from one of four podiatrists who schedule appointments and surgeries monthly at our Podiatry Specialty Clinic, located off the main lobby in Guttenberg Municipal Hospital.

Stay close to home for surgery. Doctors Michael Arnz, DPM , Kara Franzen, DPM, and Nicole Jedlicka, DPM perform bunion, plantar fascia release and heel spur removal surgeries at GMHC.

Choose GMHC for your physical therapy and rehabilitation after surgery.

Chronic Pain Care in Guttenberg

If you suffer from recurring pain lasting 6 to 8 weeks, you may be a candidate for referral to the Pain Clinic located in Guttenberg Municipal Hospital. Although pain may be impossible to cure, the Pain Clinic provides hope by helping patients manage their pain for a better quality of life.

Guttenberg Pain Clinic treats many types of chronic (long-lasting) pain, including:

Provider with patient
  • Back pain
  • Shingles
  • Compression fractures
  • Disc herniation/fissures
  • Neck pain
  • Fibromyalgia
  • Joint pain
  • Spinal stenosis
  • Sciatica
  • Diabetic nerve pain/neuropathy

Please inquire with your provider about other types of pain that can be treated.


Treatment options include medications and injections such as Epidural Steroid Injections (ESIs). ESIs reduce inflammation and/or swelling of the nerves in the area treated, often reducing pain, tingling, numbness and other symptoms. Patients may also be referred for physical therapy, wellness activities, dietary consults and more.

Our Team

Guttenberg Pain Clinic is operated by GMHC with service supported by Iowa Anesthesia, LC. Registered nurse anesthetists with extensive experience in pain management staff the clinic.

For More Information

The Pain Clinic works on a referral basis. A referral from your primary care provider or a medical specialist is required before you can schedule an appointment for consultation, treatment or procedures. For more information, talk to your physician or call (563) 252-5597.

Outpatient Infusion Services in Guttenburg

From infusions to complex wound care, GMHC provides many outpatient services so you can stay close to home for your care. We provide services to patients of all ages and with varying needs, and accept orders from GMHC providers as well as outside providers. We also accept numerous insurance plans.

Outpatient Infusion Services Include:

  • IV fluids or medications
  • Medication injections
  • Chemo disconnections
  • Blood transfusions

Additional Outpatient Services Include:

  • Complex wound care
  • Dressing changes
  • And others services

Please contact us to see if we can provide your outpatient service locally at GMHC.

Why Choose GMHC for your Outpatient Services?

  • Convenience of receiving care close to home
  • We accept orders from any provider
  • A variety of services are available
  • Coordination of care with your specialist

For more information or questions about Outpatient Infusion Services contact:

Megan Vorwald, Care Coordinator
(563) 252-5522

Lynn Bockenstedt, Social Worker
(563) 252-5521

Orthopedic Care in Guttenberg

Helping patients return to their normal, daily activities is the goal of the four experts at the Orthopedic Specialty Clinic, located off the main lobby in Guttenberg Municipal Hospital. If needed, orthopedic surgery can also be performed at GMHC.

Stay close to home for surgery. Doctors Bryan Trumm, MD and Stephen Pierotti, MD perform orthopedic surgeries at GMHC.

Choose GMHC for your physical therapy and rehabilitation after surgery.

Meet the Providers

Eye Care in Guttenberg

See every moment at its best with comprehensive eye exams, treatment and surgery at the Eye Specialty Clinic located off the main lobby in Guttenberg Municipal Hospital.

Meet the Doctors

Dave Auer
David Auer, OD

Ophthamology (Eyes)

Juan Nieto
Juan Nieto, MD

Ophthamology (Eyes)

Cancer Care in Guttenberg

Receive compassionate cancer care without the added worry of traveling at our Oncology Specialty Clinic, located off the main lobby in Guttenberg Municipal Hospital.

Meet the Provider

Tammi Noonan, DNP

Oncology Clinic

Occupational Therapy

Occupational Therapy is one of the many therapy and rehabilitation services offered close to home, at GMHC.

Occupational therapy helps people of all ages return to their daily activities and routines with increased independence. These activities may include feeding, bathing, dressing, cooking, managing the home and safely using a wheelchair or other adaptive equipment to replace lost function.

Our experienced occupational therapists help people recovering from injury or disease regain skills. We also provide support for older adults experiencing physical and cognitive changes.

During your first visit, your occupational therapist will evaluate what you can do, and where you might have limitations. You will also be asked questions about your roles at work, at home and the everyday activities you perform. Together, you and your therapist will decide on goals and create a plan to achieve them.

Individualized treatment programs for each patient may include therapeutic exercise and activities designed to improve strength, coordination and cognitive and developmental skills.

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