Chautauqua Guest Home #2
602 Eleventh Street, Charles City, IA 50616 · Floyd County · (641) 228-2353
53 certified beds, about 39 residents a day · For profit - Corporation · Medicare and Medicaid since 1967
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165019 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 18, 2025, inspectors cited 2 health deficiencies (the Iowa average is 6.5, the national average 9.2).
Of 2 health citations since June 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.02 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.89 of those hours.
41.3% of nursing staff left within the year CMS measured (Iowa average 44.0%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 2 health citations on file.
September 18, 2025Standard inspection, Complaint inspection · 2 citations
- G Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on record review, staff interviews, and policy review the facility failed to provide or offer as needed (PRN) pain medication in a timely manner, non-medication pain relief, and/or notify the resident's physician of new onset and increased pain for 1 of 3 residents reviewed for pain after a fall (Resident #14). Despite Resident #14 reporting increased amounts of pain to her leg, the facility failed to provide her with additional medication or request the physician review her medication orders. The facility learned Resident #14's pain occurred due to a fracture of the femoral neck (hip fracture). The facility reported a census of 38 residents.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, staff interviews, Certified Dietary Manager (CDM) interview, facility policy review, and review of the 2022 United States (US) Food and Drug Administration (FDA) Food Code, the facility failed to prevent soiled gloves coming into contact with food during food preparation, failed to serve milk below 40-degrees Fahrenheit, failed to ensure kitchen fans and shelves are free of dust, failed to cover the garbage, and failed to date stored food when opened and free of fuzzy growth. The facility reported a census of 38 residents.
September 19, 2024Standard inspection · 0 citations
June 22, 2023Standard inspection · 0 citations
Fire safety inspections
8 fire safety citations on file: 1 on September 18, 2025, 3 on September 19, 2024, 4 on June 22, 2023.
Every fire safety citation8 citations
- F Provide properly protected cooking facilities.
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Inspect, test, and maintain automatic sprinkler systems.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Install corridor and hallway doors that block smoke.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.02 | 3.82 | 3.86 |
| Registered nurses | 0.89 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.62 | 3.37 | 3.42 |
| Nurse aides | 2.70 | ||
| Licensed practical nurses | 0.42 | ||
| Nursing staff turnover (share who left in a year) | 41.3% | 44.0% | 45.8% |
| Registered nurse turnover | 25.0% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.23 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.18 on weekdays and 3.62 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.91 in April to June 2025 to 4.02 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.02 | 0.89 | 4.18 | 3.62 | 0.0% | 0 of 90 | 39 |
| Oct to Dec 2025 | 4.27 | 0.88 | 4.39 | 3.97 | 0.0% | 0 of 92 | 39 |
| Jul to Sep 2025 | 4.23 | 0.85 | 4.36 | 3.91 | 0.0% | 0 of 92 | 39 |
| Apr to Jun 2025 | 3.91 | 0.83 | 4.04 | 3.58 | 0.0% | 0 of 91 | 42 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 35.5 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.0 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.9 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 13.2 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.8 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.4 | 19.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 2.1 | 1.8 |
Owners and operators
Legal business name: CHAUTAUQUA GUEST HOMES INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ayers, Christopher | 5% or greater direct ownership interest | Individual | 01/01/1999 | |
| Ayers, David | 5% or greater direct ownership interest | Individual | 41% | 01/01/1970 |
| Ayers, Eric | 5% or greater direct ownership interest | Individual | 01/01/1990 | |
| Ayers, John | 5% or greater direct ownership interest | Individual | 16% | 01/01/1970 |
| Hoy, Jessica | 5% or greater direct ownership interest | Individual | 01/01/1990 | |
| Jespersen, Megan | 5% or greater direct ownership interest | Individual | 01/01/1990 | |
| Jespersen, Sean | 5% or greater direct ownership interest | Individual | 01/01/1990 | |
| Jespersen, Susan | 5% or greater direct ownership interest | Individual | 13% | 01/01/1970 |
| McGinley, Judith | 5% or greater direct ownership interest | Individual | 13% | 01/01/1970 |
| Meusel, Sarah | 5% or greater direct ownership interest | Individual | 01/01/1990 | |
| Ayers, David | Corporate director | Individual | 01/01/1970 | |
| Ayers, John | Corporate director | Individual | 01/01/1970 | |
| Ayers, David | Corporate officer | Individual | 03/01/2012 | |
| Ayers, John | Corporate officer | Individual | 03/01/2012 | |
| Jespersen, Susan | Corporate officer | Individual | 03/01/2012 | |
| Floyd County Memorial Hospital Commission | Operational/managerial control | Organization | 06/13/2014 | |
| Ryka Incorporated | Operational/managerial control | Organization | 10/08/2019 | |
| Ayers, David | Operational/managerial control | Individual | 07/02/1979 | |
| Bolkema, Kristen | Operational/managerial control | Individual | 08/01/2024 | |
| Hobert, Misty | Operational/managerial control | Individual | 01/03/2005 | |
| Parks, Angela | Operational/managerial control | Individual | 04/23/2018 | |
| Schmidt, Ginger | Operational/managerial control | Individual | 10/02/1998 | |
| Siemons, Ashley | Operational/managerial control | Individual | 08/29/2024 | |
| Brighton Consulting Group LLC | Adp of the SNF | Organization | 06/15/2004 | |
| Floyd County Memorial Hospital Commission | Adp of the SNF | Organization | 06/13/2014 | |
| Fox Rehab Pt Ia PLLC | Adp of the SNF | Organization | 06/01/2024 | |
| Ryka Incorporated | Adp of the SNF | Organization | 10/08/2019 | |
| Ayers, David | Adp of the SNF | Individual | 07/02/1979 | |
| Bolkema, Kristen | Adp of the SNF | Individual | 08/01/2024 | |
| Hobert, Misty | Adp of the SNF | Individual | 01/03/2005 | |
| Parks, Angela | Adp of the SNF | Individual | 04/23/2018 | |
| Schmidt, Ginger | Adp of the SNF | Individual | 10/02/1998 | |
| Siemons, Ashley | Adp of the SNF | Individual | 08/29/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on September 18, 2025: "Provide safe, appropriate pain management for a resident who requires such services."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on September 18, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
Other nursing homes nearby
- Chautauqua Guest Home #3 Charles City, 0.2 mi · 5 of 5 stars · 6 citations
- Ams Memorial-Greene Greene, 12.9 mi · 1 of 5 stars · 19 citations
- Faith Lutheran Home Osage, 16.8 mi · 4 of 5 stars · 2 citations
- Osage Rehab and Health Care Center Osage, 17 mi · 1 of 5 stars · 44 citations
- Colonial Manor of Elma Elma, 17.6 mi · 2 of 5 stars · 16 citations
- Accura Healthcare of New Hampton New Hampton, 18.2 mi · 4 of 5 stars · 17 citations
- Nora Springs Care Center Nora Springs, 18.2 mi · 3 of 5 stars · 10 citations
- Clarksville Skilled Nursing & Rehab Center Clarksville, 18.5 mi · 4 of 5 stars · 10 citations
Iowa contacts for a concern about a nursing home
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.
Common questions
- What is Chautauqua Guest Home #2's Medicare star rating?
- CMS rates Chautauqua Guest Home #2 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Chautauqua Guest Home #2 get at its last inspection?
- 2 health deficiencies at the standard inspection on September 18, 2025. The Iowa average is 6.5.
- Has Chautauqua Guest Home #2 been fined?
- CMS lists no fines in the last three years.
- Does Chautauqua Guest Home #2 accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Chautauqua Guest Home #2?
- CMS lists 33 owners and managers. Legal business name: CHAUTAUQUA GUEST HOMES INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.