Chautauqua Guest Home #3
302 Ninth Street, Charles City, IA 50616 · Floyd County · (641) 228-5351
57 certified beds, about 43 residents a day · For profit - Corporation · Medicare and Medicaid since 1995
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165243 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 13, 2026, inspectors cited 2 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 6 health citations since September 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.98 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.59 of those hours.
23.8% 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 6 health citations on file.
August 13, 2026Standard inspection · 2 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview, and policy review the facility failed to thaw frozen chicken using one of the approved methods of defrosting. The facility reported a census of 44 residents.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on clinical record review, staff interview and policy review the facility failed to assess for cause and notify the primary care physician (PCP) and family of a significant weight loss for 1 of 2 resident (Resident #8) assessed for weight loss. The facility reported a census of 44 residents.
July 3, 2025Standard inspection · 1 citation
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on clinical record review, review of staff training records, facility policies, observation and staff interviews, the facility failed to ensure residents are treated with dignity and respect for 1 of 1 resident (Resident #13) reviewed. The facility reported a census of 42 residents.
March 13, 2025Complaint inspection · 1 citation
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on clinical record review, staff interview and review of the Resident Right the facility staff failed to treat one (1) resident of 1 resident with dignity and respect while providing personal cares (Resident #3). The facility reported a census of 44 residents.
August 15, 2024Standard inspection · 0 citations
September 21, 2023Complaint inspection, Infection control · 2 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, clinical record review, policy review, resident and staff interviews, the facility failed to respect resident rights for 3 of 7 residents reviewed for Dignity/Rights (Residents #1, #2, and #10). Staff failed to treat Resident #1 in a kind and consider manner by yelling at the resident and taking the resident to their room against their wishes. Staff failed to utilize a clean commode for toileting Resident #2 and failed to repeat peri-care after Resident #10 laid on a dirty mattress. The facility identified a census of 39 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, clinical record review, policy review, Center for Disease Control and Prevention (CDC) disinfection guidelines, and staff interviews, the facility failed to sanitize a commode used to toilet Resident #2 and failed to prevent potential cross contamination and potential for urinary tract infection when Resident #6 Foley Catheter bag came in contact with the floor for 2 of 5 residents sampled for infection control. The facility reported a census of 39 residents.
Fire safety inspections
2 fire safety citations on file: 1 on July 3, 2025, 1 on August 15, 2024.
Every fire safety citation2 citations
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Properly provide smoke detection systems in areas open to corridors.
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) | 3.98 | 3.82 | 3.86 |
| Registered nurses | 0.59 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.66 | 3.37 | 3.42 |
| Nurse aides | 2.89 | ||
| Licensed practical nurses | 0.50 | ||
| Nursing staff turnover (share who left in a year) | 23.8% | 44.0% | 45.8% |
| Registered nurse turnover | 16.7% | 42.1% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.17 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 4.12 on weekdays and 3.66 on weekends, 11% 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 3.95 in April to June 2025 to 3.98 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 | 3.98 | 0.59 | 4.12 | 3.66 | 0.0% | 0 of 90 | 43 |
| Oct to Dec 2025 | 4.11 | 0.62 | 4.26 | 3.73 | 0.0% | 0 of 92 | 42 |
| Jul to Sep 2025 | 3.89 | 0.72 | 4.04 | 3.49 | 0.0% | 0 of 92 | 42 |
| Apr to Jun 2025 | 3.95 | 0.73 | 4.11 | 3.55 | 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.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Iowa
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Iowa, all employers | |||
| CNAs (nursing assistants) | $18.92 | $17.96 to $21.95 | 22,670 |
| LPNs and LVNs | $30.11 | $27.12 to $34.06 | 5,510 |
| Registered nurses | $37.80 | $32.83 to $41.32 | 34,420 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 15.9 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 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 | 1.3 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 6.3 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.9 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.3 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 32.4 | 19.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.5 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 2.1 | 1.8 |
Owners and operators
Legal business name: CHAUTAUQUA GUEST HOMES INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ayers, David | 5% or greater direct ownership interest | Individual | 41% | 04/01/2012 |
| Ayers, John | 5% or greater direct ownership interest | Individual | 16% | 01/01/1970 |
| Jespersen, Susan | 5% or greater direct ownership interest | Individual | 13% | 04/01/2012 |
| McGinley, Judith | 5% or greater direct ownership interest | Individual | 13% | 04/01/2012 |
| Ayers, David | Corporate director | Individual | 04/01/2012 | |
| Ayers, John | Corporate director | Individual | 04/01/2012 | |
| Jespersen, Susan | Corporate director | Individual | 04/01/2012 | |
| Ayers, David | Corporate officer | Individual | 04/01/2012 | |
| Ayers, John | Corporate officer | Individual | 04/01/2012 | |
| Jespersen, Susan | Corporate officer | Individual | 04/01/2012 | |
| Floyd County Memorial Hospital Commission | Operational/managerial control | Organization | 06/13/2014 | |
| Larry Pump Cpa PC | Operational/managerial control | Organization | 01/01/1984 | |
| Ryka Incorporated | Operational/managerial control | Organization | 10/08/2019 | |
| Ayers, David | Operational/managerial control | Individual | 07/02/1979 | |
| Ayers, John | Operational/managerial control | Individual | 05/05/1987 | |
| Hobert, Misty | Operational/managerial control | Individual | 01/03/2005 | |
| 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 | |
| Larry Pump Cpa PC | Adp of the SNF | Organization | 01/01/1984 | |
| Ryka Incorporated | Adp of the SNF | Organization | 10/08/2019 | |
| Ayers, David | Adp of the SNF | Individual | 07/02/1979 | |
| Ayers, John | Adp of the SNF | Individual | 05/05/1987 | |
| Frerichs, Katherine | Adp of the SNF | Individual | 10/08/2019 | |
| Hobert, Misty | Adp of the SNF | Individual | 01/03/2005 | |
| 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 residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on July 3, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- 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 August 13, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- 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 August 13, 2026: "Provide enough food/fluids to maintain a resident's health."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on September 21, 2023: "Provide and implement an infection prevention and control program."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Chautauqua Guest Home #2 Charles City, 0.2 mi · 5 of 5 stars · 2 citations
- Ams Memorial-Greene Greene, 13.1 mi · 1 of 5 stars · 19 citations
- Faith Lutheran Home Osage, 16.7 mi · 4 of 5 stars · 2 citations
- Osage Rehab and Health Care Center Osage, 16.8 mi · 1 of 5 stars · 44 citations
- Colonial Manor of Elma Elma, 17.4 mi · 2 of 5 stars · 16 citations
- Accura Healthcare of New Hampton New Hampton, 18.1 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, 18.7 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 #3's Medicare star rating?
- CMS rates Chautauqua Guest Home #3 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 #3 get at its last inspection?
- 2 health deficiencies at the standard inspection on August 13, 2026. The Iowa average is 6.5.
- Has Chautauqua Guest Home #3 been fined?
- CMS lists no fines in the last three years.
- Does Chautauqua Guest Home #3 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 #3?
- CMS lists 27 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.