Federal inspection record · CMS data as of October 1, 2026
Chautauqua Guest Home #2
602 Eleventh Street, Charles City, IA · (641) 228-2353
- Certified beds
- 53
- Residents per day
- 40
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1967
1
How this home got 5 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
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Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change (already 5)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★5 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Chautauqua Guest Home #2 carries 21 inspection points. That is fewer than 65% of Iowa's 385 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–7 pts
- 4★ 7–21 pts
- 3★ 21–41 pts
- 2★ 41–86.5 pts
- 1★ over 86.5 pts
Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
2 health citations on record since 2025. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Provide safe, appropriate pain management for a resident who requires such services.
Everything else, by area of care
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2025-09-18
2 health deficiencies · 1 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
2024-09-19
0 health deficiencies · 3 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2023-06-22
0 health deficiencies · 4 fire-safety deficiencies
No concentrated health issue counts in this cycle.
4
Nursing time per resident, per day
Each resident here gets about 4 h 5 min of nursing staff time a day, 51 min of it from a registered nurse.
This home
4 h 5 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 37% of nursing staff and 33% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts better | 1.0 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts better | 1.0 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.8 pts better | 100.0% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.8 pts better | 97.6% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.6 pts better | 1.3% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.8 pts better | 1.4% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.2 pts worse | 4.6% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10.1 pts worse | 31.1% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.3 pts better | 15.5% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.6 pts better | 14.6% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased18.9 pts worse | 35.5% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts worse | 1.8% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.4 pts better | 0.0% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.8 pts worse | 25.8% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.8 pts worse | 4.9% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.9 pts better | 86.9% | 84.0% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.1 pts better | 0.0% | 2.1% | 1.5% |
·
Who owns and runs it
33 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Ayers, David | 5% Or Greater Direct Ownership Interest · Individual | 41% | 2 facilities |
| Ayers, John | 5% Or Greater Direct Ownership Interest · Individual | 16% | 2 facilities |
| Jespersen, Susan | 5% Or Greater Direct Ownership Interest · Individual | 13% | 2 facilities |
| Mcginley, Judith | 5% Or Greater Direct Ownership Interest · Individual | 13% | 2 facilities |
| Ayers, Christopher | 5% Or Greater Direct Ownership Interest · Individual | 0% | 1 facilities |
| Ayers, David | Corporate Director · Individual | 0% | 2 facilities |
| Ayers, David | Corporate Officer · Individual | 0% | 2 facilities |
| Ayers, David | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Ayers, David | Adp Of The SNF · Individual | 0% | 2 facilities |
| Ayers, Eric | 5% Or Greater Direct Ownership Interest · Individual | 0% | 1 facilities |
| Ayers, John | Corporate Director · Individual | 0% | 2 facilities |
| Ayers, John | Corporate Officer · Individual | 0% | 2 facilities |
| Bolkema, Kristen | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bolkema, Kristen | Adp Of The SNF · Individual | 0% | 1 facilities |
| Brighton Consulting Group LLC | Adp Of The SNF · Organization | 0% | 73 facilities |
| Floyd County Memorial Hospital Commission | Operational/Managerial Control · Organization | 0% | 2 facilities |
| Floyd County Memorial Hospital Commission | Adp Of The SNF · Organization | 0% | 2 facilities |
| Fox Rehab Pt Ia Pllc | Adp Of The SNF · Organization | 0% | 8 facilities |
| Hobert, Misty | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Hobert, Misty | Adp Of The SNF · Individual | 0% | 2 facilities |
| Hoy, Jessica | 5% Or Greater Direct Ownership Interest · Individual | 0% | 1 facilities |
| Jespersen, Megan | 5% Or Greater Direct Ownership Interest · Individual | 0% | 1 facilities |
| Jespersen, Sean | 5% Or Greater Direct Ownership Interest · Individual | 0% | 1 facilities |
| Jespersen, Susan | Corporate Officer · Individual | 0% | 2 facilities |
| Meusel, Sarah | 5% Or Greater Direct Ownership Interest · Individual | 0% | 1 facilities |
| Parks, Angela | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Parks, Angela | Adp Of The SNF · Individual | 0% | 2 facilities |
| Ryka Incorporated | Operational/Managerial Control · Organization | 0% | 5 facilities |
| Ryka Incorporated | Adp Of The SNF · Organization | 0% | 5 facilities |
| Schmidt, Ginger | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Schmidt, Ginger | Adp Of The SNF · Individual | 0% | 1 facilities |
| Siemons, Ashley | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Siemons, Ashley | Adp Of The SNF · Individual | 0% | 2 facilities |
·
Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- 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
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
Miscellaneous2F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
·
Other homes nearby
-
Chautauqua Guest Home #3
Charles City, IA
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 5 min
- Fines
- $0
-
AMS Memorial-Greene
Greene, IA
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- —
- Fines
- $0
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Faith Lutheran Home
Osage, IA
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 4 h 22 min
- Fines
- $0