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Chautauqua Guest Home #2
602 Eleventh Street, Charles City, IA 50616 (opens Google Maps) · Floyd County · (641) 228-2353· 53 certified beds · avg 39 residents/day · certified since Jan 1, 1967 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
4/5
Health inspection rating (on-site)
inspected Sep 18, 2025
1
Serious findings on record
most recent Sep 18, 2025
$0
Fines, last 3 years
4.76
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · Sep 18, 2025 · F-0697 · triggered by a complaint
The facility did not provide safe and appropriate pain management for a resident who needed it.
▲ Actual harm, isolated · Sep 18, 2025 · F-0697 · triggered by a complaint
The facility did not provide safe and appropriate pain management for a resident who needed it.
Why it matters: Untreated pain causes needless suffering and can lead to depression, poor sleep, and declining health.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Oct 8, 2025 (Deficient, Provider has date of correction)
Inspection findings in the public record
2 inspection findings in the public record
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 18, 2025 | ▲ G · Actual harm, isolated | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint · F-0697 |
| Sep 18, 2025 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
Inspection trend by year
All citationsSerious citations (G–L)
2025
All citations: 2
Serious citations (G–L): 1
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2025 | 2 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityIowa averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.76
Iowa average: 4.37
U.S. average: 3.95
Registered Nurse hours
This facility: 1.05
Iowa average: 0.85
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.30
Iowa average: 3.86
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Iowa avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.76 | 4.37 | 3.95 | top 28% in Iowa; top 17% in the U.S. |
| Registered Nurse hours | 1.05 | 0.85 | 0.69 | top 23% in Iowa; top 14% in the U.S. |
| Weekend total nurse staffing | 4.30 | 3.86 | 3.50 | top 24% in Iowa; top 16% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.78 | 0.51 | 0.48 | top 11% in Iowa; top 12% in the U.S. |
| Total nursing staff turnover (%) | 41.3 | 44.0 | 45.8 | top 49% in Iowa; top 40% in the U.S. |
| RN turnover (%) | 25.0 | 42.1 | 42.9 | top 27% in Iowa; top 20% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.02, RN 0.89, weekend 3.62.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.02 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Chautauqua Guest Home #2. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ayers, Christopher | Individual | 5% or Greater Direct Ownership Interest | — | 01/01/1999 |
| Ayers, David | Individual | 5% or Greater Direct Ownership Interest | 41% | 01/01/1970 |
| Ayers, Eric | Individual | 5% or Greater Direct Ownership Interest | — | 01/01/1990 |
| Ayers, John | Individual | 5% or Greater Direct Ownership Interest | 16% | 01/01/1970 |
| Hoy, Jessica | Individual | 5% or Greater Direct Ownership Interest | — | 01/01/1990 |
| Jespersen, Megan | Individual | 5% or Greater Direct Ownership Interest | — | 01/01/1990 |
| Jespersen, Sean | Individual | 5% or Greater Direct Ownership Interest | — | 01/01/1990 |
| Jespersen, Susan | Individual | 5% or Greater Direct Ownership Interest | 13% | 01/01/1970 |
| McGinley, Judith | Individual | 5% or Greater Direct Ownership Interest | 13% | 01/01/1970 |
| Meusel, Sarah | Individual | 5% or Greater Direct Ownership Interest | — | 01/01/1990 |
| Ayers, David | Individual | Corporate Director | NOT APPLICABLE | 01/01/1970 |
| Ayers, David | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2012 |
| Ayers, David | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/02/1979 |
| Ayers, David | Individual | ADP of the SNF | NOT APPLICABLE | 07/02/1979 |
| Ayers, John | Individual | Corporate Director | NOT APPLICABLE | 01/01/1970 |
| Ayers, John | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2012 |
| Bolkema, Kristen | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2024 |
| Bolkema, Kristen | Individual | ADP of the SNF | NOT APPLICABLE | 08/01/2024 |
| Brighton Consulting Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/15/2004 |
| Floyd County Memorial Hospital Commission | Organization | Operational/Managerial Control | NOT APPLICABLE | 06/13/2014 |
Showing 20 of 33 parties CMS has on file for this facility; 13 are not displayed. The full list is in the CMS Ownership dataset.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 41% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 33 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Chautauqua Guest Home #3 | 0.2 mi | Charles City, IA | ★★★★★ | 5/5 | |
| Ams Memorial-Greene | 12.9 mi | Greene, IA | ★☆☆☆☆ | 2/5 | |
| Faith Lutheran Home | 16.8 mi | Osage, IA | ★★★★☆ | 4/5 | |
| Osage Rehab and Health Care Center | 17.0 mi | Osage, IA | ★☆☆☆☆ | 1/5 | |
| Colonial Manor of Elma | 17.6 mi | Elma, IA | ★★☆☆☆ | 2/5 | abuse |
| Accura Healthcare of New Hampton | 18.2 mi | New Hampton, IA | ★★★★☆ | 3/5 | |
| Nora Springs Care Center | 18.2 mi | Nora Springs, IA | ★★★★☆ | 4/5 | |
| Clarksville Skilled Nursing & Rehab Center | 18.5 mi | Clarksville, IA | ★★★★☆ | 4/5 | |
| New Hampton Nursing & Rehab Center | 18.9 mi | New Hampton, IA | ★★★★☆ | 4/5 |
Facility data as of CMS processing date 2026-08-01. CCN 165019.