Chautauqua Guest Home #2
602 Eleventh Street, Charles City, IA 50616 · Floyd County · 53 certified beds · avg 39 residents/day · certified since Jan 1, 1967
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
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 self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · 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): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Oct 8, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (2)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Sep 18, 2025 | ▲ G · Actual harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Sep 18, 2025 | E · Potential for harm, repeated | 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. |
Inspection trend by year
| 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)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| 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, 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. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Who owns this facility
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 |
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?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
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 |
Compare this facility with the 3 closest →
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Facility data as of CMS processing date 2026-08-01. CCN 165019.