Chautauqua Guest Home #3
302 Ninth Street, Charles City, IA 50616 · Floyd County · 57 certified beds · avg 43 residents/day · certified since Jan 1, 1995
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · 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.
All citations in the current public record (6)
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 |
|---|---|---|
| Jul 3, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Mar 13, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Jan 18, 2024 | 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. |
| Jan 18, 2024 | B · Minimal risk, repeated | The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. |
| Sep 21, 2023 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Sep 21, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | D |
| 2024 | 2 | 0 | E |
| 2025 | 2 | 0 | D |
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) | 4.82 | 4.37 | 3.95 | top 25% in Iowa; top 16% in the U.S. |
| Registered Nurse hours | 0.72 | 0.85 | 0.69 | bottom 38% in Iowa; top 35% in the U.S. |
| Weekend total nurse staffing | 4.43 | 3.86 | 3.50 | top 19% in Iowa; top 13% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.39 | 0.51 | 0.48 | bottom 35% in Iowa; top 49% in the U.S. |
| Total nursing staff turnover (%) | 23.8 | 44.0 | 45.8 | top 4% in Iowa; top 6% in the U.S. |
| RN turnover (%) | 16.7 | 42.1 | 42.9 | top 13% in Iowa; top 9% 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 3.98, RN 0.59, weekend 3.66. 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: 5/5 · short-stay residents: 2/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ayers, David | Individual | 5% or Greater Direct Ownership Interest | 41% | 04/01/2012 |
| Ayers, John | Individual | 5% or Greater Direct Ownership Interest | 16% | 01/01/1970 |
| Jespersen, Susan | Individual | 5% or Greater Direct Ownership Interest | 13% | 04/01/2012 |
| McGinley, Judith | Individual | 5% or Greater Direct Ownership Interest | 13% | 04/01/2012 |
| Ayers, David | Individual | Corporate Director | NOT APPLICABLE | 04/01/2012 |
| Ayers, David | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2012 |
| 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 | 04/01/2012 |
| Ayers, John | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2012 |
| Ayers, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/05/1987 |
| Ayers, John | Individual | ADP of the SNF | NOT APPLICABLE | 05/05/1987 |
| 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 |
| Floyd County Memorial Hospital Commission | Organization | ADP of the SNF | NOT APPLICABLE | 06/13/2014 |
| Fox Rehab Pt Ia PLLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/01/2024 |
| Frerichs, Katherine | Individual | ADP of the SNF | NOT APPLICABLE | 10/08/2019 |
| Hobert, Misty | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/03/2005 |
| Hobert, Misty | Individual | ADP of the SNF | NOT APPLICABLE | 01/03/2005 |
| Jespersen, Susan | Individual | Corporate Director | NOT APPLICABLE | 04/01/2012 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "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 #2 | 0.2 mi | Charles City, IA | ★★★★★ | 4/5 | |
| Ams Memorial-Greene | 13.1 mi | Greene, IA | ★☆☆☆☆ | 2/5 | |
| Faith Lutheran Home | 16.7 mi | Osage, IA | ★★★★☆ | 4/5 | |
| Osage Rehab and Health Care Center | 16.8 mi | Osage, IA | ★☆☆☆☆ | 1/5 | |
| Colonial Manor of Elma | 17.4 mi | Elma, IA | ★★☆☆☆ | 2/5 | abuse |
| Accura Healthcare of New Hampton | 18.1 mi | New Hampton, IA | ★★★★☆ | 3/5 | |
| Nora Springs Care Center | 18.2 mi | Nora Springs, IA | ★★★★☆ | 4/5 | |
| Clarksville Skilled Nursing & Rehab Center | 18.7 mi | Clarksville, IA | ★★★★☆ | 4/5 | |
| New Hampton Nursing & Rehab Center | 18.8 mi | New Hampton, IA | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
All facilities in Charles City →
Facility data as of CMS processing date 2026-08-01. CCN 165243.