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Chautauqua Guest Home #3
302 Ninth Street, Charles City, IA 50616 (opens Google Maps) · Floyd County · (641) 228-5351· 57 certified beds · avg 43 residents/day · certified since Jan 1, 1995 · 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 →
5/5
Health inspection rating (on-site)
inspected Jul 3, 2025
0
Serious findings on record
$0
Fines, last 3 years
4.82
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: ★★★★★5/5 · 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.
Inspection findings in the public record
Showing the latest 3 of 6 inspection findings. Open the full record below to read every finding.
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. F-0550
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 F-0550
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
View all 6 inspection findingsShow only the latest 3 findings
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 |
|---|---|---|
| Jul 3, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0550 |
| Mar 13, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0550 |
| Jan 18, 2024 | 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 |
| Jan 18, 2024 | B · Potential for minimal harm, pattern | 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. · F-0637 |
| Sep 21, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0550 |
| Sep 21, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0880 |
Inspection trend by year
All citationsSerious citations (G–L)
2023
All citations: 2
Serious citations (G–L): 0
2024
All citations: 2
Serious citations (G–L): 0
2025
All citations: 2
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| 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)
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: 4.82
Iowa average: 4.37
U.S. average: 3.95
Registered Nurse hours
This facility: 0.72
Iowa average: 0.85
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.43
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) | 4.82 | 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 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 3.98, RN 0.59, weekend 3.66.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.98 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: 5/5 · short-stay residents: 2/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Chautauqua Guest Home #3. 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, 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 |
Showing 20 of 27 parties CMS has on file for this facility; 7 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.
- "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?"
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 24% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 27 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 #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 |
Facility data as of CMS processing date 2026-08-01. CCN 165243.
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