Chautauqua Guest Home #2 — nursing home in Charles City, IA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 53 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 40.1 CMS, MDS-derived
CMS Certification Number: 165019
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 1, 1967
Ownership type: For profit - Corporation
Operator (legal business name): Chautauqua Guest Homes Inc
CMS chain: Not part of a CMS-reported chain
Phone: (641) 228-2353
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Sep 18, 2025

Citations

10

2 health · 8 fire

Harm or worse

1

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D·	E2	F7
Minimal	A·	B·	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 165019
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 53
First approved: Jan 1, 1967
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Iowa.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Sep 18, 2025	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Sep 18, 2025	Health	Health Complaint, Health Standard	2	Actual harm	—	Open →
Sep 19, 2024	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Sep 19, 2024	Health	Health Standard	0	No citations	—	Open →
Jun 22, 2023	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Jun 22, 2023	Health	Health Standard	0	No citations	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G1	H·	I·
Potential harm	D·	E2	F7
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Sep 18, 2025	F-0697	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Oct 8, 2025	Complaint
Sep 18, 2025	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Sep 18, 2025
Sep 18, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Oct 15, 2025
Sep 19, 2024	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 2, 2024
Sep 19, 2024	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 2, 2024
Sep 19, 2024	K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Oct 2, 2024
Jun 22, 2023	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 26, 2023
Jun 22, 2023	K-0363	Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jun 27, 2023
Jun 22, 2023	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 26, 2023
Jun 22, 2023	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jul 26, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3.1

Health inspectionsstate 2.8

Staffingstate 3.8

Quality measuresstate 3.4

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing4.09

State avg 3.86US avg 3.90

Registered nurse (RN)0.86

State avg 0.74US avg 0.69

Licensed practical nurse0.35

State avg 0.56US avg 0.86

Nurse aide2.88

State avg 2.56US avg 2.35

Weekend total nurse3.71

State avg 3.38US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.82 (case-mix index 1.19).

Staff turnover

Total nursing staff turnover37.0%

State avg 44.1%US avg 45.3%

Registered nurse turnover33.3%

State avg 42.1%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Sep 18, 2025
Cycle 1 health score: 28
Total weighted score: 21

Operating entity

Chautauqua Guest Homes Inc

CMS legal business name of the certified provider. Operates 2 facilities.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

33

Organizations

4

Individuals

27

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
David Ayers	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	41%	Jan 1, 1970
John Ayers	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	16%	Jan 1, 1970
Susan Jespersen	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	13%	Jan 1, 1970
Judith Mcginley	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	13%	Jan 1, 1970
Christopher Ayers	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Jan 1, 1999
Eric Ayers	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Jan 1, 1990
Jessica Hoy	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Jan 1, 1990
Megan Jespersen	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Jan 1, 1990
Sean Jespersen	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Jan 1, 1990
Sarah Meusel	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Jan 1, 1990

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
David Ayers	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	41%	Jan 1, 1970
John Ayers	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	16%	Jan 1, 1970
Susan Jespersen	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	13%	Jan 1, 1970
Judith Mcginley	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	13%	Jan 1, 1970
Christopher Ayers	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Jan 1, 1999
Eric Ayers	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Jan 1, 1990
Jessica Hoy	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Jan 1, 1990
Megan Jespersen	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Jan 1, 1990
Sean Jespersen	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Jan 1, 1990
Sarah Meusel	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	not provided	Jan 1, 1990
Floyd County Memorial Hospital Commission	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 13, 2014
Ryka Incorporated	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 8, 2019
David Ayers	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 2, 1979
Kristen Bolkema	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 1, 2024
Misty Hobert	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 3, 2005
Angela Parks	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 23, 2018
Ginger Schmidt	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Oct 2, 1998
Ashley Siemons	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 29, 2024
David Ayers	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 1970
John Ayers	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 1970
David Ayers	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 1, 2012
John Ayers	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 1, 2012
Susan Jespersen	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Mar 1, 2012
Brighton Consulting Group LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 15, 2004
Floyd County Memorial Hospital Commission	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 13, 2014
Fox Rehab Pt Ia PLLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 1, 2024
Ryka Incorporated	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 8, 2019
David Ayers	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 2, 1979
Kristen Bolkema	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 1, 2024
Misty Hobert	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 3, 2005
Angela Parks	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 23, 2018
Ginger Schmidt	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 2, 1998
Ashley Siemons	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 29, 2024

Other facilities operated by Chautauqua Guest Homes Inc

All 1 →

Facility	Beds	CMS overall	Last inspection	Citations (window)	Fines
Chautauqua Guest Home #3 302 Ninth Street, Charles City, IA 50616 CCN 165243	57		Aug 13, 2026	6	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 602 Eleventh Street, Charles City, IA 50616
ZIP: 50616
County: Floyd County FIPS 19067
State: Iowa
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Chautauqua Guest Home #3 302 Ninth Street, Charles City, IA 50616 CCN 165243	0.4 km	57		Aug 13, 2026	6	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	165019	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	165019	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 165019

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction