Chautauqua Guest Home #3 — nursing home in Charles City, IA

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 57 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: 41.5 CMS, MDS-derived
CMS Certification Number: 165243
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 1, 1995
Ownership type: For profit - Corporation
Operator (legal business name): Chautauqua Guest Homes Inc
CMS chain: Not part of a CMS-reported chain
Phone: (641) 228-5351
Resident & family council: None
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

7

latest Aug 13, 2026

Citations

6

4 health · 2 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D3	E1	F2
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: 165243
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 57
First approved: Jan 1, 1995
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
Aug 13, 2026	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Aug 13, 2026	Health	Health Standard	2	Potential harm	—	Open →
Jul 3, 2025	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Jul 3, 2025	Health	Health Standard	1	Potential harm	—	Open →
Mar 13, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Aug 15, 2024	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Aug 15, 2024	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	G·	H·	I·
Potential harm	D3	E1	F2
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Aug 13, 2026	F-0692	Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 24, 2026
Aug 13, 2026	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 Aug 24, 2026
Jul 3, 2025	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 7, 2025
Jul 3, 2025	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 25, 2025
Mar 13, 2025	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 25, 2025	Complaint
Aug 15, 2024	K-0347	Properly provide smoke detection systems in areas open to corridors. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Aug 30, 2024

“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)0.63

State avg 0.74US avg 0.69

Licensed practical nurse0.51

State avg 0.56US avg 0.86

Nurse aide2.95

State avg 2.56US avg 2.35

Weekend total nurse3.61

State avg 3.38US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.29 (case-mix index 1.08).

Staff turnover

Total nursing staff turnover22.2%

State avg 44.1%US avg 45.3%

Registered nurse turnover16.7%

State avg 42.1%US avg 42.5%

Administrators who left1

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Aug 13, 2026
Cycle 1 health score: 12
Total weighted score: 11

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

27

Organizations

5

Individuals

19

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%	Apr 1, 2012
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%	Apr 1, 2012
Judith Mcginley	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	13%	Apr 1, 2012

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%	Apr 1, 2012
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%	Apr 1, 2012
Judith Mcginley	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	13%	Apr 1, 2012
Floyd County Memorial Hospital Commission	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 13, 2014
Larry Pump Cpa PC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 1984
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
John Ayers	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 5, 1987
Misty Hobert	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 3, 2005
Ashley Siemons	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 29, 2024
David Ayers	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 1, 2012
John Ayers	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 1, 2012
Susan Jespersen	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 1, 2012
David Ayers	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 1, 2012
John Ayers	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 1, 2012
Susan Jespersen	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 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
Larry Pump Cpa PC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jan 1, 1984
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
John Ayers	Individual	Additional disclosable party	ADP OF THE SNF	not provided	May 5, 1987
Katherine Frerichs	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Oct 8, 2019
Misty Hobert	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 3, 2005
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 #2 602 Eleventh Street, Charles City, IA 50616 CCN 165019	53		Sep 18, 2025	101 harm	—

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: 302 Ninth 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 #2 602 Eleventh Street, Charles City, IA 50616 CCN 165019	0.4 km	53		Sep 18, 2025	101 harm	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	165243	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	165243	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 165243

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