Nursing homeActive
Chautauqua Guest Home #2
602 Eleventh Street, Charles City, IA 50616641228235353 certified beds · 39 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
2
● 0● 1● 1
Penalties · 3 yrs
—
none on file
Last survey
2025-09-18
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 5
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-09-18 | Standard | 011 | CMS-2567 (Care Compare) | — |
| 2024-09-19 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2023-06-22 | Standard | 000 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-10-08Record 165019-20250918-F697
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-15Record 165019-20250918-F812
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.89
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day4.02
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours3.62
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover41%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover25%
Facility
Iowa
National
Iowa 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.8% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.9% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 19.4% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 35.5% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 6.9% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 31.1% | 20.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Ayers, Christopher Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Ayers, David Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 41% | — | — |
| Ayers, Eric Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Ayers, John Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 16% | — | — |
| Hoy, Jessica Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Jespersen, Megan Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Jespersen, Sean Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Jespersen, Susan Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 13% | — | — |
| Mcginley, Judith Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 13% | — | — |
| Meusel, Sarah Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Ayers, David Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bolkema, Kristen Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Floyd County Memorial Hospital Commission Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hobert, Misty Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Parks, Angela Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ryka Incorporated Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Schmidt, Ginger Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Siemons, Ashley Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ayers, David Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Ayers, David Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Ayers, David Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ayers, John Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Ayers, John Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Bolkema, Kristen Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Brighton Consulting Group LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Floyd County Memorial Hospital Commission Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fox Rehab Pt Ia Pllc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hobert, Misty Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Jespersen, Susan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Parks, Angela Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ryka Incorporated Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Schmidt, Ginger Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Siemons, Ashley Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.
No county cost figures on file for Floyd.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Chautauqua Guest Home #3 Charles City | 0.2 mi | 2025-07-03 | 150 |
| AMS Memorial-Greene Greene | 12.9 mi | 2022-02-21 | 000 |
| Faith Lutheran Home Osage | 16.8 mi | 2025-07-16 | 020 |
| Osage Rehab and Health Care Center Osage | 17.0 mi | 2026-04-02 | 0332 |
| Clarksville Skilled Nursing & Rehab Center Clarksville | 18.5 mi | 2026-04-09 | 181 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |