86/100
Excellent
602 Eleventh Street, Charles City, IA 50616
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
1 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: September 18, 2025 (11 months ago).
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Actual harm to a resident
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
No actual harm, potential for more than minimal harm
| Owner | Type | Role | Since |
|---|---|---|---|
| AYERS, DAVID | Individual | CORPORATE DIRECTOR | — |
| AYERS, JOHN | Individual | CORPORATE DIRECTOR | — |
| AYERS, DAVID | Individual | CORPORATE OFFICER | — |
| AYERS, JOHN | Individual | CORPORATE OFFICER | — |
| JESPERSEN, SUSAN | Individual | CORPORATE OFFICER | — |
| FLOYD COUNTY MEMORIAL HOSPITAL COMMISSION | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| RYKA INCORPORATED | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| AYERS, DAVID | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| BOLKEMA, KRISTEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| HOBERT, MISTY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| PARKS, ANGELA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| SCHMIDT, GINGER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
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Chautauqua Guest Home #2 holds an ElderGrade of A (86 out of 100), which we describe as "excellent". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 4.02 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 1 of the 2 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Chautauqua Guest Home #2 is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.