Charles City, IA · Floyd County
★★★★★CMS 5/557 bedsFor-profitMedicaid
- Nurse hours
- 3.98 /day
- Staff turnover
- 24%
- Serious cites
- 0
Chautauqua Guest Home #3 in Charles City runs a tight ship. Staffing sits at 3.98 nurse hours per resident day, just above the national average, and the weekend dip is modest at around 8 percent, not the steep drop-off you see at some homes. What stands out most is the 23.8 percent turnover rate, roughly half the national figure, which suggests people actually stay. The inspection record backs that up: six deficiencies on file, none causing harm, none tied to abuse, and the most recent state visit came in July 2025. For-profit corporate ownership, 57 beds, and quality measures scoring well enough to keep this one worth a look.
Charles City, IA · Floyd County
★★★★★CMS 5/553 bedsFor-profitMedicaid
- Nurse hours
- 4.02 /day
- Staff turnover
- 41%
- Serious cites
- 0
Chautauqua Guest Home #2 runs a 53-bed operation in Charles City, and the staffing numbers are the strongest part of its case. At 4.02 nurse hours per resident day, it sits about 4% above the national average, and the weekend dip of roughly 10% below its own weekday level is modest, worth knowing, but not alarming. Turnover lands at 41.3%, slightly better than the 45.8% national figure, which suggests the crew sticks around better than most. Two deficiencies on record, one serious enough to involve actual harm, is the item that deserves a direct question when you visit. The most recent inspection was September 2025, so the picture is current.
Nora Springs, IA · Floyd County
★★★☆☆CMS 3/550 bedsFor-profitMedicaid
- Nurse hours
- 3.11 /day
- Staff turnover
- 40%
- Serious cites
- 0
Nora Springs Care Center runs on thin staffing. At 3.11 nurse hours per resident day, it sits about 19% under the national average, and weekends drop roughly another 10% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Turnover is 40.4%, a bit better than the 45.8% national figure, which suggests some stability among the aides and nurses who stay.
The inspection record is genuinely strong: nine deficiencies, none at harm or jeopardy level, with one abuse-related citation, and a survey as recent as May 2025. The for-profit LLC ownership and that 2-out-of-5 staffing rating are the real story here. Quality measures and inspections look good; the daily coverage is what you'd want to ask about.