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Nursing HomeMedicaid Top Rated

Chautauqua Guest Home #2

Strong Medicare quality ratings; families often praise outgoing and friendly staff. Still worth an in-person visit.

602 Eleventh Street, Charles City, IA 5061653 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.8/5

based on 4 Google reviews

Chautauqua Guest Home #2 Nursing Home in Charles City, IA — Street View
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What this means for your family

The facility has a history of positive ratings and friendly staff. Because recent reviews lack specific details, families should visit in person to evaluate the quality of care and cleanliness for themselves.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.88hrs
OK
Registered nurses for medical care
Total Nursing
4.27hrs
OK
All nurses + aides combined
Staff Turnover
36%
Lower is better (< 30% = good)
RN Turnover
13%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
3/ 5
Better Than Avg

8

measures

Worse Than Avg

5

measures

Mixed Results

3

measures

Long-Stay Residents
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility32.8%
Worse than Avg
Here
32.8%
US
14.4%
IA
17.6%
Floyd
10.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.3%
Better than Avg
Here
1.3%
US
12.1%
IA
4.1%
Floyd
16.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility32.4%
Worse than Avg
Here
32.4%
US
19.5%
IA
20.7%
Floyd
26.9%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility30.7%
Worse than Avg
Here
30.7%
US
19.4%
IA
25.9%
Floyd
20.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility22.3%
Worse than Avg
Here
22.3%
US
15.5%
IA
19.4%
Floyd
16.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
IA
93.9%
Floyd
94.8%
Short-Stay Residents (Rehab / Post-Acute)
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
IA
2.0%
Floyd
1.6%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility83.0%
Mixed vs Avgs
Here
83.0%
US
81.8%
IA
84.1%
Floyd
84.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
Well below state avg (6.2)
1 complaint-triggered

This facility has concerning patterns with fire safety systems being the most recurring issue, including repeated problems with sprinkler system maintenance across multiple years. A family filed a complaint about pain management that triggered a federal investigation, and there were also recent issues with food safety and cooking facility protection. While all deficiencies show correction dates, the recurring fire safety problems suggest ongoing maintenance challenges that families should discuss during visits.

Sep 18, 2025Routine
2
0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Sep 18, 2025Complaint
1
0697Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

Sep 19, 2024Routine
3
0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Jun 22, 2023Routine
4
0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
7deficiencies
Oct 30, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Sep 18, 2025Inspection
Clean

Fed violations: 2, State violations: 1

Mar 27, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Dec 9, 2024Complaint
Clean

Fed violations: 0, State violations: 0

Sep 19, 2024Inspection
Clean

Fed violations: 0, State violations: 0

Apr 15, 2024Other
Clean

Fed violations: 0, State violations: 0

Jun 22, 2023Inspection
Clean

Fed violations: 0, State violations: 0

Apr 11, 2022Inspection
Clean

Fed violations: 0, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Chautauqua Guest Home #2

Organization Type

for profit

Ownership & Management

Owners

Ayers, Christopher

Owner

Ayers, David

Owner

41%

Ayers, Eric

Owner

Ayers, John

Owner

16%

Hoy, Jessica

Owner

Jespersen, Megan

Owner

Jespersen, Sean

Owner

Jespersen, Susan

Owner

13%

Mcginley, Judith

Owner

13%

Meusel, Sarah

Owner

Key personnel

Ayers, DavidOfficer / DirectorAyers, JohnOfficer / DirectorAyers, DavidOfficer / DirectorAyers, JohnOfficer / DirectorJespersen, SusanOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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