Nursing Care Index

Chautauqua Guest Home #2

Charles City, Floyd County, Iowa · CCN 165019 · For-profit (Corporation) · not part of a chain

CMS rates Chautauqua Guest Home #2 5 of 5 overall as of August 2026. 53 certified beds, 39 residents a day on average. 2 citations on record from the current inspection cycles, 1 involving actual harm; no fines on record.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★★★ 5 of 5
Health inspections★★★★☆ 4 of 5
Staffing★★★★★ 5 of 5
Quality measures★★★★☆ 4 of 5
Quality: long-stay / short-stay4 / — of 5

Staffing

Total nurse staffing4.01612 hours per resident per day
Registered nurses0.88883 hours per resident per day
Weekend total3.62386 hours per resident per day
Nursing staff turnover41.3% (registered nurses 25%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2025-09-18
complaint survey
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0697
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2025-10-08
2025-09-18 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-10-15

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Brighton Consulting Group LLC
Organization
adp of the snf2004-06-15
Floyd County Memorial Hospital Commission
Organization
adp of the snf2014-06-13
Fox Rehab Pt Ia PLLC
Organization
adp of the snf2024-06-01
Ryka Incorporated
Organization
adp of the snf2019-10-08
Floyd County Memorial Hospital Commission
Organization
operational/managerial control2014-06-13
Ryka Incorporated
Organization
operational/managerial control2019-10-08
Ayers, Christopher
Individual
5% or greater direct ownership interest1999-01-01
Ayers, David
Individual
5% or greater direct ownership interest41%1970-01-01
Ayers, Eric
Individual
5% or greater direct ownership interest1990-01-01
Ayers, John
Individual
5% or greater direct ownership interest16%1970-01-01
Hoy, Jessica
Individual
5% or greater direct ownership interest1990-01-01
Jespersen, Megan
Individual
5% or greater direct ownership interest1990-01-01
Jespersen, Sean
Individual
5% or greater direct ownership interest1990-01-01
Jespersen, Susan
Individual
5% or greater direct ownership interest13%1970-01-01
Mcginley, Judith
Individual
5% or greater direct ownership interest13%1970-01-01
Meusel, Sarah
Individual
5% or greater direct ownership interest1990-01-01
Ayers, David
Individual
adp of the snf1979-07-02
Bolkema, Kristen
Individual
adp of the snf2024-08-01
Hobert, Misty
Individual
adp of the snf2005-01-03
Parks, Angela
Individual
adp of the snf2018-04-23
Schmidt, Ginger
Individual
adp of the snf1998-10-02
Siemons, Ashley
Individual
adp of the snf2024-08-29
Ayers, David
Individual
corporate director1970-01-01
Ayers, John
Individual
corporate director1970-01-01
Ayers, David
Individual
corporate officer2012-03-01
Ayers, John
Individual
corporate officer2012-03-01
Jespersen, Susan
Individual
corporate officer2012-03-01
Ayers, David
Individual
operational/managerial control1979-07-02
Bolkema, Kristen
Individual
operational/managerial control2024-08-01
Hobert, Misty
Individual
operational/managerial control2005-01-03
Parks, Angela
Individual
operational/managerial control2018-04-23
Schmidt, Ginger
Individual
operational/managerial control1998-10-02
Siemons, Ashley
Individual
operational/managerial control2024-08-29

What changed

Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Floyd County.