CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 1650192026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Chautauqua Guest Home #2

602 Eleventh Street · Charles City, IA 50616 · Floyd County

CMS OVERALL RATING★★★★★5/5CMS field—not our score or recommendation
Certified beds53CMS provider file
Recent citation rows10current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-09-1822025-09-181
Cycle 22024-09-1902024-09-193
Cycle 32023-06-2202023-06-224
02 / CITATION DETAIL

10 rows in the current release

1 rows carry G–L scope/severity codes; 0 carry J–L. 1 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2025-09-18 · HEALTHF0697Severity G · isolated actual harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-10-08 · complaint
2025-09-18 · HEALTHF0812Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-10-15
2025-09-18 · FIREK0324Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Provide properly protected cooking facilities.

Correction field: Deficient, Provider has date of correction · 2025-09-18
2024-09-19 · FIREK0321Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-10-02
2024-09-19 · FIREK0353Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2024-10-02
2024-09-19 · FIREK0761Severity F · widespread; potential for more than minimal harm

Miscellaneous Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-10-02
2023-06-22 · FIREK0353Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2023-07-26
2023-06-22 · FIREK0363Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Correction field: Deficient, Provider has date of correction · 2023-06-27
2023-06-22 · FIREK0712Severity F · widespread; potential for more than minimal harm

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Correction field: Deficient, Provider has date of correction · 2023-07-26
2023-06-22 · FIREK0918Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2023-07-26
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • AYERS, CHRISTOPHERIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 01/01/1999
  • AYERS, DAVIDIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    41% · since 01/01/1970
  • AYERS, ERICIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 01/01/1990
  • AYERS, JOHNIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    16% · since 01/01/1970
  • HOY, JESSICAIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 01/01/1990
  • JESPERSEN, MEGANIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 01/01/1990
  • JESPERSEN, SEANIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 01/01/1990
  • JESPERSEN, SUSANIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    13% · since 01/01/1970
  • MCGINLEY, JUDITHIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    13% · since 01/01/1970
  • MEUSEL, SARAHIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    NO PERCENTAGE PROVIDED · since 01/01/1990
  • AYERS, DAVIDIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/1970
  • AYERS, JOHNIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/1970
  • AYERS, DAVIDIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 03/01/2012
  • AYERS, JOHNIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 03/01/2012
  • JESPERSEN, SUSANIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 03/01/2012
  • FLOYD COUNTY MEMORIAL HOSPITAL COMMISSIONOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 06/13/2014
  • RYKA INCORPORATEDOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 10/08/2019
  • AYERS, DAVIDIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 07/02/1979

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours4.02per resident day
RN hours0.89per resident day
Weekend nurse hours3.62per resident day
Staff turnover41.3%CMS reported field
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.