01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-07-03 | 1 | 2025-07-03 | 1 |
| Cycle 2 | 2024-08-15 | 1 | 2024-08-15 | 1 |
| Cycle 3 | 2024-01-18 | 4 | 2024-01-18 | 2 |
CMS CCN 1652432026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Chautauqua Guest Home #3
302 Ninth Street · Charles City, IA 50616 · Floyd County
Certified beds57CMS 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.
02 / CITATION DETAIL
10 rows in the current release
0 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.
2025-07-03 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-07-252025-07-03 · 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 · 2025-07-072025-03-13 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-03-25 · complaint2024-08-15 · FIREK0347Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Properly provide smoke detection systems in areas open to corridors.
Correction field: Deficient, Provider has date of correction · 2024-08-302024-01-18 · HEALTHF0637Severity B · pattern; potential for minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Correction field: Deficient, Provider has date of correction · 2024-01-312024-01-18 · 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 · 2024-01-312024-01-18 · FIREK0222Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2024-01-252024-01-18 · FIREK0920Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2024-01-222023-09-21 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2023-10-06 · complaint · infection control2023-09-21 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2023-10-06 · complaint · infection control03 / 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.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- AYERS, DAVIDIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST41% · since 04/01/2012
- AYERS, JOHNIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST16% · since 01/01/1970
- JESPERSEN, SUSANIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST13% · since 04/01/2012
- MCGINLEY, JUDITHIndividual · 5% OR GREATER DIRECT OWNERSHIP INTEREST13% · since 04/01/2012
- AYERS, DAVIDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2012
- AYERS, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2012
- JESPERSEN, SUSANIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2012
- AYERS, DAVIDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2012
- AYERS, JOHNIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2012
- JESPERSEN, SUSANIndividual · CORPORATE OFFICERNOT APPLICABLE · since 04/01/2012
- FLOYD COUNTY MEMORIAL HOSPITAL COMMISSIONOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 06/13/2014
- LARRY PUMP CPA PCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/1984
- RYKA INCORPORATEDOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 10/08/2019
- AYERS, DAVIDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 07/02/1979
- AYERS, JOHNIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 05/05/1987
- HOBERT, MISTYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/03/2005
- SIEMONS, ASHLEYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 08/29/2024
- BRIGHTON CONSULTING GROUP LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 06/15/2004
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 hours3.98per resident day
RN hours0.59per resident day
Weekend nurse hours3.66per resident day
Staff turnover23.8%CMS reported field
06 / LOCAL RECORDS
Open the Charles City ledger →