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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Chautauqua Guest Home #3 (9th St.) is a 57-bed skilled nursing facility at 302 Ninth Street in Charles City, Iowa. Locally owned and operated as a for-profit corporation, the center serves Floyd County with a clinical focus on short-term rehabilitation, memory care, and 24-hour nursing. The campus maintains a stable occupancy rate of 74%, which is consistent with the Iowa state average.
State and federal regulators currently assign the facility a 5-star overall rating, the highest performance tier available. Historical reports show a per-inspection deficiency rate of 0.5, which is 72% lower than the Iowa average of 1.8. While a July 2025 standard survey identified a single citation regarding resident rights, a subsequent follow-up confirmed the facility returned to substantial compliance with zero new deficiencies. No federal fines or payment denials have been issued to this facility in the past three years.
Professional care is guided by a staffing model that delivers 4 hours 11 minutes of daily nursing time per resident—exceeding the state average of 3 hours 48 minutes. Registered Nurse (RN) presence is currently 37 minutes per resident day, and weekend nurse aide coverage performs 8% above the state mean. Clinical quality measures are rated at 4 stars, with long-stay hospitalizations 15% better than the Iowa average. The facility reports a 28.3% total nurse turnover rate, which is significantly better than the state average of 43.9%.
The campus environment features a residential atmosphere where residents have access to 24-hour medical monitoring and emergency automatic generators. Shared services include physical, occupational, and speech therapy alongside nutritional meal plans and specialized social engagement. For those needing transitional care, the facility accepts Medicare, Medicaid, and private insurance to support varied placement needs.
Families and residents also participate in a resident council to address environmental and quality-of-life concerns.
Prospective individuals should evaluate the current bedside care standards and rehabilitation success rates during an on-site visit. It is advisable to ask the administrator for specific details regarding the corrective actions implemented following the 2025 resident rights citation to confirm that nursing protocols meet the individual’s recovery or long-term care goals for 2026.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 139th out of 241 homes in Iowa for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 43m per day | ■ Avg State avg: 44m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 26m per day | ▼ 24% State avg: 34m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 44m per day | ▲ 8% State avg: 2h 32m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 33m per day | ▲ 6% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 29m per day | ▼ 3% State avg: 30m per day · National avg: 28m per day |
Similar to the Iowa average: 75.4%Chautauqua Guest Home #3 (9th St.) is administrated by Misty Hobert.
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 17 | 27 | This facility has 37% fewer total deficiencies than a typical Iowa nursing home (17 vs. IA avg 27).↓ 37% better |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 2.8 | 4.5 | This facility has 38% fewer deficiencies per year than a typical Iowa nursing home (2.8 vs. IA avg 4.5).↓ 38% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 0.9 | 1.8 | This facility has 50% fewer deficiencies per inspection than a typical Iowa nursing home (0.9 vs. IA avg 1.8).↓ 50% better |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 20 | 15 | This facility has 33% more total inspections than a typical Iowa nursing home (20 vs. IA avg 15).↑ 33% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Iowa average 4.9
Last Health inspection on Jul 2025
Iowa average 21.7
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
3 of 6 citations resulted from standard inspections; and 3 of 6 resulted from complaint investigations.
100% better than Iowa averageIowa average: 0.6
100% better than Iowa averageIowa average: 0.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
21% fewer staff per resident than Iowa average
9% worse than Iowa average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 4 RN Staff are full-time employees. No contractors work on this role.
4
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursAssists with medical care and medications.
All 4 LPN Staff are full-time employees. No contractors work on this role.
4
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.8 hoursHelps with daily care and mobility.
All 27 CNA Staff are full-time employees. No contractors work on this role.
27
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
510 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 27 | 0 | 27 | 8,789 | 92 | 100% | 7.1 |
| Licensed Practical Nurse | 4 | 0 | 4 | 2,069 | 92 | 100% | 8.8 |
| Medication Aide/Technician | 6 | 0 | 6 | 1,915 | 92 | 100% | 8.2 |
| Registered Nurse | 4 | 0 | 4 | 1,656 | 92 | 100% | 8.8 |
| Nurse Aide in Training | 4 | 0 | 4 | 598 | 71 | 77% | 5.6 |
| Administrator | 2 | 0 | 2 | 492 | 66 | 72% | 4 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Dietitian | 1 | 0 | 1 | 429 | 56 | 61% | 7.7 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 244 | 61 | 66% | 4 |
| Mental Health Service Worker | 1 | 0 | 1 | 196 | 27 | 29% | 7.2 |
| Physical Therapy Aide | 0 | 2 | 2 | 183 | 59 | 64% | 2.8 |
| Speech Language Pathologist | 0 | 4 | 4 | 150 | 57 | 62% | 2.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 70 | 22 | 24% | 3.2 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 45 | 26 | 28% | 1.6 |
| Physical Therapy Assistant | 0 | 2 | 2 | 43 | 26 | 28% | 1.7 |
| Medical Director | 0 | 1 | 1 | 9 | 14 | 15% | 0.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 9 | 3 | 3% | 3 |
| Qualified Social Worker | 0 | 1 | 1 | 2 | 4 | 4% | 0.5 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.9
33% better than Iowa averageIowa average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
18.2
15% better than Iowa averageIowa average: 21.6
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
14.7%
22% better than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
14.5%
26% better than Iowa averageIowa average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.5%
In line with Iowa averageIowa average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
2.0%
45% better than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
1.7%
62% better than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
1.5%
70% better than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
3.7%
5% better than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
30.6%
61% worse than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.7%
In line with Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.6%
In line with Iowa averageIowa average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
1.15
22% better than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.29
10% worse than Iowa averageIowa average: 2.09
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
82.9%
In line with Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa averageIowa average: 1.8%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Iowa averageIowa average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
41.7%
22% worse than Iowa averageIowa average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
36.3%
28% worse than Iowa averageIowa average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
42% of new residents, usually for short-term rehab.
31% of new residents, often for short stays.
27% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
42Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Chautauqua Guest Home #3 (9th St.) based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #171 / 242Payroll — State benchmarkedThis home is ranked 171st out of 242 homes in Iowa for payroll. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
0.0 miles from city center
Estimated distance in miles from Charles City's city center to Chautauqua Guest Home #3 (9th St.)'s address, calculated via Google Maps.
Add your location
Chautauqua Guest Home #3 (9th St.) is located in Charles City, Iowa.
Here are the financial assistance programs available to residents in Iowa.
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| Oaknoll Retirement Residence |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Iowa City (Roosevelt) | 70
Facility
70
IA AVG
73
Rank
#163 / 407 | 81.4% | +8% | 6.02 | +8% | +40% | $0 | 7 | 3.5 | - | 54 | - |
33
Facility
33
IA AVG
45
Rank
#344 / 528 | Stephen Roe | $31.2M | $12.7M | 40.7% | 165030 | ||||
| Chautauqua Guest Home #3 (9th St.) |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Charles City | 57
Facility
57
IA AVG
73
Rank
#238 / 407 | 73.7% | -2% | 4.13 | -49% | -4% | $0 | 6 | 1.5 | - | 42 | - |
77
Facility
77
IA AVG
45
Rank
#59 / 528 | - | $4.1M | $2.7M | 66.5% | 165243 | ||||
| Cedar Ridge Village |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | West Des Moines (Heritage Bend) | 40
Facility
40
IA AVG
73
Rank
#326 / 407 | 95.0% | +26% | 5.14 | +11% | +20% | $0 | 20 | 5.0 | - | 36 | A+ |
5
Facility
5
IA AVG
45
Rank
#488 / 528 | Central Iowa Hospital Corporation | $8.5M | $4.3M | 50.6% | 165790 | ||||
| Rotary Senior Living |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Eagle Grove | 40
Facility
40
IA AVG
73
Rank
#326 / 407 | 77.5% | +3% | 3.73 | +45% | -13% | $56.1k | 22 | 4.4 | 2 | 32 | - |
24
Facility
24
IA AVG
45
Rank
#403 / 528 | James Christ | $5.6M | $3.6M | 64% | 165500 | ||||
| Ramsey Village Continuing Care |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Des Moines (Drake) | 78
Facility
78
IA AVG
73
Rank
#128 / 407 | - | - | 4.04 | -46% | -6% | $0 | 31 | 4.4 | 1 | 61 | - |
38
Facility
38
IA AVG
45
Rank
#305 / 528 | Claremont House Inc. | $12.4M | $8.5M | 68.5% | 165514 |
The legal owner and operator of Chautauqua Guest Home #3 (9th St.) is Chautauqua Guest Home #2 (11th St.)(Free Standing NF/SNF) | 340392 Riverside Senior Living(ALP) | S0194.
Chautauqua Guest Home #3 (9th St.) has a walk score of 77. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to IA state health department records, Chautauqua Guest Home #3 (9th St.)'s license number is 340164.
According to IA state health department records, Chautauqua Guest Home #3 (9th St.)'s license expires on September 16, 2026.
Chautauqua Guest Home #3 (9th St.)'s occupancy is 74%.
The team at Chautauqua Guest Home #3 (9th St.) can be reached at [email protected].
Misty Hobert is the administrator of Chautauqua Guest Home #3 (9th St.).
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