Occupancy rate
83%
In line with Iowa averageMix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
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Nursing Home
Chautauqua Guest Home #2 (11th St.)
Chautauqua Guest Homes is a senior living community located in Charles City, Iowa. It provides comprehensive and high-quality long-term care services. The organization focuses on building relationships and has been recognized for its quality care.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
46
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
82.6%
Residents per day (avg)
42
Occupancy rate
82.6%
Residents per day (avg)
42
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
29% of new residents, usually for short-term rehab.
Typical stay
2 - 3 months
Private pay
49% of new residents, often for short stays.
Typical stay
8 - 9 months
Medicaid
23% of new residents, often for long-term daily care.
Typical stay
3 years
Finances and operations
Privately-owned community
Home revenue
$3.9M
Profit
$149.9K
Privately-owned community
Home revenue
$3,904,851.00
Profit
$149,898.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$3.8M
46-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
49 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
Occupancy
In line with Iowa averageOccupied beds
38 / 46
Average residents
51 per day
License details
Facility type
Free Standing Nf/snf
Status
Active
Issuance
May 30, 1976
County:
Floyd
Additional licensing details
License number:
340392
CMS Certification Number:
165019
Certification type:
FALSE
Ownership & operating entity
Chautauqua Guest Home #2 (11th St.) is administrated by Misty Hobert.
Owner name:
Riverside Senior Living(ALP) | S0194 Chautauqua Guest Home #3 (9th St.)(Free Standing NF/SNF) | 340164
Contact Information
Email:
[email protected]
Fax:
6412285264
Inspection History
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.
14 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date:October 30, 2025
6 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for Chautauqua Guest Home #2 (11th St.)
The most recent inspection on October 30, 2025 found the facility in substantial compliance with all previously cited deficiencies corrected. Earlier inspections showed a mix of compliance and deficiencies, including issues identified in the October 15, 2025 annual inspection related to pain management and food safety. Prior reports noted deficiencies in resident rights, personal funds management, and medication administration from March 2022, while complaint investigations were mostly unsubstantiated or substantiated without deficiencies. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. The facility appears to have addressed past issues, showing improvement in the most recent inspection.
Health Inspection History
Inspections
Total health inspections
1
Iowa average 4.9
Last Health inspection on Sep 2025
Total health citations
2
Iowa average 21.7
Citations per inspection
2
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
1 of 2 citations resulted from standard inspections; and 1 of 2 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
1
1
11% worse than Iowa averageIowa average: 0.9
0 critical citations
1 serious citation
1 moderate citation
0 minor citations
Citations history (last 3 years)
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Sep 18, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Sep 18, 2025
Corrected
Quality of Care serious citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 18, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 18, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Akron Care Center, INC
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.
Akron
45
98.1%
+30%
4.71
+10%
0
4
0
42
City Of Akron
$4,7M
$2,1M
46.1%
165595
Chautauqua Guest Home #2 (11th 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
53
74.0%
-2%
4.14
-4%
0
2
1
42
Ayers, David
$3,9M
$2,2M
58%
165019
Accura HealthCare of Carlisle
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.
Carlisle
46
80.5%
+7%
5.85
+36%
0
17
2
39
American Healthcare Associates Inc
$4,1M
$2,5M
59.9%
165311
Accura Healthcare of Spirit Lake
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.
Spirit Lake
85
66.6%
-12%
4.29
0%
1
21
1
65
-
$7,1M
$3,0M
42.7%
165528
Accura Healthcare of Lake City, LLC
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.
Lake City
46
70.4%
-7%
5.17
+20%
4
39
4
40
Accura Healthcare Of The Heartland Llc
$2,0M
$1,0M
47.4%
165082
Places of interest near Chautauqua Guest Home #2 (11th St.)
Charles City, IA 506163403
Charles City, IA 506163403
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
75
Employees
61
Contractors
14
Staff to resident ratio
1.97:1
0% compared with Iowa averageIowa average ratio: 2.00:1
Avg staff/day
27
Average shift
6.8 hours
8% worse than Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
16,697
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
4
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
34
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
2.1%
354 contractor hours this quarter
Speech Language Pathologist: 3
Physical Therapy Aide: 3
Physical Therapy Assistant: 2
Registered Nurse: 1
Respiratory Therapy Technician: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Occupational Therapy Aide: 1
Qualified Social Worker: 1
Staff by category
| Certified Nursing Assistant | 34 | 0 | 34 | 9,092 | 91 | 100% | 7.1 |
| Registered Nurse | 8 | 1 | 9 | 2,462 | 91 | 100% | 8.4 |
| Medication Aide/Technician | 5 | 0 | 5 | 1,327 | 88 | 97% | 7.3 |
| Licensed Practical Nurse | 4 | 0 | 4 | 1,287 | 82 | 90% | 8.5 |
| Administrator | 2 | 0 | 2 | 768 | 65 | 71% | 6.1 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 59 | 65% | 8 |
| Dietitian | 1 | 0 | 1 | 449 | 60 | 66% | 7.5 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 240 | 60 | 66% | 4 |
| Mental Health Service Worker | 1 | 0 | 1 | 209 | 36 | 40% | 5.8 |
| Physical Therapy Aide | 0 | 3 | 3 | 138 | 56 | 62% | 2.4 |
| Speech Language Pathologist | 0 | 3 | 3 | 95 | 55 | 60% | 1.7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 52 | 21 | 23% | 2.5 |
| Nurse Aide in Training | 4 | 0 | 4 | 45 | 7 | 8% | 5.6 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 24 | 23 | 25% | 1.1 |
| Physical Therapy Assistant | 0 | 2 | 2 | 14 | 21 | 23% | 0.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 12 | 3 | 3% | 4 |
| Medical Director | 0 | 1 | 1 | 11 | 14 | 15% | 0.8 |
| Qualified Social Worker | 0 | 1 | 1 | 2 | 3 | 3% | 0.5 |
34 Certified Nursing Assistant
% of Days
100%
9 Registered Nurse
% of Days
100%
5 Medication Aide/Technician
% of Days
97%
4 Licensed Practical Nurse
% of Days
90%
2 Administrator
% of Days
71%
1 Nurse Practitioner
% of Days
65%
1 Dietitian
% of Days
66%
1 Clinical Nurse Specialist
% of Days
66%
1 Mental Health Service Worker
% of Days
40%
3 Physical Therapy Aide
% of Days
62%
3 Speech Language Pathologist
% of Days
60%
1 Occupational Therapy Aide
% of Days
23%
4 Nurse Aide in Training
% of Days
8%
1 Respiratory Therapy Technician
% of Days
25%
2 Physical Therapy Assistant
% of Days
23%
1 Occupational Therapy Assistant
% of Days
3%
1 Medical Director
% of Days
15%
1 Qualified Social Worker
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
38 residents
Residents by payment source
Medicare
1 resident (2.6%)
Medicaid
26 residents (68.4%)
Private pay or other
11 residents (28.9%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.4
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.4
11% worse than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.6
14% worse than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
24.6%
Percent of long-stay residents whose need for help with daily activities has increased
24.6%
31% worse than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
17.5%
Percent of long-stay residents whose ability to move independently worsened
17.5%
11% better than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
31.6%
20% worse than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
14% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.2%
Percent of long-stay high risk residents with pressure ulcers
2.2%
50% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
9.5%
Percent of long-stay residents who lose too much weight
9.5%
89% worse than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.7%
Percent of long-stay residents who have depressive symptoms
0.7%
83% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
24.3%
Percent of long-stay residents who received an antipsychotic medication
24.3%
28% worse than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.7%
In line with Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.7%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.7%
In line with Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa averageIowa average: 1.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Chautauqua Guest Home #2 (11th St.) based on CMS SNF Cost Reports.
Occupancy Rate
74.0%
↓ 1.2pp vs 2022
Net Income
$149,898
↑ ~$117K vs 2022
Total Payroll
$2,709,857
↑ ~$193K vs 2022
Profit Margin
3.9%
↑ 2.9pp vs 2022
Loading trend charts...
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