Chautauqua Guest Home #2 (11th St.)

Nursing Home, Assisted Living, Independent Living & Skilled Nursing · Charles City, IA

CMS overall rating

602 11Th Street, Charles City, Ia 506163403 View map

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Chautauqua Guest Home #2 (11th St.) accepts Medicare, Medicaid, and private pay.

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Chautauqua Guest Home #2 (11th St.) accepts Medicare, Medicaid, and private pay.

Overview of Chautauqua Guest Home #2 (11th St.)

Chautauqua Guest Home #2 provides skilled nursing care from its 53-bed property at 602 Eleventh Street in Charles City, Iowa. Managed by administrator Misty Hobert under owner David Ayers, the facility usually runs at about 83 percent occupancy. Families can handle regular bills through private out-of-pocket payments, standard Medicare, or state Medicaid programs. Stays here average around 409 days, which shows the building blends short-term physical rehabilitation for people coming out of the hospital with traditional, extended nursing care.

Residents get an average of 4 hours and 9 minutes of hands-on attention from the floor nursing staff every day. Certified nursing assistants cover the largest share of this time at 2 hours and 58 minutes, while registered nurses add 53 minutes and licensed practical nurses provide 25 minutes of clinical oversight. This team handles daily treatments and medication schedules, while the surrounding neighborhood scores a 77 out of 100 for walkability, making it easy for visiting family members to take care of local errands on foot.

Recent state surveys noted a few areas that needed improvement, specifically regarding food safety protocols and pain medication administration lines, which the management team corrected. Local supervisors use these state reports to update floor routines and keep continuing education programs current for the staff.

Families looking into local care options can call the front desk to check on open room availability, ask about the rehabilitation setup, or schedule a time to look around the facility.

Facility Direct Line (641) 228-2353 11thSt.Chaut2@gmail.com

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

4h 9m per day

vs avg

2 of 6 metrics below state avg

Standout metric Weekend RN is +66% above state avg

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.	53m per day	▲ 20% 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.	25m per day	▼ 26% 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 58m per day	▲ 17% 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 58m per day	▲ 18% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	1m per day	▼ 49% State avg: 2m per day · National avg: 4m 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.	50m per day	▲ 66% State avg: 30m per day · National avg: 28m per day

Capacity and availability

409 days

46-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

50 years in operation

A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

Walk Score: 77 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate

83%

Higher than the Iowa average: 75.4%

Occupied beds

38 / 46

Average occupied beds in Iowa homes 51 beds

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility

StatusActive

IssuanceMay 30, 1976

ExpirationMay 1, 2027

CountyFloyd

License Number340392

CMS Certification Number165019

Certification TypeFALSE

Chautauqua Guest Home #2 (11th St.) is administered by Misty Hobert.

Owner NameRiverside Senior Living(Alp) | S0194 Chautauqua Guest Home #3 (9Th St.)(Free Standing Nf/Snf) | 340164

Fax6412285264

Pets not allowed

Since 2020 · 6 years of data 9 deficiencies 14 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, 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.

Since 2020 vs. Iowa state average

Overall vs. IA average

Latest Inspection October 30, 2025

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	IA Average	vs. IA Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	9	27	This facility has 67% fewer total deficiencies than a typical Iowa assisted living residence (9 vs. IA avg 27).↓ 67% better
Deficiencies per year Average deficiencies per year since 2020.	1.5	4.5	This facility has 67% fewer deficiencies per year than a typical Iowa assisted living residence (1.5 vs. IA avg 4.5).↓ 67% better
Deficiencies per inspection Average deficiencies per inspection.	0.6	1.8	This facility has 67% fewer deficiencies per inspection than a typical Iowa assisted living residence (0.6 vs. IA avg 1.8).↓ 67% better

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	IA Average	vs. IA Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	14	15	This facility has had 7% fewer total inspections than the Iowa average (14 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↓ 7% fewer

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The October 30, 2025 re-inspection found all prior deficiencies corrected and the facility in substantial compliance as of October 15, 2025.
The October 15, 2025 annual inspection cited two deficiencies for failure in timely pain medication and multiple food safety violations.
A December 9, 2024 complaint was substantiated without deficiencies, showing some concerns but no regulatory violations found.

Show Inspection Reports

Inspections since 2025

Total health inspections 1

State average N/A

Last Health inspection on Sep 2025

Total health citations

State average N/A

Citations per inspection

State average N/A

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 1 year)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

1 serious citation State average: N/A

1 moderate citation State average: N/A

0 minor citations State average: N/A

Citations history (last 1 year)

Nutrition moderate citation Sep 18, 2025

Corrected

Quality of Care serious citation Sep 18, 2025

Corrected

Total staff 85

Employees 66

Contractors 19

Staff to resident ratio 2.24 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 29

Average shift 6.5 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 17,320

Nursing staff breakdown

8.1 hours

8.3 hours

7 hours

Contractor staffing

642 contractor hours this quarter

Respiratory Therapy Technician: 5 Speech Language Pathologist: 4 Qualified Social Worker: 3 Physical Therapy Assistant: 2 Physical Therapy Aide: 2 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Medical Director: 1

Staff by category


Certified Nursing Assistant	35	0	35	8,788	92	100%	7
Registered Nurse	8	0	8	2,447	92	100%	8.1
Licensed Practical Nurse	4	0	4	1,504	81	88%	8.3
Medication Aide/Technician	6	0	6	1,386	92	100%	7.2
Administrator	2	0	2	768	66	72%	6.1
Dietitian	1	0	1	470	63	68%	7.5
Nurse Practitioner	1	0	1	456	57	62%	8
Nurse Aide in Training	7	0	7	392	45	49%	5.5
Clinical Nurse Specialist	1	0	1	244	61	66%	4
Speech Language Pathologist	0	4	4	227	62	67%	3
Mental Health Service Worker	1	0	1	222	35	38%	6.3
Physical Therapy Aide	0	2	2	186	63	68%	2.8
Occupational Therapy Aide	0	1	1	61	23	25%	2.7
Respiratory Therapy Technician	0	5	5	61	29	32%	2.1
Physical Therapy Assistant	0	2	2	60	29	32%	1.9
Qualified Social Worker	0	3	3	29	40	43%	0.7
Occupational Therapy Assistant	0	1	1	10	3	3%	3.2
Medical Director	0	1	1	9	12	13%	0.8

35 Certified Nursing Assistant

% of Days 100%

8 Registered Nurse

% of Days 100%

4 Licensed Practical Nurse

% of Days 88%

6 Medication Aide/Technician

% of Days 100%

2 Administrator

% of Days 72%

1 Dietitian

% of Days 68%

1 Nurse Practitioner

% of Days 62%

7 Nurse Aide in Training

% of Days 49%

1 Clinical Nurse Specialist

% of Days 66%

4 Speech Language Pathologist

% of Days 67%

1 Mental Health Service Worker

% of Days 38%

2 Physical Therapy Aide

% of Days 68%

1 Occupational Therapy Aide

% of Days 25%

5 Respiratory Therapy Technician

% of Days 32%

2 Physical Therapy Assistant

% of Days 32%

3 Qualified Social Worker

% of Days 43%

1 Occupational Therapy Assistant

% of Days 3%

1 Medical Director

% of Days 13%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 11.4

11% worse than State average

State average: 10.2

Functional decline score 24.6

14% worse than State average

State average: 21.6

Long-stay resident measures

Below average State avg: 3.3

Need for Help with Daily Activities Increased 24.6%

31% worse than State average

State average: 18.8%

Walking Ability Worsened 17.5%

11% better than State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 31.6%

20% worse than State average

State average: 26.2%

Falls with Major Injury 3.1%

14% better than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers 2.2%

50% better than State average

State average: 4.4%

Urinary Tract Infection 0.0%

100% better than State average

State average: 2.5%

Lost Too Much Weight 9.5%

89% worse than State average

State average: 5.0%

Depressive Symptoms 0.7%

83% better than State average

State average: 3.9%

Antipsychotic Use 24.3%

28% worse than State average

State average: 19.0%

Pneumococcal Vaccine 100.0%

6% better than State average

State average: 94.4%

Influenza Vaccine 97.7%

In line with State average

State average: 95.3%

Hospitalizations per 1,000 days 1.45

In line with State average

State average: 1.48

ED visits per 1,000 days 2.21

6% worse than State average

State average: 2.09

Short-stay resident measures

Pneumococcal Vaccine 88.7%

In line with State average

State average: 85.1%

Antipsychotic medication increase 0.0%

100% better than State average

State average: 1.8%

Falls with major injury 4.8%

518% worse than State average

State average: 0.8%

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

Total residents 38

Medicare

2.6% of residents

Medicaid

68.4% of residents

Private pay or other

28.9% of residents

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.

Financial Trends

Historical financial and operational data for Chautauqua Guest Home #2 (11th St.) from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 74.0% ↓ 1.2pp vs 2022

Net Patient Income $111.0K ↑ ~$96.3K vs 2022

Payroll Costs $2.6M ↑ ~$163.5K vs 2022

Operating Margin 2.9% ↑ 2.4pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	88.5%	85.0%	83.6%	77.5%	84.2%	74.0%	79.1%	92.5%	93.7%	83.8%	71.2%	75.2%	74.0%
Beds	61	61	61	61	61	61	53	53	53	53	53	53	53
Net Income	$202,715	$31,555	$82,707	$167,603	$267,547	$13,429	$139,516	-$69,369	$346,227	$929,947	$150,604	$32,794	$149,898
Gross Revenue	$2,939,622	$2,783,428	$2,942,560	$3,159,691	$3,490,687	$3,088,979	$3,086,033	$3,369,571	$3,584,522	$3,648,920	$3,191,299	$3,360,896	$3,865,958
Operating Expenses	$2,754,368	$2,775,991	$2,824,058	$2,914,864	$3,055,088	$2,932,732	$2,876,960	$3,425,504	$3,233,662	$3,605,418	$3,145,800	$3,326,517	$3,750,640
Net Patient Income	$179,053	$834	$69,521	$119,132	$252,097	-$695	$128,772	-$83,078	$330,271	$30,064	$37,755	$14,684	$111,005
Net Patient Revenue	$2,933,421	$2,776,825	$2,893,579	$3,033,996	$3,307,185	$2,932,037	$3,005,732	$3,342,426	$3,563,933	$3,635,482	$3,183,555	$3,341,201	$3,861,645
Payroll Costs	$1,901,831	$1,915,346	$1,924,275	$1,885,891	$1,942,446	$1,978,281	$2,003,741	$2,282,103	$2,239,675	$2,555,681	$2,255,504	$2,438,879	$2,602,374
Operating Margin %	6.1%	0.0%	2.4%	3.9%	7.6%	0.0%	4.3%	-2.5%	9.3%	0.8%	1.2%	0.4%	2.9%
Medicare %	5.9%	5.3%	5.8%	6.4%	7.3%	4.9%	6.0%	5.3%	4.7%	5.3%	6.0%	3.3%	5.9%
Medicaid %	57.4%	51.5%	45.2%	48.5%	46.9%	49.8%	41.9%	43.4%	41.4%	43.8%	45.8%	50.6%	64.4%
Private %	36.7%	43.2%	49.0%	45.1%	45.8%	45.3%	52.1%	51.4%	53.9%	50.9%	48.1%	46.1%	29.8%
Net Patient Revenue/Day	$149	$146	$155	$176	$176	$177	$187	$187	$197	$224	$231	$230	$270
Cost/Day	$140	$146	$152	$169	$163	$177	$179	$191	$178	$222	$228	$229	$262
Avg Length of Stay	139.7 days	128.2 days	132.0 days	151.4 days	203.7 days	172.2 days	193.4 days	218.2 days	604.3 days	345.8 days	205.6 days	485.1 days	409.1 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$3.9M

Net patient income

$111.0K

For-profit Corporation

Net patient revenue

$3.9M

Net patient income

$111.0K

Other income

$38.9K

Payroll costs

$2.6M 67.4% of net patient revenue

Other operating costs

$1.1M

Total costs

$3.8M

TYPE OF STAY

Mix 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.

New residents most often arrive under private pay (49% of admissions), and a typical private pay stay runs around 8 - 9 months.

Coverage residents most often arrive under.

Medicare 29%

Private pay 49%

Medicaid 23%

Coverage residents most often leave under.

Medicare 20%

Private pay 66%

Medicaid 14%

0.0 miles from city center Estimated distance in miles from Charles City's city center to Chautauqua Guest Home #2 (11th St.)'s address, calculated via Google Maps.

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The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.


Bethany Home Retirement Center	NH IL MC SNF	Dubuque (Eagle Point District)	-	66	-	69	1 Bed / 2 Bed
Friendship Village	NH AL IL MC SNF	Waterloo	-	72	-	52	2 Bed / 3 Bed
Prairie Vista Village	NH AL IL SNF	South Altoona	-	68	A	29	-
St Francis Manor	NH AL HOS SNF	Grinnell	-	78	-	82	-
Chautauqua Guest Home #2 (11th St.)	NH AL IL SNF	Charles City	-	46	-	77	-

Nursing Home Explorer

Who is the owner of Chautauqua Guest Home #2 (11th St.)?

Chautauqua Guest Home #2 (11th St.) is legally operated by Riverside Senior Living(ALP) | S0194 Chautauqua Guest Home #3 (9th St.)(Free Standing NF/SNF) | 340164, and administered by Misty Hobert.

Is Chautauqua Guest Home #2 (11th St.) in a walkable area?

Chautauqua Guest Home #2 (11th St.) has a walk score of 77. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of Chautauqua Guest Home #2 (11th St.)?

According to IA state health department records, Chautauqua Guest Home #2 (11th St.)'s license number is 340392.

When does Chautauqua Guest Home #2 (11th St.)'s license expire?

According to IA state health department records, Chautauqua Guest Home #2 (11th St.)'s license expires on May 1, 2027.

What is the occupancy rate at Chautauqua Guest Home #2 (11th St.)?

Chautauqua Guest Home #2 (11th St.)'s occupancy is 83%.

Are pets allowed at Chautauqua Guest Home #2 (11th St.)?

No, Chautauqua Guest Home #2 (11th St.) has a no-pet policy.

Does Chautauqua Guest Home #2 (11th St.) operate as a for-profit or non-profit?

Chautauqua Guest Home #2 (11th St.) is registered as a for-profit in IA.

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Chautauqua Guest Home #2 (11th St.)

Overview of Chautauqua Guest Home #2 (11th St.)

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Contact Information

Additional Policies & Features

Contact Chautauqua Guest Home #2 (11th St.)

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, 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 Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2025

Breakdown of citation severity (last 1 year)

Citations history (last 1 year)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

35 Certified Nursing Assistant

8 Registered Nurse

4 Licensed Practical Nurse

6 Medication Aide/Technician

2 Administrator

1 Dietitian

1 Nurse Practitioner

7 Nurse Aide in Training

1 Clinical Nurse Specialist

4 Speech Language Pathologist

1 Mental Health Service Worker

2 Physical Therapy Aide

1 Occupational Therapy Aide

5 Respiratory Therapy Technician

2 Physical Therapy Assistant

3 Qualified Social Worker

1 Occupational Therapy Assistant

1 Medical Director

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

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