Chautauqua Guest Home #3 (9th St.)
Nursing Home & Skilled Nursing · Charles City, IA

Chautauqua Guest Home #3 (9th St.)

Nursing Home & Skilled Nursing · Charles City, IA
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Chautauqua Guest Home #3 (9th St.) accepts Medicaid and Medicare.

Overview of Chautauqua Guest Home #3 (9th St.)

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.

Staffing hours Info 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.

Hours per resident per day vs Iowa averages

Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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
Avg State avg: 44m per day · National avg: 41m per day
LPN / LVN Info 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.
36m
+7% State avg: 34m per day · National avg: 52m per day
Nurse Aide Info 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.
3h 30m
+38% State avg: 2h 32m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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.
4h 26m
+32% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Info 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.
0m
−86% State avg: 2m per day · National avg: 4m per day
Weekend RN Info 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.
24m
−21% State avg: 30m per day · National avg: 28m per day

2 of 6 metrics below state avg

Capacity and availability

Residents per day
42
Bed community size
57-bed community Rank #230 / 403Bed count — State benchmarkedThis home is ranked 230th out of 403 homes we track in Iowa for bed count. Shows this facility's certified or reported bed count compared to other Iowa facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
51 years in operation Rank #6 / 285Years in operation — State benchmarkedThis home is ranked 6th out of 285 homes we track in Iowa for years in operation. Shows how long this facility has been in operation compared to other Iowa facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 77 / 100 Rank #59 / 504Walk Score — State benchmarkedThis home is ranked 59th out of 504 homes we track in Iowa for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Iowa facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate
74%
Rank #170 / 362Occupancy rate — State benchmarkedThis home is ranked 170th out of 362 homes we track in Iowa for occupancy. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 362. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Similar to the Iowa average: 75.4%
Occupied beds
42 / 57
Average occupied beds in Iowa homes 51 beds

License Details

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility
StatusActive
IssuanceSeptember 11, 1974
ExpirationSeptember 16, 2026
CountyFloyd
License Number340164
CMS Certification Number165243
Certification TypeFALSE

Ownership & Operating Entity

Chautauqua Guest Home #3 (9th St.) is administered by Misty Hobert.

Owner NameChautauqua Guest Home #2 (11Th St.)(Free Standing Nf/Snf) | 340392 Riverside Senior Living(Alp) | S0194

Payment & Insurance

2 services
Accept Medicaid
Accept Medicare

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
24-Hour Staffing

Contact Information

Fax6412285981

Additional Policies & Features

Pets not allowed

Contact Chautauqua Guest Home #3 (9th St.)

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.

Inspection Scorecard Info This scorecard compares key inspection, violation, 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.

Overall vs. IA average 0 Worse No metrics in this bucket. 4 Better Metrics better than Iowa average:
• Violations (67% below)
• Federal violations (71% below)
• State violations (100% below)
• Violations per inspection (76% below)

Violations Info Violations are formal regulatory issues recorded during state inspections.

This FacilityIA Averagevs. IA Avg
Violations Info Total violations cited across all inspections on record. Iowa reports these as a federal and a state component, shown below; the two add up to this total. 927 This facility has 67% fewer violations than a typical Iowa nursing home (9 vs. IA avg 27).↓ 67% better
Federal violations Info Part of the Violations total above — the share cited under federal nursing-home requirements, which apply to Medicare/Medicaid-certified facilities. Federal + state add up to the total. 931 This facility has 71% fewer federal violations than a typical Iowa nursing home (9 vs. IA avg 31).↓ 71% better
State violations Info Part of the Violations total above — the share cited under Iowa state licensing requirements. Federal + state add up to the total. 07 This facility has 100% fewer state violations than a typical Iowa nursing home (0 vs. IA avg 7).↓ 100% better
Violations per inspection Info Average violations per inspection. 0.52.1 This facility has 76% fewer violations per inspection than a typical Iowa nursing home (0.5 vs. IA avg 2.1).↓ 76% better

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

This FacilityIA Averagevs. IA Avg
Total inspections Info Combined count of all inspections conducted at this facility. 2013 This facility has had 54% more total inspections than the Iowa average (20 vs. IA avg 13). More inspections can mean more regulatory scrutiny rather than worse care.↑ 54% more

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

Long-stay resident measures
Significantly above average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.15
22% better than Iowa average

Iowa average: 1.48

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.29
10% worse than Iowa average

Iowa average: 2.09

Short-stay resident measures
Below average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Iowa average

Iowa average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 41.7%
22% worse than Iowa average

Iowa average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 36.3%
28% worse than Iowa average

Iowa average: 50.6%

Places of interest near Chautauqua Guest Home #3 (9th St.)

Address 0.0 miles from city center Info Estimated distance in miles from Charles City's city center to Chautauqua Guest Home #3 (9th St.)'s address, calculated via Google Maps.

Calculate Travel Distance to Chautauqua Guest Home #3 (9th St.)

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Compare Nursing Homes around the area

Info below is compiled from CMS reports & the IA Dept. of Inspections, Appeals & Licensing (DIAL), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. ADC (Adult Day Care): Daytime supervision, health monitoring, and social activities for seniors who live at home.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Iowa average is: 60.3% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Wesley Acres
NH
ADC
AL
IL
MC
SNF
Des Moines (Greenwood)
80
Facility 80
IA AVG 72
Rank #105 / 403
91.3%
Facility 91.3%
IA AVG 67%
Rank #43 / 362
+36%
4.16
Facility 4.16
IA AVG 4.30
Rank #120 / 231
+43%-3%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
5
Facility 5
IA AVG 21.7
Rank #17 / 232
1.7
Facility 1.7
IA AVG 4.1
Rank #15 / 232
-73-
72
Facility 72
IA AVG 47
Rank #89 / 504
Damon Buskohl
$29.3MFiscal year ending 12/2023
Facility $29.3MFiscal year ending 12/2023
IA AVG $6.9M
Rank #1 / 224
$20.8MFiscal year ending 12/2023
Facility $20.8MFiscal year ending 12/2023
IA AVG $4.2M
Rank #1 / 224
71%Fiscal year ending 12/2023
Facility 71%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #31 / 224
165487
Meth Wick Community
NH
AL
IL
MC
RC
SNF
Cedar Rapids
69
Facility 69
IA AVG 72
Rank #167 / 403
83.0%
Facility 83.0%
IA AVG 67%
Rank #103 / 362
+24%
5.76
Facility 5.76
IA AVG 4.30
Rank #9 / 231
+23%+34%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
3
Facility 3
IA AVG 21.7
Rank #8 / 232
1.5
Facility 1.5
IA AVG 4.1
Rank #12 / 232
-57-
23
Facility 23
IA AVG 47
Rank #404 / 504
Meth Wick Community
$18.2MFiscal year ending 03/2024
Facility $18.2MFiscal year ending 03/2024
IA AVG $6.9M
Rank #6 / 224
$10.3MFiscal year ending 03/2024
Facility $10.3MFiscal year ending 03/2024
IA AVG $4.2M
Rank #8 / 224
56.4%Fiscal year ending 03/2024
Facility 56.4%Fiscal year ending 03/2024
IA AVG 60.3%
Rank #130 / 224
165542
Sunrise Retirement Community
NH
AL
IL
MC
RC
SNF
Sioux City
74
Facility 74
IA AVG 72
Rank #136 / 403
90.5%
Facility 90.5%
IA AVG 67%
Rank #49 / 362
+35%
5.70
Facility 5.70
IA AVG 4.30
Rank #13 / 231
-23%+33%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
11
Facility 11
IA AVG 21.7
Rank #72 / 232
3.7
Facility 3.7
IA AVG 4.1
Rank #107 / 232
-67A+
22
Facility 22
IA AVG 47
Rank #410 / 504
Samantha Roth
$13.6MFiscal year ending 12/2023
Facility $13.6MFiscal year ending 12/2023
IA AVG $6.9M
Rank #11 / 224
$8.5MFiscal year ending 12/2023
Facility $8.5MFiscal year ending 12/2023
IA AVG $4.2M
Rank #14 / 224
62.2%Fiscal year ending 12/2023
Facility 62.2%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #80 / 224
165473
Mill Pond
NH
AL
IL
MC
SNF
Ankeny
60
Facility 60
IA AVG 72
Rank #213 / 403
98.3%
Facility 98.3%
IA AVG 67%
Rank #6 / 362
+47%
5.21
Facility 5.21
IA AVG 4.30
Rank #30 / 231
-16%+21%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
9
Facility 9
IA AVG 21.7
Rank #56 / 232
3.0
Facility 3.0
IA AVG 4.1
Rank #73 / 232
-59-
16
Facility 16
IA AVG 47
Rank #437 / 504
Phs Management, LLC
$6.8MFiscal year ending 09/2023
Facility $6.8MFiscal year ending 09/2023
IA AVG $6.9M
Rank #92 / 224
$6.5MFiscal year ending 09/2023
Facility $6.5MFiscal year ending 09/2023
IA AVG $4.2M
Rank #29 / 224
96.3%Fiscal year ending 09/2023
Facility 96.3%Fiscal year ending 09/2023
IA AVG 60.3%
Rank #6 / 224
165261

Frequently Asked Questions about Chautauqua Guest Home #3 (9th St.)

Who is the owner of Chautauqua Guest Home #3 (9th St.)?

Chautauqua Guest Home #3 (9th St.) is legally operated by Chautauqua Guest Home #2 (11th St.)(Free Standing NF/SNF) | 340392 Riverside Senior Living(ALP) | S0194, and administered by Misty Hobert.

Is Chautauqua Guest Home #3 (9th St.) in a walkable area?

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.

What is the license number of Chautauqua Guest Home #3 (9th St.)?

According to IA state health department records, Chautauqua Guest Home #3 (9th St.)'s license number is 340164.

When does Chautauqua Guest Home #3 (9th St.)'s license expire?

According to IA state health department records, Chautauqua Guest Home #3 (9th St.)'s license expires on September 16, 2026.

What is the occupancy rate at Chautauqua Guest Home #3 (9th St.)?

Chautauqua Guest Home #3 (9th St.)'s occupancy is 74%.

How long has Chautauqua Guest Home #3 (9th St.) been in business?

Chautauqua Guest Home #3 (9th St.) has been operating for approximately 51 years, based on available licensing and registration records.

Are pets allowed at Chautauqua Guest Home #3 (9th St.)?

No, Chautauqua Guest Home #3 (9th St.) has a no-pet policy.

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