Chautauqua Guest Home #3 (9th St.)

Nursing Home & Skilled Nursing · Charles City, IA

CMS overall rating

302 Ninth Street, Charles City, Ia 506163697 View map

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Chautauqua Guest Home #3 (9th St.) accepts Medicaid, Medicare, and private pay.

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Chautauqua Guest Home #3 (9th St.) accepts Medicaid, Medicare, and private pay.

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.

Facility Direct Line (641) 228-5351 9thSt.Chaut3@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 8m per day

vs avg

4 of 6 metrics below state avg

Standout metric Nurse Aide is +16% 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.	37m per day	▼ 15% 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.	32m per day	▼ 5% 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 57m per day	▲ 16% 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 44m per day	▲ 11% 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	▼ 65% 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.	23m per day	▼ 24% State avg: 30m per day · National avg: 28m per day

Capacity and availability

349 days

57-bed community

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

51 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

74%

Similar to the Iowa average: 75.4%

Occupied beds

42 / 57

Average occupied beds in Iowa homes 51 beds

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility

StatusActive

IssuanceSeptember 11, 1974

ExpirationSeptember 16, 2026

CountyFloyd

License Number340164

CMS Certification Number165243

Certification TypeFALSE

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

Accept Medicaid

Accept Medicare

Rehabilitation Services

24-Hour Staffing

Fax6412285981

Since 2020 · 6 years of data 17 deficiencies 20 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 July 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.	17	27	This facility has 37% fewer total deficiencies than a typical Iowa assisted living residence (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 assisted living residence (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 assisted living residence (0.9 vs. IA avg 1.8).↓ 50% 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.	20	15	This facility has 33% more total inspections than a typical Iowa assisted living residence (20 vs. IA avg 15).↑ 33% worse

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

July 2, 2025 annual inspection found 1 deficiency for failing to treat a resident with dignity by forcibly pulling a spoon during a meal, but the related complaint was not substantiated.
September 21, 2023 complaint investigation substantiated deficiencies for resident rights violations including yelling at residents and infection control failures like unsanitized commodes and cross contamination risks.
July 30, 2025 plan of correction accepted, certifying the facility in substantial compliance effective July 25, 2025, with no deficiencies noted at that time.

Show Inspection Reports

Inspections since 2023

Total health inspections 4

State average N/A

Last Health inspection on Jul 2025

Total health citations

State average N/A

Citations per inspection

1.5

State average N/A

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.

Breakdown of citation severity (last 3 years)

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

0 serious citations State average: N/A

5 moderate citations State average: N/A

1 minor citation State average: N/A

Citations history (last 3 years)

Resident Rights moderate citation Jul 03, 2025

Corrected

Resident Rights moderate citation Mar 13, 2025

Corrected

Nutrition moderate citation Jan 18, 2024

Corrected

Care Planning minor citation Jan 18, 2024

Corrected

Total staff 68

Employees 51

Contractors 17

Staff to resident ratio 1.62 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 28

Average shift 6.7 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 17,378

Nursing staff breakdown

8.8 hours

7.1 hours

Contractor staffing

510 contractor hours this quarter

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

Staff by category


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

27 Certified Nursing Assistant

% of Days 100%

4 Licensed Practical Nurse

% of Days 100%

6 Medication Aide/Technician

% of Days 100%

4 Registered Nurse

% of Days 100%

4 Nurse Aide in Training

% of Days 77%

2 Administrator

% of Days 72%

1 Nurse Practitioner

% of Days 65%

1 Dietitian

% of Days 61%

1 Clinical Nurse Specialist

% of Days 66%

1 Mental Health Service Worker

% of Days 29%

2 Physical Therapy Aide

% of Days 64%

4 Speech Language Pathologist

% of Days 62%

1 Occupational Therapy Aide

% of Days 24%

5 Respiratory Therapy Technician

% of Days 28%

2 Physical Therapy Assistant

% of Days 28%

1 Medical Director

% of Days 15%

1 Occupational Therapy Assistant

% of Days 3%

1 Qualified Social Worker

% of Days 4%

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 6.9

33% better than State average

State average: 10.2

Functional decline score 18.2

15% better than State average

State average: 21.6

Long-stay resident measures

Significantly above average

Need for Help with Daily Activities Increased 14.7%

22% better than State average

State average: 18.8%

Walking Ability Worsened 14.5%

26% better than State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 25.5%

In line with State average

State average: 26.2%

Falls with Major Injury 2.0%

45% better than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers 1.7%

62% 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 1.5%

70% better than State average

State average: 5.0%

Depressive Symptoms 3.7%

5% better than State average

State average: 3.9%

Antipsychotic Use 30.6%

61% worse than State average

State average: 19.0%

Pneumococcal Vaccine 96.7%

In line with State average

State average: 94.4%

Influenza Vaccine 97.6%

In line with State average

State average: 95.3%

Hospitalizations per 1,000 days 1.15

22% better than State average

State average: 1.48

ED visits per 1,000 days 2.29

10% worse than State average

State average: 2.09

Short-stay resident measures

Significantly above average

Pneumococcal Vaccine 82.9%

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 0.0%

100% better than State average

State average: 0.8%

Ability to care for self at discharge 41.7%

22% worse than State average

State average: 53.7%

Successful return to home or community 36.3%

28% worse than State average

State average: 50.6%

Breakdown by payment type

Medicare

42% of new residents, usually for short-term rehab.

Typical stay 2 - 3 months

Private pay

31% of new residents, often for short stays.

Typical stay 1 years

Medicaid

27% of new residents, often for long-term daily care.

Typical stay 2 years

Total residents 42

Medicare

7.1% of residents

Medicaid

52.4% of residents

Private pay or other

40.5% of residents

Financial Trends

Historical financial and operational data for Chautauqua Guest Home #3 (9th St.) from 2011–2023, based on CMS SNF Cost Reports.

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

Occupancy Rate 64.4% ↓ 0.2pp vs 2022

Net Patient Income $252.8K ↑ ~$291.5K vs 2022

Payroll Costs $2.6M ↑ ~$26.7K vs 2022

Operating Margin 6.2% ↑ 7.3pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	84.1%	84.8%	84.4%	80.8%	75.5%	69.4%	69.7%	82.7%	86.9%	74.8%	66.4%	64.6%	64.4%
Beds	65	65	65	65	65	65	65	65	65	65	65	65	57
Net Income	$402,567	$281,276	$171,799	$324,407	$40,392	$2,977	-$7,943	$127,266	$370,376	$626,143	$275,587	-$13,379	$299,655
Gross Revenue	$3,058,313	$3,035,613	$3,135,260	$3,485,995	$3,225,727	$3,054,883	$2,983,419	$3,534,515	$3,863,751	$3,449,009	$3,434,967	$3,498,410	$4,071,914
Operating Expenses	$2,671,721	$2,766,845	$2,955,207	$3,009,183	$3,034,533	$2,905,778	$2,926,613	$3,388,246	$3,470,450	$3,756,702	$3,364,114	$3,531,854	$3,826,457
Net Patient Income	$376,161	$258,348	$150,080	$278,060	$18,800	-$10,767	-$22,330	$112,482	$349,900	-$313,756	$66,159	-$38,705	$252,833
Net Patient Revenue	$3,047,882	$3,025,193	$3,105,287	$3,287,243	$3,053,333	$2,895,011	$2,904,283	$3,500,728	$3,820,350	$3,442,946	$3,430,273	$3,493,149	$4,079,290
Payroll Costs	$1,826,341	$1,903,867	$2,005,340	$1,938,146	$1,960,674	$1,962,546	$1,963,495	$2,337,130	$2,333,799	$2,648,277	$2,425,379	$2,596,020	$2,622,754
Operating Margin %	12.3%	8.5%	4.8%	8.5%	0.6%	-0.4%	-0.8%	3.2%	9.2%	-9.1%	1.9%	-1.1%	6.2%
Medicare %	6.3%	6.2%	7.7%	6.8%	7.0%	6.7%	7.9%	6.1%	6.2%	3.9%	6.8%	6.4%	9.1%
Medicaid %	41.8%	50.4%	48.5%	52.9%	57.5%	62.7%	65.5%	62.8%	59.1%	51.8%	55.1%	55.4%	53.2%
Private %	51.9%	43.4%	43.8%	40.3%	35.5%	30.6%	26.7%	31.1%	34.7%	44.2%	38.1%	38.2%	37.6%
Net Patient Revenue/Day	$153	$150	$155	$172	$170	$175	$176	$179	$185	$194	$218	$228	$278
Cost/Day	$134	$137	$148	$157	$169	$176	$177	$173	$168	$211	$214	$230	$261
Avg Length of Stay	193.8 days	210.2 days	138.1 days	153.3 days	167.4 days	211.7 days	177.8 days	185.0 days	448.0 days	243.7 days	192.1 days	184.7 days	349.0 days

Finances and operations

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

Net patient revenue

$4.1M

Net patient income

$252.8K

For-profit Corporation

Net patient revenue

$4.1M

Net patient income

$252.8K

Other income

$46.8K

Payroll costs

$2.6M 64.3% of net patient revenue

Other operating costs

$1.2M

Total costs

$3.8M

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

New residents most often arrive under Medicare (42% of admissions), and a typical Medicare stay runs around 2 - 3 months.

Coverage residents most often arrive under.

Medicare 42%

Private pay 31%

Medicaid 27%

Coverage residents most often leave under.

Medicare 36%

Private pay 38%

Medicaid 26%

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.

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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
Sunrise Retirement Community	NH AL IL MC RC SNF	Sioux City	-	74	A+	22	Studio
Green Hills Retirement Community	NH AL IL MC SNF	Ames (Hamilton Drive)	-	56	-	18	1 Bed / 2 Bed
Mill Pond	NH AL IL MC SNF	Ankeny	-	60	-	16	Studio / 1 Bed / 2 Bed
Chautauqua Guest Home #3 (9th St.)	NH SNF	Charles City	-	57	-	77	-

Nursing Home Explorer

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%.

Does Chautauqua Guest Home #3 (9th St.) operate as a for-profit or non-profit?

Chautauqua Guest Home #3 (9th St.) is registered as a for-profit in IA.

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

Misty Hobert is the administrator of Chautauqua Guest Home #3 (9th St.).

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Chautauqua Guest Home #3 (9th St.)

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

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Payment & Insurance

Therapy & Rehabilitation

Staffing & Medical

Contact Information

Contact Chautauqua Guest Home #3 (9th 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 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

27 Certified Nursing Assistant

4 Licensed Practical Nurse

6 Medication Aide/Technician

4 Registered Nurse

4 Nurse Aide in Training

2 Administrator

1 Nurse Practitioner

1 Dietitian

1 Clinical Nurse Specialist

1 Mental Health Service Worker

2 Physical Therapy Aide

4 Speech Language Pathologist

1 Occupational Therapy Aide

5 Respiratory Therapy Technician

2 Physical Therapy Assistant

1 Medical Director

1 Occupational Therapy Assistant

1 Qualified Social Worker

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

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

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