Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Chautauqua Guest Home #3

Charles City, IA · 57 certified beds · Last Life Safety survey July 3, 2025

CMS Certification Number 165243 · first certified January 1995

Ownership

Independently operated (no chain recorded by CMS) · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

4
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
1
Inspection & testing records
Of the citations on file

Position within IA

4 citations — more than 9% of the 387 certified nursing homes in IA. Compared within IA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 1 citation; the earlier surveys in the window averaged 1.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (May 2026 to July 2026), and past the point by which nine in ten IA facilities have been surveyed. This facility’s last Life Safety survey was July 2025. Facilities in IA are typically surveyed 11–13 months after the last one (median 12), measured over 700 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Physical environment (health survey)

1 physical-environment citation on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 4 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in IA, and nationally. Surveyors differ markedly between states, so the IA figure is the meaningful one.

This facility4IA median12National median11
Citations on file over three years, compared
MeasureCitations
This facility4
Median facility in IA12
Median facility nationally11

Survey history

Citations at each Life Safety survey
22024-0112024-0812025-07
Citations at each Life Safety survey
Survey dateCitations
January 18, 20242
August 15, 20241
July 3, 20251

Most-cited tags

Most-cited tags at this facility
K-09201K-03471K-09181K-02221
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0920Ensure proper usage of power strips and extension cords.12024-01-18
K-0347Properly provide smoke detection systems in areas open to corridors.12024-08-15
K-0918Have generator or other power source capable of supplying service within 10 seconds.12025-07-03
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.12024-01-18

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Smoke Deficiencies 1
  • Egress Deficiencies 1
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies2
Smoke Deficiencies1
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

July 3, 2025 — 1 citation

Citations issued on July 3, 2025
TagWhat the surveyor checksStatus
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (July 7, 2025)

August 15, 2024 — 1 citation

Citations issued on August 15, 2024
TagWhat the surveyor checksStatus
K-0347Properly provide smoke detection systems in areas open to corridors.Deficient, Provider has date of correction (August 30, 2024)

January 18, 2024 — 2 citations

Citations issued on January 18, 2024
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (January 25, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (January 22, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.