Above average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Chautauqua Guest Home #2 during CMS and state inspections, most recent first.
Failure to Provide Timely Pain Relief and Physician Notification After a Fall: A resident with cognitive impairment, limited mobility, and chronic pain fell and then repeatedly reported worsening leg and back pain, screamed during the night, showed facial grimacing, and refused care and meals. Staff documented PRN acetaminophen use and repositioning, but the physician was not promptly notified as pain persisted and increased. The resident was later sent to the ER and diagnosed with a left hip fracture.
Food storage, preparation, and sanitation practices were not followed consistently. Surveyors observed uncovered overflowing garbage cans, dusty fans blowing toward clean dish storage, moldy buns, and multiple open bread items that were not dated. Staff also handled bread and food with gloved hands in a manner inconsistent with stated practices, and milk was served at 58.6 degrees Fahrenheit, above the facility’s stated limit of 40 degrees. The kitchen also had dirty equipment and grease buildup on the microwave, steam table, and griddle/stove.
Failure to Provide Timely Pain Management After a Fall
Penalty
Summary
The facility failed to provide safe, appropriate pain management for a resident who had a fall and later was found to have a left hip fracture. Resident #14 had a BIMS score of 9, required substantial to maximal assistance with transfers and walking, and was dependent for rolling in bed. Her diagnoses included hemiplegia, diabetes mellitus, anxiety, depression, non-Alzheimer’s dementia, and palliative care. After the fall, staff documented that she was found on the floor screaming that her leg and back hurt, and she was given PRN acetaminophen. Initial assessments documented no obvious injury, but she continued to report pain in her left leg and back over the next several days. Following the fall, staff documented repeated complaints of pain, refusal to walk, screaming during the night, holding her left leg, facial grimacing, and tenderness to the left leg. The MAR showed scheduled acetaminophen and tramadol orders, along with PRN acetaminophen, but the PRN medication was only given once before the fall and then again later when pain was still present. Staff notes also documented that the resident refused to give a pain level at times, continued to say it hurt, and had decreased participation in care, including refusing to eat supper and refusing a bath while showing facial grimacing and elevated blood pressure. The record showed that staff did not promptly notify the physician when the resident’s pain increased and persisted after the fall. Documentation reflected that the resident’s left leg pain was described as a chronic issue, and staff discussed notifying the physician for x-rays, but the physician was not contacted until later, after the resident’s condition worsened and she reported wanting her hip looked at in the hospital. The resident was then sent to the ER, where she received morphine and was diagnosed with a left hip fracture, acute kidney failure, congestive heart failure, pleural effusion, and severe hyperglycemia. The facility’s pain care plan and pain protocol included monitoring pain indicators, using non-medicinal interventions, and notifying the physician when interventions were unsuccessful or pain changed significantly, but the documented response did not reflect timely use of those measures after the fall.
Food Storage, Hand Hygiene, and Sanitation Deficiencies
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards. During kitchen observations, surveyors found uncovered garbage cans overflowing with trash near the eye wash station sink and by the dishwasher, a box fan covered in thick gray dust blowing directly toward storage racks holding clean cups and glasses, and kitchen shelves with dust buildup. In the food storage room, surveyors observed a 24-count bag of Hawaiian buns with gray fuzzy growth on 12 buns, an open and undated bag of flour taco shells, open bags of hamburger buns and cinnamon bread, and other bread items that were not dated after opening. Two refrigerators/freezers also did not have internal thermometers, and one thermometer was insecurely attached with duct tape and difficult to view. During meal preparation and service, staff handled food and food-contact items in ways that did not follow the facility’s stated practices. A dietary aide prepared milk, chocolate milk, and juice for trays, and later milk was checked at 58.6 degrees Fahrenheit while it was being distributed for room trays. A dietary cook donned gloves, touched the outside of a bread bag, reached into the bag, removed bread, placed it into a blender, and pureed it. Staff interviews showed they expected gloves to be removed and hands washed before and after glove use, but staff also stated they did not usually handle food, used gloves when buttering bread, and knew food items should be initialed and dated after opening. Additional kitchen observations showed the microwave was visibly dirty with food on the turntable and rust inside, the steam table and griddle/stove had grease and dark brown residue buildup, and drawers near the sink appeared dirty. The CDM stated maintenance had helped stock food without putting dates on items, leftovers should only be stored up to 3 days, staff should use tongs to remove bread from bags, garbage should be covered, and milk should not be served if the temperature is over 40 degrees. The report also cited the 2022 FDA Food Code regarding handwashing before food preparation and before donning gloves, and prohibiting bare-hand contact with ready-to-eat food.
What surveyors are citing around you — mapped
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Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 84 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Charles City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Chautauqua Guest Home #3 | 0.2 mi | ★★★★★ | 0 | 0 |
| Ams Memorial-greene | 12.9 mi | ★★★★★ | 0 | 0 |
| Faith Lutheran Home | 16.8 mi | ★★★★★ | 0 | 0 |
| Osage Rehab And Health Care Center | 17 mi | ★★★★★ | 33 | 0 |
| Colonial Manor Of Elma | 17.6 mi | ★★★★★ | 16 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.