Above average — CMS composite of the measures below.
The next survey window likely opens around July 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Chautauqua Guest Home #3 during CMS and state inspections, most recent first.
Improper Thawing of Frozen Chicken: Staff thawed frozen breaded chicken in a 3-compartment sink without cold running water instead of using an approved defrosting method. A Cook said she removed the chicken from the freezer about an hour earlier, and the DM confirmed the chicken was thawed in the sink after staff forgot to remove it from refrigeration earlier. The facility's policy required thawing in refrigeration, under running water, in a microwave under specific conditions, or as part of the conventional cooking process.
Failure to Notify PCP and Family of Significant Weight Loss: A resident experienced significant weight loss after admission, with weights showing a marked decline over time and no weight-loss interventions in the care plan. Nursing and dietary notes documented continued monitoring and notification of the RD, but there was no documentation that the PCP or resident representative was notified about the 9.2% loss in 30 days, and the record lacked further weight-related follow-up.
A deficiency was cited for not ensuring a resident's right to dignity, self-determination, communication, and the exercise of their rights. The report does not specify the exact circumstances or individuals involved.
A resident with severely impaired cognitive status was left in an undignified state after personal care by two CNAs and an RN. The resident's clothing was improperly positioned, compromising his dignity. The staff acknowledged the issue upon returning to the room and corrected the resident's clothing while apologizing.
Improper Thawing of Frozen Chicken
Penalty
Summary
The facility failed to thaw frozen chicken using an approved method of defrosting. During an initial kitchen walkthrough, surveyors observed 3 bags of frozen breaded chicken leg drums sitting in a 3-compartment sink without cold running water. A later observation showed the same chicken bags placed in a basin inside the 3-compartment sink, again without cold water. Staff A, Cook, stated she had removed the chicken from the freezer about an hour earlier and was thawing it in the sink. The lunch menu for that day documented chicken drumsticks. The Dietary Manager acknowledged that Staff A thawed the frozen breaded chicken in the 3-compartment sink. The DM stated kitchen staff had forgotten to remove the chicken from the refrigerator earlier and reported that staff were expected to thaw chicken in the refrigerator or under cold running water. The DM also noted a small hole in the chicken bag and stated staff did not want the breaded chicken to get wet. The Administrator stated dietary staff were expected to thaw frozen chicken in the refrigerator or under cold running water. The facility's Food Preparation Policy required frozen meats and leftovers to be thawed only by approved methods, including refrigeration, running water, microwave under specific conditions, or as part of the conventional cooking process.
Failure to Notify PCP and Family of Significant Weight Loss
Penalty
Summary
The facility failed to assess the cause of a significant weight loss and failed to notify the PCP and resident representative for Resident #8. The resident’s MDS documented admission to the facility on 5/29/26 with a weight of 182 lbs. and identified significant weight loss without a physician-prescribed weight loss regimen. The resident’s weight log showed weights of 210.8 lbs. on 5/29/26, 207.6 lbs. on 5/31/26, 195.8 lbs. on 6/7/26, 178 lbs. on 6/25/26, 180.4 lbs. on 7/5/26, 179.6 lbs. on 7/26/26, 174.6 lbs. on 8/2/26, and 176.8 lbs. on 8/9/26, reflecting a 16.1% weight loss since admission. The care plan lacked interventions related to weight loss. The Nutrition/Dietary Progress Note on 6/7/26 documented a 4.5% weight loss since admission and stated staff would continue monitoring weight. A later note on 6/17/26 documented transfer to a short-term medical facility, and a note on 6/25/26 documented return from the hospital. The Nutrition/Dietary Progress Note on 7/15/26 documented a 9.2% weight loss in 30 days, noted no nutritional supplements were provided, stated staff would continue monitoring, and documented that the Dietitian was notified. The progress notes did not document notification of the PCP or resident representative regarding the 9.2% weight loss, and they lacked further documentation addressing weight.
Failure to Honor Resident Rights to Dignity and Self-Determination
Penalty
Summary
A deficiency was identified regarding the failure to honor the resident's right to a dignified existence, self-determination, communication, and the exercise of their rights. The report notes that the facility did not ensure these resident rights were upheld, but does not provide specific details about the actions or inactions that led to this deficiency, nor does it mention any particular residents or events involved.
Failure to Maintain Resident Dignity During Personal Care
Penalty
Summary
The facility staff failed to treat a resident with dignity and respect during personal care. The resident, who had a severely impaired cognitive status with a BIMS score of 3, was observed receiving perineal care and a change of clothes by two CNAs and an RN. After the care was completed, the resident requested to stay in bed, and the staff positioned him for comfort. However, they left the resident with his sweat pants around his ankles and his disposable undergarment around his knees. The staff left the room, and upon returning after a request, confirmed the inappropriate positioning of the resident's clothing, acknowledging the dignity issue. The CNAs returned to the room shortly after and corrected the resident's clothing while apologizing multiple times. The facility's Residents' Rights document, dated December 2016, directs staff to ensure each resident has the right to a dignified existence, which was not upheld in this instance.
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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.
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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 #2 | 0.2 mi | ★★★★★ | 0 | 0 |
| Ams Memorial-greene | 13.1 mi | ★★★★★ | 29 | 0 |
| Faith Lutheran Home | 16.7 mi | ★★★★★ | 0 | 0 |
| Osage Rehab And Health Care Center | 16.8 mi | ★★★★★ | 33 | 0 |
| Colonial Manor Of Elma | 17.4 mi | ★★★★★ | 15 | 0 |
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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 October 2026) and official state health department websites.