Chautauqua Guest Home #2
Chautauqua Guest Home #2 in Charles City, IA — inspection on September 18, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
facility's follow-up request to the physician for pain control determined Staff E cared for Resident #14 on the evening shift of 9/15/25, she charted Resident #14 had pain and facial grimacing.
She reported she didn't contact the provider because after they assisted Resident #14 to bed and repositioned her for comfort, she was comfortable and slept until the end of her shift (10:00 PM). In addition, Staff F sent Resident #14 to the ER.
Staff F reported she didn't contact the provider at the beginning of her shift because she slept comfortably until about 2:30 AM. At that time her alarm went off because a pillow fell and triggered the alarm.
Staff F explained she noted congestion and began an assessment for respiratory status.
Her full assessment triggered her to contact the provider and Resident #14 agreed to go to the ER for evaluation.
During an interview on 9/18/25 at 1:02 PM the Administrator explained if a resident complained of pain, typically the nurse would try PRN pain medicine and alternative interventions such as massage, a change in environment, and change in position. If none of the interventions worked, then the facility should notify the doctor.The undated Incident Reports policy instructed the following:a.
When an incident occurred, the staff would notify the charge nurse, complete an appropriate assessment of the resident and document their findings.
The nurse would then notify the attending physician and family.
Notification can be in person, by telephone, through fax, and/or envelope delivery.
The Charge Nurse would initiate the incident report and complete it as described on the form.
When the nurse completed the form, they must turn it in to the nurse manager.b. At any time, professional nurses may analyze and initiate nursing interventions that could prevent a recurrence of the incident.
The nurse manager will formally complete this analysis and document any necessary actions prior to turning the completed form into administration.
This includes the provision of first aid and documenting actions completed.The undated Pain Protocol Policy directed the facility to ensure any residents with pain receive proactive care to alleviate or minimize pain through the collaborative efforts of the interdisciplinary health care team including the attending physician.
The policy listed the following:a.
Pain indicators i.
Verbalization of pain ii.
Increase in agitation iii.
Thrashing type behaviors/restlessness iv.
Combativeness v.
Change in level of consciousness/lethargyb.
Non-medicinal methods of relieving pain i.
Application of hot/cold ii.
Massage therapy iii.
Relaxation exercises, guided breathing iv.
Social services counseling v.
Isolation/stimulation vi.
Light/Dark vii.
Oxygen therapy viii.
Reposition, body supports, immobilizations ix.
Physical Therapy interventions
Facility ID:
Federal health inspectors cited Chautauqua Guest Home #2 in Charles City, IA for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-09-18.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 2 deficiencies cited during this inspection of Chautauqua Guest Home #2.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-15.