Chapters Living of Council Bluffs — Nursing Home in Council Bluffs, IA

CMS Five-Star Rating

Based on health inspections, staffing, and quality measures

Health Inspection Findings & Deficiencies

Chapters Living of Council Bluffs had 43 health inspection deficiencies on its most recent inspection (January 30, 2026), including 1 classified as severe.

Inspection Findings — January 30, 2026

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Level E)
  Corrected — April 2, 2026
• Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (Level E)
  Corrected — February 27, 2026
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Level E)
  Corrected — February 27, 2026
• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Level D)
  Corrected — February 27, 2026
• Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (Level E)
  Corrected — February 27, 2026
• Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (Level E)
  Corrected — February 27, 2026
• Protect each resident from the wrongful use of the resident's belongings or money. (Level D)
  Corrected — February 27, 2026
• Not hire anyone with a finding of abuse, neglect, exploitation, or theft. (Level E)
  Corrected — February 27, 2026
• Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Level E)
  Corrected — February 27, 2026
• Respond appropriately to all alleged violations. (Level E)
  Corrected — February 27, 2026
• Ensure each resident receives an accurate assessment. (Level D)
  Corrected — February 27, 2026
• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Level D)
  Corrected — February 27, 2026
• Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. (Level E)
  Corrected — February 27, 2026
• Provide activities to meet all resident's needs. (Level D)
  Corrected — February 27, 2026
• Provide enough food/fluids to maintain a resident's health. (Level E)
  Corrected — February 27, 2026
• Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (Level D)
  Corrected — February 27, 2026
• Provide safe and appropriate respiratory care for a resident when needed. (Level D)
  Corrected — February 27, 2026
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Level E)
  Corrected — February 27, 2026
• Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (Level E)
  Corrected — February 27, 2026
• Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. (Level E)
  Corrected — February 27, 2026
• Observe each nurse aide's job performance and give regular training. (Level E)
  Corrected — February 27, 2026
• Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (Level E)
  Corrected — February 27, 2026
• Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (Level D)
  Corrected — February 27, 2026
• Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. (Level D)
  Corrected — February 27, 2026
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Level E)
  Corrected — April 2, 2026
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Level E)
  Corrected — April 2, 2026
• Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. (Level F)
  Corrected — February 27, 2026
• Have a plan that describes the process for conducting QAPI and QAA activities. (Level F)
  Corrected — February 27, 2026
• Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Level F)
  Corrected — February 27, 2026
• Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (Level F)
  Corrected — February 27, 2026
• Provide and implement an infection prevention and control program. (Level E)
  Corrected — April 2, 2026
• Implement a program that monitors antibiotic use. (Level F)
  Corrected — February 27, 2026
• Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. (Level F)
  Corrected — February 27, 2026
• Give residents a notice of rights, rules, services and charges. (Level E)
  Corrected — February 27, 2026
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Level F)
  Corrected — February 27, 2026
• Provide care and assistance to perform activities of daily living for any resident who is unable. (Level E)
  Corrected — February 27, 2026
• Provide appropriate treatment and care according to orders, resident’s preferences and goals. (Level D)
  Corrected — February 27, 2026
• Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Level K)
  Corrected — February 27, 2026
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Level E)
  Corrected — April 2, 2026
• Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (Level E)
  Corrected — April 2, 2026
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Level E)
  Corrected — April 2, 2026
• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. (Level D)
  Corrected — February 27, 2026
• Dispose of garbage and refuse properly. (Level E)
  Corrected — February 27, 2026

Frequently Asked Questions

Nearby Nursing Homes

• Prairie Gate — 2/5 — 2.0 mi
• Bethany Lutheran Home — 1/5 — 2.4 mi
• North Crest Living Center — 1/5 — 3.2 mi
• Midlands Living Center L L C — 3/5 — 3.9 mi
• St. Joseph Villa Nursing Center — 2/5 — 6.7 mi
• Ambassador Health of Omaha — 4/5 — 8.5 mi

Data Source

This information is sourced from official CMS (Centers for Medicare & Medicaid Services) public datasets.

CMS Provider Information updated May 1, 2026.

CMS Survey Summary updated May 1, 2026.

CMS Health Deficiencies updated May 1, 2026.

CareQED last updated June 22, 2026.

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