States › Iowa › Pottawattamie County
Nursing homes in Pottawattamie County, Iowa
Pottawattamie County, Iowa, has 7 Medicare-certified nursing homes with 549 certified beds.
86% of them are rated 1 or 2 stars overall, a larger share than the state (38%). Inspectors recorded 319 health deficiencies over three cycles, 58.1 per 100 beds against 31.7 statewide.
Fines in the period covered total $254K across 6 fines.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026.
| Measure | Pottawattamie County | Iowa | US |
|---|---|---|---|
| Facilities | 7 | 387 | 14690 |
| Rated 1–2 stars overall | 86% | 38% | 41% |
| Median overall rating | 1 | 3 | 3 |
| Citations per 100 beds (3 cycles) | 58.1 | 31.7 | 26.8 |
| Median nurse hours per resident day | 3.9 | 3.7 | 3.7 |
| Fines listed | $254K | $7.5M | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Midlands Living Center L L C | Council Bluffs | 94 | 4 | 3 | 4 | 16 | 17.0 | — | 8 Jan 2026 |
| Prairie Gate | Council Bluffs | 72 | 2 | 2 | 4 | 23 | 31.9 | $28K | 9 Oct 2025 |
| Avoca Specialty Care | Avoca | 46 | 1 | 1 | 3 | 68 | 147.8 | — | 5 Mar 2026 |
| Bethany Lutheran Home | Council Bluffs | 112 | 1 | 1 | 4 | 43 | 38.4 | $47K | 21 May 2026 |
| Chapters Living of Council BluffsSFF Candidate | Council Bluffs | 102 | 1 | 1 | 4 | 68 | 66.7 | $164K | 30 Jan 2026 |
| North Crest Living Center | Council Bluffs | 62 | 1 | 1 | 4 | 34 | 54.8 | — | 26 Aug 2025 |
| Oakland Manorabuse icon | Oakland | 61 | 1 | 1 | 2 | 67 | 109.8 | $16K | 22 Apr 2026 |
Sorted by overall rating. "Citations" are health deficiencies over three survey cycles; "per 100 beds" divides by certified beds.
Most-cited tags in the county
| Tag | Requirement | Citations |
|---|---|---|
| F0880 | Provide and implement an infection prevention and control program. | 25 |
| F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | 18 |
| F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 16 |
| F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | 14 |
| F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | 14 |
Ownership
| Type | Facilities |
|---|---|
| For profit | 4 |
| Non profit | 3 |
Chains present: Care Initiatives (1), Presbyterian Homes & Services (1).
Questions and answers
How many nursing homes are in Pottawattamie County, Iowa?
7 Medicare-certified nursing homes with 549 certified beds.
Which nursing homes in Pottawattamie County have the highest CMS ratings?
Midlands Living Center L L C (4 stars), Prairie Gate (2 stars), Avoca Specialty Care (1 stars)
How do Pottawattamie County nursing homes compare with Iowa?
86% are rated 1–2 stars overall against 38% statewide; citations run at 58.1 per 100 beds against 31.7 statewide.