Iowa › Pottawattamie County › Council Bluffs
Bethany Lutheran Home
Seven Elliott Street, Council Bluffs, IA 51503
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. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 112 beds, Bethany Lutheran Home serves Council Bluffs in Pottawattamie County, Iowa and has taken Medicare and Medicaid residents since 2003.
CMS gives it 1 of 5 stars overall, below the Iowa median of 3; the health inspection rating is 1, staffing 4 and quality measures 3.
Inspectors recorded 43 health deficiencies across the three most recent survey cycles (9, 16, 18 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 38.4 per 100 beds, more than the state median of 27.5.
CMS lists 3 penalties in the period covered: fines totalling $47K.
Reported nurse staffing is 4.0 hours per resident per day (0.3 RN), close to the Iowa median of 3.7; nursing staff turnover is 30.4%.
Compared with county, state and nation
| Measure | This facility | Pottawattamie Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 43 | 43 | 16 | 28.7 |
| Citations per 100 beds | 38.4 | 54.8 | 27.5 | 26.8 |
| Total nurse hours per resident day | 4.0 | 3.9 | 3.7 | 3.9 |
| RN hours per resident day | 0.3 | 1.0 | 0.7 | 0.7 |
| Nursing staff turnover | 30.4% | 47.5% | 41.9% | 45.8% |
| Fines listed | $46,914 | $15,593 | $0 | — |
County and state figures are medians across facilities (7 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 2 Oct 2025, 31 Oct 2024.
Severity mix: J ×2 G ×3 D ×31 E ×6 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 21 May 2026 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | Past Non-Compliance |
| 2 Oct 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 21 Jul 2025 |
| 2 Oct 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 25 Nov 2025 |
| 2 Oct 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 25 Nov 2025 |
| 2 Oct 2025 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 25 Nov 2025 |
| 2 Oct 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 25 Nov 2025 |
| 2 Oct 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 25 Nov 2025 |
| 2 Oct 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 25 Nov 2025 |
| 2 Oct 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 25 Nov 2025 |
| 30 May 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | G | Complaint investigation | 5 Apr 2025 |
| 30 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 12 May 2025 |
| 13 Mar 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 14 Feb 2025 |
| 13 Mar 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 14 Feb 2025 |
| 13 Mar 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 24 Mar 2025 |
| 13 Mar 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 24 Mar 2025 |
| 31 Oct 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 2 Jan 2025 |
| 31 Oct 2024 | F0727 | 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. | E | Standard survey | 2 Jan 2025 |
| 31 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 2 Jan 2025 |
| 31 Oct 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 2 Jan 2025 |
| 31 Oct 2024 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard survey | 2 Jan 2025 |
| 31 Oct 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 2 Jan 2025 |
| 31 Oct 2024 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard survey | 2 Jan 2025 |
| 31 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 2 Jan 2025 |
| 12 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 20 Aug 2024 |
| 12 Aug 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 20 Aug 2024 |
| 14 May 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 30 May 2024 |
| 14 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 30 May 2024 |
| 2 Nov 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 3 Nov 2023 |
| 2 Nov 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 3 Nov 2023 |
| 21 Aug 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | G | Complaint investigation | 14 Sep 2023 |
| 21 Aug 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 14 Sep 2023 |
| 21 Aug 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 14 Sep 2023 |
| 21 Aug 2023 | F0585 | 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. | D | Complaint investigation | 14 Sep 2023 |
| 21 Aug 2023 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard survey | 14 Sep 2023 |
| 21 Aug 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 14 Sep 2023 |
| 21 Aug 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 14 Sep 2023 |
| 21 Aug 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 14 Sep 2023 |
| 21 Aug 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 14 Sep 2023 |
| 21 Aug 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 14 Sep 2023 |
| 21 Aug 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 14 Sep 2023 |
| 21 Aug 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Complaint investigation | 14 Sep 2023 |
| 21 Aug 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 14 Sep 2023 |
| 21 Aug 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 14 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 2 Oct 2025 | Fine | $16,588 | |
| 2 Nov 2023 | Fine | $11,183 | |
| 21 Aug 2023 | Fine | $19,143 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 30.4%, RNs 50.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 22.5% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.3% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.1% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.9% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.2% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.7% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.2% | 18.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, other. Legal business name: Bethany Lutheran Home.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Pottawattamie County
| 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 |
| 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 |
All 7 facilities in Pottawattamie County
Questions and answers
How many deficiencies has Bethany Lutheran Home been cited for?
43 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Bethany Lutheran Home been fined?
Yes. CMS lists fines totalling $47K in the period covered.
How does staffing at Bethany Lutheran Home compare?
Reported total nurse staffing is 4.0 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Bethany Lutheran Home?
Ownership type is non-profit, other. Individual owners and managers are not listed on this site.
When was Bethany Lutheran Home last inspected?
The most recent survey or investigation in the CMS record is dated 21 May 2026; the most recent standard health survey was 2 Oct 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.