Chapters Living of Council BluffsCMS ratings, inspections and fines
- Address
- 3000 Risen Son Blvd, Council Bluffs, IA 51503
- CCN
- 165466
- Ownership type
- For-profit, corporation
- Certified beds
- 102
- Chain
- None in the CMS record
- Residents per day
- 29
- CMS flags
- Special Focus Facility candidate
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Chapters Living of Council Bluffs an overall rating of 1 of 5 stars. The last standard survey was on 30 Jan 2026. The latest survey cycle has 46 health citations. The median for nursing homes in Iowa is 5. CMS lists 1 fine of $163,800 for this home in its penalties file. CMS also lists 1 payment denial.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Pottawattamie County median | Iowa median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 1.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 1.0 | 3.0 | 2.8 |
| Staffing rating | 4 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 3 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 7 homes in the county, 387 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Iowa median |
|---|---|---|---|
| Cycle 1 (latest) | 30 Jan 2026 | 46 | 5 |
| Cycle 2 | 9 Jan 2025 | 19 | 5 |
| Cycle 3 | No date | 3 | 5 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | L0 | |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 46 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 30 Jan 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 2 Apr 2026 |
| 30 Jan 2026 | F0572 | Give residents a notice of rights, rules, services and charges. | E | Complaint investigation | 27 Feb 2026 |
| 30 Jan 2026 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | Standard survey | 27 Feb 2026 |
| 30 Jan 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Standard survey | 27 Feb 2026 |
| 30 Jan 2026 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 27 Feb 2026 |
| 30 Jan 2026 | F0584 | 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. | E | Standard survey | 27 Feb 2026 |
| 30 Jan 2026 | 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. | E | Standard survey | 27 Feb 2026 |
| 30 Jan 2026 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Standard survey | 27 Feb 2026 |
| 30 Jan 2026 | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | E | Standard survey | 27 Feb 2026 |
| 30 Jan 2026 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 27 Feb 2026 |
| 30 Jan 2026 | F0610 | Respond appropriately to all alleged violations. | E | Standard survey | 27 Feb 2026 |
| 30 Jan 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 27 Feb 2026 |
| 30 Jan 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 27 Feb 2026 |
| 30 Jan 2026 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 27 Feb 2026 |
| 30 Jan 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | F | Complaint investigation | 27 Feb 2026 |
| 30 Jan 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 27 Feb 2026 |
| 30 Jan 2026 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | E | Standard survey | 27 Feb 2026 |
| 30 Jan 2026 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 27 Feb 2026 |
| 30 Jan 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 27 Feb 2026 |
| 30 Jan 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K | Complaint investigation | 27 Feb 2026 |
| 30 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 2 Apr 2026 |
| 30 Jan 2026 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 27 Feb 2026 |
| 30 Jan 2026 | F0693 | 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. | D | Standard survey | 27 Feb 2026 |
| 30 Jan 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 27 Feb 2026 |
| 30 Jan 2026 | 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 | 27 Feb 2026 |
| 30 Jan 2026 | F0726 | 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. | E | Standard survey | 27 Feb 2026 |
| 30 Jan 2026 | 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 | 27 Feb 2026 |
| 30 Jan 2026 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 27 Feb 2026 |
| 30 Jan 2026 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard survey | 2 Apr 2026 |
| 30 Jan 2026 | F0803 | 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. | E | Standard survey | 27 Feb 2026 |
| 30 Jan 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 2 Apr 2026 |
| 30 Jan 2026 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 27 Feb 2026 |
| 30 Jan 2026 | F0808 | 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. | D | Standard survey | 27 Feb 2026 |
| 30 Jan 2026 | 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 Apr 2026 |
| 30 Jan 2026 | F0814 | Dispose of garbage and refuse properly. | E | Standard survey | 27 Feb 2026 |
| 30 Jan 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 2 Apr 2026 |
| 30 Jan 2026 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 27 Feb 2026 |
| 30 Jan 2026 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 27 Feb 2026 |
| 30 Jan 2026 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 27 Feb 2026 |
| 30 Jan 2026 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard survey | 27 Feb 2026 |
| 30 Jan 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 2 Apr 2026 |
| 30 Jan 2026 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 27 Feb 2026 |
| 30 Jan 2026 | F0887 | 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. | F | Standard survey | 27 Feb 2026 |
| 12 Nov 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint investigation | 9 Jan 2026 |
| 12 Nov 2025 | 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. | E | Complaint investigation | 9 Jan 2026 |
| 12 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 9 Jan 2026 |
Survey cycle 2: 19 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 13 Jun 2025 | F0584 | 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. | D | Complaint investigation | 14 Jul 2025 |
| 13 Jun 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 14 Jul 2025 |
| 13 Jun 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 14 Jul 2025 |
| 13 Jun 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 | Complaint investigation | 14 Jul 2025 |
| 13 Jun 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 | 14 Jul 2025 |
| 13 Jun 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 14 Jul 2025 |
| 13 Jun 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 14 Jul 2025 |
| 13 Jun 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. | D | Complaint investigation | 14 Jul 2025 |
| 13 Jun 2025 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | E | Complaint investigation | 14 Jul 2025 |
| 13 Jun 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 14 Jul 2025 |
| 13 Jun 2025 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E | Complaint investigation | 14 Jul 2025 |
| 9 Jan 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 31 Jan 2025 |
| 9 Jan 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 31 Jan 2025 |
| 9 Jan 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 31 Jan 2025 |
| 9 Jan 2025 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Complaint investigation | 31 Jan 2025 |
| 9 Jan 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 31 Jan 2025 |
| 9 Jan 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 31 Jan 2025 |
| 9 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 31 Jan 2025 |
| 9 Jan 2025 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | Standard survey | 31 Jan 2025 |
Survey cycle 3: 3 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 10 Jan 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 7 Feb 2024 |
| 10 Jan 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 7 Feb 2024 |
| 10 Jan 2024 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 7 Feb 2024 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 30 Jan 2026 | Fine | $163,800 | |
| 30 Jan 2026 | Payment denial | 27 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Iowa median | Iowa average (CMS) |
|---|---|---|---|
| All nurse staff | 4.88 | 3.70 | 3.82 |
| Registered nurses (RN) | 1.02 | 0.70 | 0.74 |
| Licensed practical nurses (LPN) | 1.02 | 0.56 | |
| Nurse aides | 2.84 | 2.51 | |
| All nurse staff, weekends | 4.39 | 3.30 | 3.37 |
- Nurse staff turnover in a year
- No data
- Nurse staff turnover, Iowa median
- 41.9%
- RN turnover in a year
- No data
- Administrators who left in a year
- No data
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 0.0% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 11.7% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.2% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.8% | 1.0% | 1.0% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 25.2% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 37.9% | 18.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Setting
- Continuing care retirement community
- Legal business name
- Chapters Council Bluffs Opco LLC
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Mo IA IL Holdings LLC | Direct ownership interest | 6 Feb 2025 | |
| Beh Mo IA IL LLC | Indirect ownership interest | 6 Feb 2025 | |
| SLB Capital CH LLC | Indirect ownership interest | 6 Feb 2025 | |
| Beh Mo IA IL LLC | Adp of the snf | 6 Feb 2025 | |
| Chapters Senior Living LLC | Adp of the snf | 6 Feb 2025 | |
| Mo IA IL Holdings LLC | Adp of the snf | 6 Feb 2025 | |
| SLB Capital CH LLC | Adp of the snf | 6 Feb 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Pottawattamie County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Prairie Gate | Council Bluffs | 2 of 5 | 5 | $27,630 | 9 Jul 2025 | |
| Bethany Lutheran Home | Council Bluffs | 1 of 5 | 9 | $46,914 | 2 Oct 2025 | |
| North Crest Living Center | Council Bluffs | 1 of 5 | 17 | $0 | 24 Jul 2025 | |
| Midlands Living Center L L C | Council Bluffs | 4 of 5 | 5 | $0 | 8 Jan 2026 | |
| Oakland Manor | Oakland | 1 of 5 | 22 | $15,593 | 8 Jan 2026 | |
| Avoca Specialty Care | Avoca | 1 of 5 | 13 | $0 | 5 Mar 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Chapters Living of Council Bluffs (CCN 165466). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/chapters-living-of-council-bluffs-council-bluffs-ia-165466/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Chapters Living of Council Bluffs last inspected?
- The latest inspection with a citation in the CMS record was on 30 Jan 2026. It was a standard survey and a complaint investigation. It gave 43 citations. The standard survey before the last one was on 9 Jan 2025.
- Who operates Chapters Living of Council Bluffs?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists no chain for the home. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- What does the Special Focus status mean for Chapters Living of Council Bluffs?
- CMS lists the home as a Special Focus Facility candidate. The state selects its next Special Focus Facility from the candidates. CMS lists 2 homes in Iowa as Special Focus Facilities and 10 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.