Iowa › Pottawattamie County › Council Bluffs
North Crest Living Center
34 Northcrest Drive, 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 62 beds, North Crest Living Center serves Council Bluffs in Pottawattamie County, Iowa and has taken Medicare and Medicaid residents since 1996.
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 34 health deficiencies across the three most recent survey cycles (17, 13, 4 by cycle, most recent first), none at the actual-harm level. That is 54.8 per 100 beds, more than the state median of 27.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.9 hours per resident per day (0.5 RN), close to the Iowa median of 3.7; nursing staff turnover is 54.5%.
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 | 34 | 43 | 16 | 28.7 |
| Citations per 100 beds | 54.8 | 54.8 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.9 | 3.9 | 3.7 | 3.9 |
| RN hours per resident day | 0.5 | 1.0 | 0.7 | 0.7 |
| Nursing staff turnover | 54.5% | 47.5% | 41.9% | 45.8% |
| Fines listed | $0 | $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: 24 Jul 2025, 19 Sep 2024.
Severity mix: D ×25 E ×5 F ×4
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 |
|---|---|---|---|---|---|
| 26 Aug 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 24 Sep 2025 |
| 26 Aug 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. | D | Complaint investigation | 24 Sep 2025 |
| 26 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 24 Sep 2025 |
| 24 Jul 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 22 Aug 2025 |
| 24 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 22 Aug 2025 |
| 24 Jul 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 23 Aug 2025 |
| 24 Jul 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 22 Aug 2025 |
| 24 Jul 2025 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 22 Aug 2025 |
| 24 Jul 2025 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 22 Aug 2025 |
| 24 Jul 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 | Standard survey | 22 Aug 2025 |
| 24 Jul 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 22 Aug 2025 |
| 24 Jul 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 22 Aug 2025 |
| 24 Jul 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 22 Aug 2025 |
| 24 Jul 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 23 Aug 2025 |
| 24 Jul 2025 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard survey | 22 Aug 2025 |
| 24 Jul 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 22 Aug 2025 |
| 24 Jul 2025 | 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. | D | Standard survey | 22 Aug 2025 |
| 19 Sep 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. | F | Standard survey | 19 Oct 2024 |
| 19 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 19 Oct 2024 |
| 19 Sep 2024 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 19 Oct 2024 |
| 19 Sep 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 19 Oct 2024 |
| 19 Sep 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 19 Oct 2024 |
| 19 Sep 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 | Complaint investigation | 19 Oct 2024 |
| 19 Sep 2024 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 19 Oct 2024 |
| 19 Sep 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 19 Oct 2024 |
| 19 Sep 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 | Standard survey | 19 Oct 2024 |
| 19 Sep 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 19 Oct 2024 |
| 2 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 2 Sep 2024 |
| 2 Aug 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. | D | Complaint investigation | 2 Sep 2024 |
| 2 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 2 Sep 2024 |
| 28 Mar 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 22 Apr 2024 |
| 28 Mar 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 22 Apr 2024 |
| 8 Jun 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 28 Jun 2023 |
| 8 Jun 2023 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 28 Jun 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 54.5%, 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 | 16.8% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.4% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 5.5% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.0% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 20.0% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.7% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.2% | 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: for-profit, limited liability company. Legal business name: Nlc Partners Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Bank Iowa | 5% or greater mortgage interest | NOT APPLICABLE | 04/05/2010 |
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 |
| 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 |
| 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 North Crest Living Center been cited for?
34 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has North Crest Living Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at North Crest Living Center compare?
Reported total nurse staffing is 3.9 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates North Crest Living Center?
Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was North Crest Living Center last inspected?
The most recent survey or investigation in the CMS record is dated 26 Aug 2025; the most recent standard health survey was 24 Jul 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.