Chapters Living of Council Bluffs

3000 Risen Son Blvd, Council Bluffs, IA 51503 · (712) 366-9655
For profit - Corporation · 102 certified beds

Chapters Living of Council Bluffs has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in January 2026, found 43 citations, 1 for actual harm or immediate jeopardy (the Iowa average is 6.5). It was fined 1 time in the last three years, $163,800 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on January 30, 2026 found 43 citations. What an inspection citation means

• Provide appropriate pressure ulcer care and prevent new ulcers from developing.January 30, 2026 · F0686 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.January 30, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.January 30, 2026 · F0851 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Have a plan that describes the process for conducting QAPI and QAA activities.January 30, 2026 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.January 30, 2026 · F0867 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyJanuary 30, 2026 · F0868 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Implement a program that monitors antibiotic use.January 30, 2026 · F0881 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• 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.January 30, 2026 · F0887 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.January 30, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Give residents a notice of rights, rules, services and charges.January 30, 2026 · F0572 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.January 30, 2026 · F0577 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.January 30, 2026 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.January 30, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.January 30, 2026 · F0585 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Not hire anyone with a finding of abuse, neglect, exploitation, or theft.January 30, 2026 · F0606 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop and implement policies and procedures to prevent abuse, neglect, and theft.January 30, 2026 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Respond appropriately to all alleged violations.January 30, 2026 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide care and assistance to perform activities of daily living for any resident who is unable.January 30, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.January 30, 2026 · F0678 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.January 30, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide enough food/fluids to maintain a resident's health.January 30, 2026 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.January 30, 2026 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.January 30, 2026 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.January 30, 2026 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Observe each nurse aide's job performance and give regular training.January 30, 2026 · F0730 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.January 30, 2026 · F0802 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.January 30, 2026 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.January 30, 2026 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.January 30, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Dispose of garbage and refuse properly.January 30, 2026 · F0814 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.January 30, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.January 30, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.January 30, 2026 · F0582 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from the wrongful use of the resident's belongings or money.January 30, 2026 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.January 30, 2026 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives an accurate assessment.January 30, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedJanuary 30, 2026 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide activities to meet all resident's needs.January 30, 2026 · F0679 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.January 30, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.January 30, 2026 · F0693 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide safe and appropriate respiratory care for a resident when needed.January 30, 2026 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.January 30, 2026 · F0805 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.January 30, 2026 · F0808 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 27 citations.

• Give residents a notice of rights, rules, services and charges.January 30, 2026 · F0572 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.January 30, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide care and assistance to perform activities of daily living for any resident who is unable.January 30, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.January 30, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.January 30, 2026 · F0686 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.January 30, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure services provided by the nursing facility meet professional standards of quality.November 12, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.November 12, 2025 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.November 12, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.June 13, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.June 13, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.June 13, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.June 13, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.June 13, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.June 13, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.June 13, 2025 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.June 13, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.June 13, 2025 · F0838 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.June 13, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.June 13, 2025 · F0882 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.January 9, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.January 9, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Plan the resident's discharge to meet the resident's goals and needs.January 9, 2025 · F0660 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.January 9, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.January 9, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.January 10, 2024 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.January 10, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Fines and payment denials

• Fine of $163,800January 30, 2026
• Medicare payment denial for 27 daysStarting March 6, 2026

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home