Nursing home report
Council Bluffs, IA · Medicare-certified · 112 beds
Bethany Lutheran Home in Council Bluffs has an overall 1-star rating, with a 1-star health inspection rating and a recent federal penalty; staffing is 4 stars, but reported nurse staffing is slightly below the federal benchmark (3.99 vs. 4.1 hours per resident per day).
Health inspections
Staffing
3.9878 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9878.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2023 — isolated incident, immediate jeopardy to residents.
F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to provide services that met professional standards of quality. Cited May 2025 — isolated incident, actual harm.
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: G
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited August 2023 — isolated incident, actual harm.
F-Tag 695 — 42 CFR §483.25(i) — S/S: G
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited October 2025 — widespread issue, potential for harm.
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
A federal fine of $16,588 was recorded.
Health inspection found 8 health deficiencies.
Health inspection found 2 health deficiencies.
Health inspection found 4 health deficiencies.
On record with Medicare: 3 fines · $46,914 in total fines.
Federal fine
Oct 2, 2025
Federal fine
Nov 2, 2023
Federal fine
Aug 21, 2023
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
