Nursing home report
Council Bluffs, IA · Medicare-certified · 112 beds
Bethany Lutheran Home in Council Bluffs, IA has an overall rating of 1 out of 5 stars, with a 1-star health inspection rating and a recent federal penalty. Staffing is rated 4 stars, but reported nurse staffing is 3.92 hours per resident per day, below the federal benchmark of 4.1, and the facility has had $16,588 in fines in the last 24 months.
Health inspections
Staffing
3.92 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.92.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
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
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.
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.
