Nursing home report
Council Bluffs, IA · Medicare-certified · 102 beds
1 out of 5 stars overall. Chapters Living of Council Bluffs has 1-star health inspection and staffing ratings, is a Special Focus Facility candidate/flagged special focus facility, and was fined $132,600 in the last 24 months; its quality measures rating is 3 stars.
Health inspections
Staffing
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
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
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 pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited January 2026 — limited pattern, immediate jeopardy to residents.
F-Tag 686 — 42 CFR §483.25(b) — S/S: K
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited January 2026 — widespread issue, potential for harm.
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: F
The home failed to submit complete and accurate staffing information based on verifiable records. Cited January 2026 — widespread issue, potential for harm.
F-Tag 851 — 42 CFR §483.70 — S/S: F
The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited January 2026 — widespread issue, potential for harm.
F-Tag 865 — 42 CFR §483.75 — S/S: F
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited January 2026 — widespread issue, potential for harm.
F-Tag 867 — 42 CFR §483.75 — S/S: F
A federal payment denial was recorded.
A federal fine of $132,600 was recorded.
Health inspection found 43 health deficiencies.
Health inspection found 3 health deficiencies.
Health inspection found 11 health deficiencies.
On record with Medicare: 1 fine · $132,600 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Jan 30, 2026
Federal fine
Jan 30, 2026
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.
