Nursing home report
Council Bluffs, IA · Medicare-certified · 102 beds
Chapters Living of Council Bluffs has a 1-star overall rating, with a 1-star health inspection rating, special-focus candidate status, and $163,800 in fines in the last 24 months. Staffing is a relative strength at 4 stars and 4.88 hours per resident per day, above the 4.1 federal benchmark.
Health inspections
Staffing
4.8804 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.8804.
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
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 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
Reported nurse staffing met or exceeded the federal recommendation.
A federal fine of $163,800 was recorded.
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 · $163,800 in total fines.
Federal fine
Jan 30, 2026
Now operated by Chapters Living of Council Bluffs, previously Risen Son Christian Village.
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.
