North Crest Living Center in Council Bluffs has a 1-out-of-5 overall rating and a 1-out-of-5 health inspection rating, with the lowest overall rating flag. Staffing is 3 out of 5, reported nurse staffing is 3.67 hours per resident per day versus the 4.1-hour federal benchmark, and there were no fines in the last 24 months.
Last inspection: August 26, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6748.
Staffing detail
Registered nurses
0.56
Licensed practical nurses
0.38
Nurse aides
2.73
Weekend nursing
3.04
Hours per resident per day.
Total staff turnover: 57%
Registered nurse turnover: 55%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
6.5%9.7%Worsening
Residents with a fall causing major injury
4.3%5.9%Worsening
Residents with pressure ulcers (bedsores)
5.3%4%Improving
Residents with a urinary tract infection
12.8%4%Improving
Residents who lost too much weight
5.1%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
27.8%12.5%Improving
Residents whose ability to walk got worse
25.6%12.6%Improving
Long-stay residents on antianxiety or sleep medication
15.4%14.6%Improving
Short-stay residents newly given an antipsychotic
3.4%3.2%No change
Residents with a long-term catheter
4.3%0%Improving
Residents with new or worsening incontinence
31.3%33%Worsening
Residents with depressive symptoms
4.7%4%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—96.4%—
Long-stay residents given the pneumonia vaccine
83%68.6%Worsening
Short-stay residents given the seasonal flu vaccine
—72%—
Short-stay residents given the pneumonia vaccine
74.5%60.5%Worsening
What the inspectors found
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 July 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited July 2025 — widespread issue, potential for harm.
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F-Tag 865 — 42 CFR §483.75 — S/S: F
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited September 2024 — widespread issue, potential for harm.
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F-Tag 725 — 42 CFR §483.35 — S/S: F
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited July 2025 — limited pattern, potential for harm.
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F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited July 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
Operator & ownership
Ownership
For profit - Limited Liability company
Occupancy
57.6 residents on an average day (93% of 62 beds)
Resident voice
Resident council
Medicare history
Certified for 29 years
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.