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Nursing home report

North Crest Living Center

Council Bluffs, IA · Medicare-certified · 62 beds

Needs attention
For-profit
1 of 5 overall

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.

Facility ratings

Health inspections

Staffing

3.6748 hrs/resident/day

Quality measures

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).

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).

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.

View the original federal record

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.

View the original federal record

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.

View the original federal record

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

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 14 health deficiencies.

    See what inspectors found
  4. 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.