Nursing home report
Council Bluffs, IA · Medicare-certified · 62 beds
North Crest Living Center has a 1 out of 5 overall rating, with 1 star for health inspections, 4 stars for staffing, and 3 stars for quality measures. It is flagged for the lowest overall rating, has no fines in the last 24 months, and reported nurse staffing of 3.91 hours per resident per day, below the federal benchmark of 4.1.
Health inspections
Staffing
3.907 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.907.
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
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
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
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 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.
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.
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.
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.
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.
F-Tag 804 — 42 CFR §483.60 — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 3 health deficiencies.
Health inspection found 14 health deficiencies.
Health inspection found 10 health deficiencies.
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.
