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Medicare-certifiedSkilled Nursing

Chapters Living of Council Bluffs

Council Bluffs, IowaMedicare inspection record
(712) 366-9655

About Chapters Living of Council Bluffs

Chapters Living of Council Bluffs provides skilled nursing and rehabilitation services designed to help residents regain strength and independence. Our experienced team in Council Bluffs, Iowa offers personalized care plans, therapeutic services, and compassionate support during recovery and transition periods.

Community at a glance

Capacity

102 residents

Location

Council Bluffs, IA

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

3000 Risen Son Blvd, Council Bluffs, Iowa 51503

(712) 366-9655

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

  • Chapters Living of Council Bluffs is a candidate for Medicare's Special Focus Facility list, kept for homes with a history of serious quality problems.

At its most recent standard inspection, on January 30, 2026, state inspectors cited 46 health deficiencies (the Iowa average is 6.5).

Nurses and nurse aides spend 4 hours 53 minutes with each resident a day, above the Iowa average of 3 hours 49 minutes.

Medicare fined Chapters Living of Council Bluffs once in the last three years, $163,800 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day4 hours 53 minutesAbove the Iowa average
Registered nurse time per resident, per day1 hour 1 minuteAbove the Iowa average

Inspections

68 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

January 30, 2026 · Standard inspection · 43 citations

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Immediate danger to residents, a pattern (level K)Quality of Life and CareFrom a complaintCorrected Feb 27, 2026
  • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Feb 27, 2026
  • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Feb 27, 2026
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, widespread (level F)Resident Assessment and Care PlanningFrom a complaintCorrected Feb 27, 2026
  • Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Feb 27, 2026
  • Implement a program that monitors antibiotic use.

    Risk of harm, no one hurt, widespread (level F)Infection ControlCorrected Feb 27, 2026
  • Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Feb 27, 2026
  • Have a plan that describes the process for conducting QAPI and QAA activities.

    Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Feb 27, 2026
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Feb 27, 2026
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Apr 2, 2026
  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Apr 2, 2026
  • Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Feb 27, 2026
  • Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Feb 27, 2026
  • Dispose of garbage and refuse properly.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Feb 27, 2026
  • Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationCorrected Feb 27, 2026
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Apr 2, 2026
  • Give residents a notice of rights, rules, services and charges.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Feb 27, 2026
  • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Feb 27, 2026
  • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Feb 27, 2026
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Apr 2, 2026
  • Provide enough food/fluids to maintain a resident's health.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Feb 27, 2026
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Apr 2, 2026
  • Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Feb 27, 2026
  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Feb 27, 2026
  • Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Apr 2, 2026
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationCorrected Feb 27, 2026
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Feb 27, 2026
  • Observe each nurse aide's job performance and give regular training.

    Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Feb 27, 2026
  • Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Feb 27, 2026
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationCorrected Feb 27, 2026
  • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Feb 27, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Apr 2, 2026
  • Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 27, 2026
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Feb 27, 2026
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Feb 27, 2026
  • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Feb 27, 2026
  • Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Feb 27, 2026
  • Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Feb 27, 2026
  • Provide activities to meet all resident's needs.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 27, 2026
  • Protect each resident from the wrongful use of the resident's belongings or money.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Feb 27, 2026
  • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Feb 27, 2026
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Feb 27, 2026
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 27, 2026

November 12, 2025 · Complaint investigation · 3 citations

  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Jan 9, 2026
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Jan 9, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Jan 9, 2026
June 13, 2025 · Complaint investigation · 11 citations+
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Jul 14, 2025
  • Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected Jul 14, 2025
  • Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Risk of harm, no one hurt, a pattern (level E)AdministrationFrom a complaintCorrected Jul 14, 2025
  • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jul 14, 2025
  • Respond appropriately to all alleged violations.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 14, 2025
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 14, 2025
  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected Jul 14, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 14, 2025
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 14, 2025
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 14, 2025
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 14, 2025
January 9, 2025 · Standard inspection · 3 citations+
  • Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationCorrected Jan 31, 2025
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jan 31, 2025
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jan 31, 2025

Showing the 60 most recent. The full list is on Medicare.gov.

Fines and payment denials

1 fine totaling $163,800 and 1 Medicare payment denial in the last three years.

  • January 30, 2026Fine: $163,800
  • January 30, 2026Payment denial, 27 days

About the home, per Medicare

Ownership
For profit - Corporation
Legal business name
Chapters Council Bluffs Opco LLC
Medicare-certified beds
102
Average residents per day
29
Accepts
Medicare and Medicaid
First certified
July 1, 2002
Inside a hospital
No
Continuing care retirement community
Yes
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
165466

Location

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3000 Risen Son BlvdCouncil Bluffs, IA 51503

12 other communities within 10 miles

Senior living near Council Bluffs

Questions about Chapters Living of Council Bluffs

How did Chapters Living of Council Bluffs do on its last inspection?+

State inspectors visited on January 30, 2026 and cited 46 health deficiencies, 9 of them from complaint investigations. The Iowa average is 6.5.

How much nursing care does each resident get at Chapters Living of Council Bluffs?+

Nurses and aides spend 4 hours 53 minutes with each resident per day, including 1 hour 1 minute from registered nurses.

Has Chapters Living of Council Bluffs been fined by Medicare?+

Yes. Medicare fined Chapters Living of Council Bluffs once in the last three years, totaling $163,800.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Council Bluffs Skilled Nursing in Iowa Skilled Nursing guide Information last updated October 2026