Chapters Living of Council Bluffs

3000 Risen Son Blvd, Council Bluffs, IA 51503 · CCN 165466 · 102 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing4 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS currently lists this facility as: SFF Candidate (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).

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Serious inspection findings

2026-01-30 — IMMEDIATE JEOPARDY (tag F0686, severity K)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

Staffing, from payroll records

Nursing hours / resident / day

3.88

state median 3.10

Weekend staffing gap

+6%

more nursing hours on weekends · state median −7%

RN hours / resident / day

0.44

registered nurses only

Contract (agency) staff

17%

share of all nursing hours

Days with zero RN hours reported

with residents present

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

1 enforcement action(s), totaling $163,800 in fines.

Date	Type	Amount
2026-01-30	Fine	$163,800

Ownership

Ownership type: For profit - Corporation.

Full citation history

By severity: Potential for more than minimal harm: 67 · Immediate jeopardy: 1

Survey date	Tag	Category	Severity	Corrected
2026-01-30	F0550	Resident Rights Deficiencies	E	not recorded
2026-01-30	F0572	Resident Rights Deficiencies	E	not recorded
2026-01-30	F0577	Resident Rights Deficiencies	E	not recorded
2026-01-30	F0580	Resident Rights Deficiencies	E	not recorded
2026-01-30	F0582	Resident Rights Deficiencies	D	not recorded
2026-01-30	F0584	Resident Rights Deficiencies	E	not recorded
2026-01-30	F0585	Resident Rights Deficiencies	E	not recorded
2026-01-30	F0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-01-30	F0606	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2026-01-30	F0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2026-01-30	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2026-01-30	F0628	Resident Rights Deficiencies	D	not recorded
2026-01-30	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-01-30	F0655	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-01-30	F0657	Resident Assessment and Care Planning Deficiencies	F	not recorded
2026-01-30	F0677	Quality of Life and Care Deficiencies	E	not recorded
2026-01-30	F0678	Quality of Life and Care Deficiencies	E	not recorded
2026-01-30	F0679	Quality of Life and Care Deficiencies	D	not recorded
2026-01-30	F0684	Quality of Life and Care Deficiencies	D	not recorded
2026-01-30	F0686	Quality of Life and Care Deficiencies	K	not recorded
2026-01-30	F0689	Quality of Life and Care Deficiencies	E	not recorded
2026-01-30	F0692	Quality of Life and Care Deficiencies	E	not recorded
2026-01-30	F0693	Quality of Life and Care Deficiencies	D	not recorded
2026-01-30	F0695	Quality of Life and Care Deficiencies	D	not recorded
2026-01-30	F0725	Nursing and Physician Services Deficiencies	E	not recorded
2026-01-30	F0726	Nursing and Physician Services Deficiencies	E	not recorded
2026-01-30	F0727	Nursing and Physician Services Deficiencies	E	not recorded
2026-01-30	F0730	Nursing and Physician Services Deficiencies	E	not recorded
2026-01-30	F0802	Nutrition and Dietary Deficiencies	E	not recorded
2026-01-30	F0803	Nutrition and Dietary Deficiencies	E	not recorded
2026-01-30	F0804	Nutrition and Dietary Deficiencies	E	not recorded
2026-01-30	F0805	Nutrition and Dietary Deficiencies	D	not recorded
2026-01-30	F0808	Nutrition and Dietary Deficiencies	D	not recorded
2026-01-30	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2026-01-30	F0814	Nutrition and Dietary Deficiencies	E	not recorded
2026-01-30	F0842	Resident Assessment and Care Planning Deficiencies	E	not recorded
2026-01-30	F0851	Administration Deficiencies	F	not recorded
2026-01-30	F0865	Administration Deficiencies	F	not recorded
2026-01-30	F0867	Administration Deficiencies	F	not recorded
2026-01-30	F0868	Administration Deficiencies	F	not recorded
2026-01-30	F0880	Infection Control Deficiencies	E	not recorded
2026-01-30	F0881	Infection Control Deficiencies	F	not recorded
2026-01-30	F0887	Infection Control Deficiencies	F	not recorded
2025-11-12	F0658	Resident Assessment and Care Planning Deficiencies	E	not recorded
2025-11-12	F0690	Quality of Life and Care Deficiencies	E	not recorded
2025-11-12	F0880	Infection Control Deficiencies	D	not recorded
2025-06-13	F0584	Resident Rights Deficiencies	D	not recorded
2025-06-13	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-06-13	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-06-13	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-06-13	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-06-13	F0684	Quality of Life and Care Deficiencies	E	not recorded
2025-06-13	F0686	Quality of Life and Care Deficiencies	D	not recorded
2025-06-13	F0725	Nursing and Physician Services Deficiencies	D	not recorded
2025-06-13	F0838	Administration Deficiencies	E	not recorded
2025-06-13	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-06-13	F0882	Infection Control Deficiencies	E	not recorded
2025-01-09	F0550	Resident Rights Deficiencies	D	not recorded
2025-01-09	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-01-09	F0658	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-01-09	F0660	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-01-09	F0684	Quality of Life and Care Deficiencies	D	not recorded
2025-01-09	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2025-01-09	F0880	Infection Control Deficiencies	D	not recorded
2025-01-09	F0943	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2024-01-10	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-01-10	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-01-10	F0688	Quality of Life and Care Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Chapters Living of Council Bluffs, Council Bluffs” at medicare.gov/care-compare.