Chapters Living of Council Bluffs
3000 Risen Son Blvd · Council Bluffs, IA · 51503 · 7123669655
102 certified beds For profit - Corporation Part of a CCRC
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Inspection results are getting worse cycle over cycle, not better.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
$163,800 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $163,800 |
Inspection citations (68 in the current record)
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Immediate jeopardy · K January 30, 2026 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected February 27, 2026 · Quality of Life and Care
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Potential for harm · E January 30, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 2, 2026 · Resident Rights
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Potential for harm · E January 30, 2026
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected February 27, 2026 · Resident Rights
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Potential for harm · E January 30, 2026
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected February 27, 2026 · Resident Rights
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Potential for harm · D January 30, 2026
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected February 27, 2026 · Resident Rights
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Potential for harm · E January 30, 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.
Corrected February 27, 2026 · Resident Rights
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Potential for harm · E January 30, 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.
Corrected February 27, 2026 · Resident Rights
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Potential for harm · D January 30, 2026
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected February 27, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E January 30, 2026
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected February 27, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E January 30, 2026
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected February 27, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E January 30, 2026
Respond appropriately to all alleged violations.
Corrected February 27, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 30, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected February 27, 2026 · Resident Rights
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Potential for harm · D January 30, 2026
Ensure each resident receives an accurate assessment.
Corrected February 27, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 30, 2026
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected February 27, 2026 · Resident Assessment and Care Planning
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Potential for harm · E January 30, 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.
Corrected February 27, 2026 · Quality of Life and Care
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Potential for harm · D January 30, 2026
Provide activities to meet all resident's needs.
Corrected February 27, 2026 · Quality of Life and Care
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Potential for harm · E January 30, 2026
Provide enough food/fluids to maintain a resident's health.
Corrected February 27, 2026 · Quality of Life and Care
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Potential for harm · D January 30, 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.
Corrected February 27, 2026 · Quality of Life and Care
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Potential for harm · D January 30, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected February 27, 2026 · Quality of Life and Care
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Potential for harm · E January 30, 2026
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected February 27, 2026 · Nursing and Physician Services
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Potential for harm · E January 30, 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.
Corrected February 27, 2026 · Nursing and Physician Services
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Potential for harm · E January 30, 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.
Corrected February 27, 2026 · Nursing and Physician Services
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Potential for harm · E January 30, 2026
Observe each nurse aide's job performance and give regular training.
Corrected February 27, 2026 · Nursing and Physician Services
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Potential for harm · E January 30, 2026
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected April 2, 2026 · Nutrition and Dietary
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Potential for harm · E January 30, 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.
Corrected February 27, 2026 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 30, 2026 | Fine | $163,800 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165466 · certified since July 1, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.