North Crest Living Center
Nursing Home Facility
34 Northcrest Drive, Council Bluffs, IA 51503
North Crest Living Center is a senior care community located in Council Bluffs, IA. It provides nursing home care and senior living for older adults in the Council Bluffs area. To learn more or schedule a tour, call (712) 328-2333.
With 62 beds, North Crest Living Center is smaller than most nearby options, senior care communities in Council Bluffs average about 108 beds. Smaller communities often mean more consistent day-to-day staffing and a calmer environment, while larger ones may have more specialized services on site. Which suits a particular person depends on the level of care needed.
Federal reporting puts occupancy at about 92% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place. That is above the Council Bluffs average of roughly 65%.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Council Bluffs average about 2.0 stars. The individual scores differ noticeably: 4 stars for staffing against 1 star for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in July 2025 and recorded 17 deficiencies.
Residents receive about 3.9 hours of nursing care per day on average, including 0.5 hours from a registered nurse. Nursing staff turnover over the past year was about 55%.
The community is located in Pottawattamie County, IA.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 34 problems at North Crest Living Center. None of them caused harm to a resident. 11 came from investigating complaints by residents or families.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, one or a few residents
Resident Rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, widespread
Administration
Have a plan that describes the process for conducting QAPI and QAA activities.
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Could cause more than minimal harm, widespread
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Could cause more than minimal harm, a pattern
Infection Control
Implement a program that monitors antibiotic use.
Show 9 more
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Could cause more than minimal harm, one or a few residents
Resident Rights
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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Could cause more than minimal harm, one or a few residents
Resident Rights
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.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide safe and appropriate respiratory care for a resident when needed.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
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Could cause more than minimal harm, one or a few residents
Infection Control
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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Could cause more than minimal harm, one or a few residents
Infection Control
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.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
North Crest Living Center offers nursing home care and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 62
- Occupancy 92%
- Nursing hours per resident/day 3.9
- Annual staff turnover 55%
- Last health inspection July 2025
Resident & family reviews
No one has shared a review of North Crest Living Center yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.