Chapters Living of Council Bluffs
Nursing Home Facility
3000 Risen Son Boulevard, Council Bluffs, IA 51503
Chapters Living of Council Bluffs is a senior care community located in Council Bluffs, IA. It provides assisted living, nursing home care, continuing care (CCRC), and senior living for older adults in the Council Bluffs area. To learn more or schedule a tour, call (712) 366-9655.
Chapters Living of Council Bluffs is licensed for 102 beds, about typical for the area, where senior care communities in Council Bluffs average about 108 beds.
Federal reporting puts occupancy at about 28% of its licensed beds, so availability is more likely here than at busier communities nearby. That is below 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 January 2026 and recorded 46 deficiencies.
Residents receive about 4.9 hours of nursing care per day on average, including 1.0 hours from a registered nurse. Communities in Council Bluffs average about 4.2 hours.
The community is located in Pottawattamie County, IA.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 68 problems at Chapters Living of Council Bluffs. 1 finding involved harm to a resident, including 1 that put residents in immediate danger. 27 came from investigating complaints by residents or families.
In the last three years Medicare fined this home once, a total of $163,800. Medicare also stopped paying for new admissions once in that period.
Findings from the most recent inspection cycle
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Put residents in immediate danger, a pattern
Quality of Life and Care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Could cause more than minimal harm, widespread
Resident Assessment and Care Planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Could cause more than minimal harm, widespread
Administration
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
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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
Administration
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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Could cause more than minimal harm, widespread
Administration
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
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Could cause more than minimal harm, widespread
Infection Control
Implement a program that monitors antibiotic use.
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Could cause more than minimal harm, widespread
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.
Show 38 more
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Could cause more than minimal harm, a pattern
Resident Rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Could cause more than minimal harm, a pattern
Resident Rights
Give residents a notice of rights, rules, services and charges.
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Could cause more than minimal harm, a pattern
Resident Rights
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
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Could cause more than minimal harm, a pattern
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, a pattern
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, a pattern
Resident Rights
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.
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Could cause more than minimal harm, a pattern
Freedom from Abuse, Neglect, and Exploitation
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
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Could cause more than minimal harm, a pattern
Freedom from Abuse, Neglect, and Exploitation
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Could cause more than minimal harm, a pattern
Freedom from Abuse, Neglect, and Exploitation
Respond appropriately to all alleged violations.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide enough food/fluids to maintain a resident's health.
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Could cause more than minimal harm, a pattern
Nursing and Physician Services
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Could cause more than minimal harm, a pattern
Nursing and Physician Services
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.
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Could cause more than minimal harm, a pattern
Nursing and Physician Services
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.
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Could cause more than minimal harm, a pattern
Nursing and Physician Services
Observe each nurse aide's job performance and give regular training.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
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.
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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
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Dispose of garbage and refuse properly.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Could cause more than minimal harm, a pattern
Infection Control
Provide and implement an infection prevention and control program.
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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
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from the wrongful use of the resident's belongings or money.
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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 each resident receives an accurate assessment.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide activities to meet all resident's needs.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
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.
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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
Nutrition and Dietary
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
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.
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Could cause more than minimal harm, a pattern
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, a pattern
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.
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.
Chapters Living of Council Bluffs offers assisted living, nursing home care, continuing care (CCRC), and senior living.
Facility details
- Organization type Non profit - Corporation
- Beds / units 102
- Religious affiliation Christian
- Occupancy 28%
- Nursing hours per resident/day 4.9
- Last health inspection January 2026
Resident & family reviews
No one has shared a review of Chapters Living of Council Bluffs yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.