Nursing home
Chapters Living of Council Bluffs (Independent Living and Skilled Nursing and Continuing Care)
3000 Risen Son Blvd, Council Bluffs, IA 51503 · Map
Non profit - Corporation · 102 certified beds
Chapters Living of Council Bluffs (Independent Living and Skilled Nursing and Continuing Care) is a Medicare-certified nursing home in Council Bluffs, Iowa. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Its most recent inspection on Jan 9, 2025 cited 27 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Chapters Living of Council Bluffs (Independent Living and Skilled Nursing and Continuing Care) compares
This facility vs. the Iowa and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Iowa avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | — | 3.83 | 3.89 | — |
| RN staffing (hrs/resident/day) | — | 0.73 | 0.68 | — |
| Aide staffing (hrs/resident/day) | — | 2.53 | 2.34 | — |
| Nursing staff turnover | —% | 43.9% | 46.4% | — |
| Deficiencies cited, last inspection | 27.0 | 6.2 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the January 30, 2026 inspection was corrected by April 2, 2026
What inspectors found at Chapters Living of Council Bluffs (Independent Living and Skilled Nursing and Continuing Care)
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Immediate jeopardy
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Jan 30, 2026 · Full report (PDF) - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Jan 30, 2026 · Full report (PDF) - Potential for harm
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.
Infection Control Deficiencies · Jan 30, 2026 · Full report (PDF) - Potential for harm
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Jan 30, 2026 · Full report (PDF) - Potential for harm
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · Jan 30, 2026 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Jan 30, 2026 · Full report (PDF) - Potential for harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Jan 30, 2026 · Full report (PDF) - Potential for harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · Jan 30, 2026 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jan 30, 2026 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Jan 30, 2026 · Full report (PDF) - Potential for harm
Give residents a notice of rights, rules, services and charges.
Resident Rights Deficiencies · Jan 30, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 30, 2026 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 3000 Risen Son Blvd
Council Bluffs, IA 51503 - CMS certification #
- 165466
- Ownership
- Non profit - Corporation
- Certified beds
- 102
- Avg residents/day
- 22.4
- Provider type
- Medicare and Medicaid
- First certified
- 2002-07-01
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Chapters Living of Council Bluffs (Independent Living and Skilled Nursing and Continuing Care) using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Methodist Jennie Edmundson, Council Bluffs. 3.1 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Prairie Gate, Council Bluffs. 1.6 miles away, straight line.
- Nearest home health agency office
- Angels Care Home Health Of Iowa, Council Bluffs. 2.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Hy-Vee Pharmacy. 1.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 51503 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Council Bluffs Dialysis Center, Council Bluffs, 3.2 miles away, straight line (CMS rating 2 of 5 stars)
Davita Cornhusker Dialysis, Bellevue, 8.4 miles away, straight line (CMS rating 2 of 5 stars)
Dialysis Clinics, Inc - Omaha, Omaha, 8.6 miles away, straight line (CMS rating 1 of 5 stars) - Hospice
- 16 Medicare hospices tell CMS they serve ZIP code 51503.
St Croix Hospice, office in Co Bluffs, 1.3 miles away, straight line (CMS family survey rating 3 of 5 stars)
Hillcrest Hospice, office in Council Bluffs, 4.1 miles away, straight line (CMS family survey rating 3 of 5 stars)
Aseracare Hospice, office in Council Bluffs, 6.3 miles away, straight line - Nearest geriatric medicine practice
- Advanced Mobile Medicine LLC, Bellevue. 8.7 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: inland flooding relatively low, wildfire relatively low, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Chapters Living of Council Bluffs (Independent Living and Skilled Nursing and Continuing Care) a good nursing home?
CMS gives Chapters Living of Council Bluffs (Independent Living and Skilled Nursing and Continuing Care) an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
Has Chapters Living of Council Bluffs (Independent Living and Skilled Nursing and Continuing Care) had inspection problems?
Its most recent CMS inspection cited 27 deficiencies.
How many beds does Chapters Living of Council Bluffs (Independent Living and Skilled Nursing and Continuing Care) have?
Chapters Living of Council Bluffs (Independent Living and Skilled Nursing and Continuing Care) is certified for 102 beds.