Nursing home
North Crest Living Center
34 Northcrest Drive, Council Bluffs, IA 51503 · Map
For profit - Limited Liability company · 62 certified beds
North Crest Living Center is a Medicare-certified nursing home in Council Bluffs, Iowa. CMS rates it 1 out of 5 stars overall (3/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.77 hours per resident per day, below the Iowa average of 3.83. Its most recent inspection on Jul 24, 2025 cited 17 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How North Crest Living Center 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) | 3.77 | 3.83 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.60 | 0.73 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.79 | 2.53 | 2.34 | above avg |
| Nursing staff turnover | 59.3% | 43.9% | 46.4% | above avg |
| Deficiencies cited, last inspection | 17.0 | 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 August 26, 2025 inspection was corrected by September 24, 2025
What inspectors found at North Crest Living Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 26, 2025 · Full report (PDF) - Potential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Aug 26, 2025 · Full report (PDF) - Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Aug 26, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jul 24, 2025 · Full report (PDF) - Potential for harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Jul 24, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Implement a program that monitors antibiotic use.
Infection Control Deficiencies · Jul 24, 2025 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Jul 24, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Jul 24, 2025 · 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 · Jul 24, 2025 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Jul 24, 2025 · Full report (PDF) - Potential for harm
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care Deficiencies · Jul 24, 2025 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Jul 24, 2025 · 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
- 34 Northcrest Drive
Council Bluffs, IA 51503 - CMS certification #
- 165290
- Ownership
- For profit - Limited Liability company
- Certified beds
- 62
- Avg residents/day
- 57.8
- Provider type
- Medicare and Medicaid
- First certified
- 1996-08-01
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around North Crest Living Center using Google Maps.
Other public records
- Website says Nurse 24 hours a day, transportation
Full public records, with dates and sources
Care and services
From the community’s website
What North Crest Living Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
Location and nearby care
- Nearest hospital with an emergency room
- Methodist Jennie Edmundson, Council Bluffs. 0.4 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Midlands Living Center L L C, Council Bluffs. 0.8 miles away, straight line.
- Nearest home health agency office
- Angels Care Home Health Of Iowa, Council Bluffs. 1.0 mile away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 0.6 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, 1.1 miles away, straight line (CMS rating 2 of 5 stars)
Dialysis Clinics, Inc - Omaha, Omaha, 6.9 miles away, straight line (CMS rating 1 of 5 stars)
Fkc - Omaha North, Omaha, 7.7 miles away, straight line - Hospice
- 16 Medicare hospices tell CMS they serve ZIP code 51503.
Hillcrest Hospice, office in Council Bluffs, 2.1 miles away, straight line (CMS family survey rating 3 of 5 stars)
St Croix Hospice, office in Co Bluffs, 2.2 miles away, straight line (CMS family survey rating 3 of 5 stars)
Aseracare Hospice, office in Council Bluffs, 4.5 miles away, straight line - Nearest geriatric medicine practice
- Unmc Physicians, Omaha. 7.4 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 moderate. By hazard: inland flooding relatively moderate, wildfire relatively low, tornado very 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 | See above |
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Frequently asked questions
Is North Crest Living Center a good nursing home?
CMS gives North Crest Living Center an overall rating of 1 out of 5 stars, including 3/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is North Crest Living Center staffed?
North Crest Living Center reports 3.77 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has North Crest Living Center had inspection problems?
Its most recent CMS inspection cited 17 deficiencies.
How many beds does North Crest Living Center have?
North Crest Living Center is certified for 62 beds.