Chapters Living of Council Bluffs

• Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity K of L: immediate jeopardy, patternFound during a complaint inspectionCorrected Feb 27, 2026

• Have approved installation, maintenance and testing program for fire alarm systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 20, 2026

• Develop and maintain an Emergency Preparedness Program (EP).

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 2, 2026

• Install emergency lighting that can last at least 1 1/2 hours.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 11, 2026

• Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 29, 2026

• To conduct inspection, testing and maintenance of fire doors by qualified individuals.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 20, 2026

• Have simulated fire drills held at unexpected times.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 5, 2026

• Have generator or other power source capable of supplying service within 10 seconds.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 12, 2026

• 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.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 27, 2026

• Implement a program that monitors antibiotic use.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 27, 2026

• Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 27, 2026

• Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 27, 2026

• Have a plan that describes the process for conducting QAPI and QAA activities.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 27, 2026

• Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 27, 2026

• Inspect, test, and maintain automatic sprinkler systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 20, 2026

• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Feb 27, 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 27, 2026

• Observe each nurse aide's job performance and give regular training.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 27, 2026

• Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 2, 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 27, 2026

• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 2, 2026

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 2, 2026

• Dispose of garbage and refuse properly.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 27, 2026

• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 2, 2026

• Provide and implement an infection prevention and control program.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 2, 2026

• Have properly located and lighted "Exit" signs.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 11, 2026

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Apr 2, 2026

• Give residents a notice of rights, rules, services and charges.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Feb 27, 2026

• Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 27, 2026

• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 27, 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 27, 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 27, 2026

• Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 27, 2026

• Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 27, 2026

• Respond appropriately to all alleged violations.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 27, 2026

• Provide care and assistance to perform activities of daily living for any resident who is unable.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Feb 27, 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 27, 2026

• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Apr 2, 2026

• Provide enough food/fluids to maintain a resident's health.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 27, 2026

• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 27, 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.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 27, 2026

• Install corridor and hallway doors that block smoke.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 22, 2026

• Provide properly protected cooking facilities.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 20, 2026

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 27, 2026

• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 27, 2026

• Protect each resident from the wrongful use of the resident's belongings or money.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 27, 2026

• Ensure proper usage of power strips and extension cords.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 22, 2026

• Use approved construction type or materials.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 5, 2026

• Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 27, 2026

• Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 27, 2026

• Provide safe and appropriate respiratory care for a resident when needed.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 27, 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 27, 2026

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 27, 2026

• Provide activities to meet all resident's needs.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 27, 2026

• Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 27, 2026

• Ensure each resident receives an accurate assessment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 27, 2026

• Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jan 9, 2026

• Ensure services provided by the nursing facility meet professional standards of quality.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jan 9, 2026

• Provide and implement an infection prevention and control program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 9, 2026

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jul 14, 2025

• Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jul 14, 2025

• Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

  Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jul 14, 2025

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 14, 2025

• 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.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 14, 2025

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 14, 2025

• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 14, 2025

• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 14, 2025

• Provide appropriate pressure ulcer care and prevent new ulcers from developing.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 14, 2025

• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 14, 2025

• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 14, 2025

• Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 10, 2025

• Ensure that testing and maintenance of electrical equipment is performed.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 25, 2025

• Provide a written emergency evacuation plan.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 10, 2025

• Have simulated fire drills held at unexpected times.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 24, 2025

• To conduct inspection, testing and maintenance of fire doors by qualified individuals.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 10, 2025

• Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 23, 2025

• Have generator or other power source capable of supplying service within 10 seconds.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 10, 2025

• Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 31, 2025

• Provide properly protected cooking facilities.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 20, 2025

• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 31, 2025

• Install emergency lighting that can last at least 1 1/2 hours.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 10, 2025

• Provide and implement an infection prevention and control program.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 31, 2025

• Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 31, 2025

• Plan the resident's discharge to meet the resident's goals and needs.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 31, 2025

• Ensure services provided by the nursing facility meet professional standards of quality.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 31, 2025

• Ensure each resident receives an accurate assessment.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 31, 2025

• Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 31, 2025

• Inspect, test, and maintain automatic sprinkler systems.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 10, 2025

• Follow proper procedures when the fire alarm was out of service for more than 4 hours.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Mar 4, 2024

• Have approved installation, maintenance and testing program for fire alarm systems.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Mar 1, 2024

• Install emergency lighting that can last at least 1 1/2 hours.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 2, 2024

• List the names and contact information of those in the facility.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 1, 2024

• Have simulated fire drills held at unexpected times.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 27, 2024

• Develop and maintain an Emergency Preparedness Program (EP).

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Feb 1, 2024

• Establish roles under a Waiver declared by secretary.

  Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jan 11, 2024

• Install a fire alarm system that can be heard throughout the facility.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 1, 2024

• Have properly located and lighted "Exit" signs.

  Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 11, 2024

• Have proper medical gas storage and administration areas.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 1, 2024

• Respond appropriately to all alleged violations.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 7, 2024

• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 7, 2024

• Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

  Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 7, 2024

Chapters Living of Council Bluffs offers Independent Living and Memory Care.

Published pricing at Chapters Living of Council Bluffs starts around $1,895 per month. Final costs depend on care needs and apartment selection; contact the community for a detailed quote.

Chapters Living of Council Bluffs is located at 3000 Risen Son Blvd in Council Bluffs, Iowa.

Chapters Living of Council Bluffs carries a 3.6 out of 5 rating from 11 Google reviews. Reviewers describe a community with genuinely caring, friendly staff and a solid rehab program, but several recent reviews raise serious concerns about staffing levels, rising rent, and unresolved maintenance issues. Experiences seem to vary depending on department and timing, with strong praise for individual caregivers alongside pointed complaints about management and billing practices. Reviews on MyLivingChoice come from families who confirmed a connection to the community and appear with the reviewer's first name and last initial.

Chapters Living of Council Bluffs had 6 government inspection visits in the last three years, with 101 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

Submit the Request Information form on this page, or contact Chapters Living of Council Bluffs directly, to arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.