Chapters Living of Council Bluffs: Staffing, Turnover, and Inspection Record
Chapters Living of Council Bluffs is a 102-bed for-profit nursing home in Council Bluffs, Iowa. In the CMS August 2026 release it reported 2.84 nurse aide hours per resident per day, 13% above the Iowa average of 2.51.
Chapters Living of Council Bluffs
3000 Risen Son BlvdCouncil Bluffs, IA 51503
Pottawattamie County
CMS Care Compare, August 2026 release
Special Focus Facility candidate. CMS lists this home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Chapters Living of Council Bluffs, nurse aides logged 2.84 hours per resident per day, 13% above the Iowa average. With about 29 residents a day, that works out to roughly 82 aide hours a day, or about 10 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 10% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.84 | 2.51 | 2.32 |
| Licensed practical nurses | 1.02 | 0.56 | 0.86 |
| Registered nurses | 1.02 | 0.74 | 0.69 |
| All nursing staff | 4.88 | 3.82 | 3.86 |
| All nursing staff, weekends | 4.39 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
CMS publishes no nursing staff turnover figure for Chapters Living of Council Bluffs in this release.
CMS note: Staffing data not submitted or not valid for calculating turnover.
Inspections and penalties
State inspectors last completed a standard health inspection on Jan 30, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 46 health deficiencies (Iowa average 6.5). CMS lists 1 fine totaling $163,800 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jan 30, 2026 | Fine | $163,800 |
| Jan 30, 2026 | Payment Denial | 27 days from Mar 6, 2026 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Chapters Living of Council Bluffs holds 1 of 5 overall; the Iowa average is 3.1.
About Chapters Living of Council Bluffs
- Ownership: For profit - Corporation
- Legal name: Chapters Council Bluffs Opco LLC
- Medicare and Medicaid certified since: Jul 1, 2002
- Part of a continuing care retirement community
- Councils: resident council
- Area: urban
Nursing homes near Chapters Living of Council Bluffs
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Prairie Gate Council Bluffs | 1.6 | 72 | 2.78 | 4.21 | 47.5% | 2 | $27,630 |
| Bethany Lutheran Home Council Bluffs | 2.4 | 112 | 2.67 | 3.99 | 30.4% | 1 | $46,914 |
| North Crest Living Center Council Bluffs | 3.2 | 62 | 2.95 | 3.91 | 54.5% | 1 | None |
| Midlands Living Center L L C Council Bluffs | 3.9 | 94 | 2.31 | 3.78 | 40.8% | 4 | None |
| St. Joseph Villa Nursing Center Omaha | 6.7 | 184 | 2.95 | 3.86 | 35.8% | 1 | $12,048 |
| Ambassador Health of Omaha Omaha | 8.5 | 146 | 1.72 | 6.66 | 28.3% | 5 | None |
| Hillcrest Health & Rehab Bellevue | 8.7 | 151 | 3.20 | 4.59 | 41.6% | 2 | $33,248 |
| Douglas County Health Center Omaha | 9.0 | 254 | 3.26 | 4.78 | 14.9% | 3 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.