Home›Iowa›Pottawattamie County›Chapters Living of Council Bluffs
F
Critical

Chapters Living of Council Bluffs

3000 Risen Son Blvd · Council Bluffs, IA 51503

7123669655 · Non profit - Corporation

102 beds22.4 residents22 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
F
Critical
Total Staff
F
Critical
RN Staff
F
Critical
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Chapters Living of Council Bluffs receives an overall staffing grade of F (Critical). With 0.0277 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.0155 HPRD, below the recommended 0.75. It is 3.88 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping -216.31% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (3)

🚨Had 89 days with zero RN hours this quarter — CMS automatically assigns a 1-star staffing rating for 4+ days.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 0.0277 HPRD — needs 3.45 more hours per resident per day.
⚠️RN staffing (0.0155 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Low agency staff usage (0%) — mostly permanent, familiar staff
✅Consistent weekend staffing — only -216.31% drop-off
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
0.0277hrs/resident/day▼ 3.88
CMS benchmark: 3.48
RN HPRD
0.0155hrs/resident/day▼ 0.67
Recommended: 0.75
Weekend Drop-off
-216.31%
0.0171 weekday → 0.0542 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
89days this quarter
4+ days = auto 1-star
⚠ Auto 1-star triggered
CNA HPRD
0.0032hrs/resident/day
Direct care aides
LPN HPRD
0.0091hrs/resident/day
Licensed practical nurses
Consistency
0.1871std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Pottawattamie County Average-3.17 HPRD
3.20
00.03 HPRD
vs. Iowa State Average-3.79 HPRD
3.82
00.03 HPRD
vs. National Average-3.88 HPRD
3.91
00.03 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q2 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Chapters Living of Council Bluffs ★
Council Bluffs · This facility
—
F
0.02770.0155★☆☆☆☆
North Crest Living Center
Council Bluffs
3.2 mi
B
3.77120.6017★☆☆☆☆
Oakland Manor
Oakland
22.2 mi
B
3.48830.739★☆☆☆☆
Azria Health Longview
Missouri Valley
23.5 mi
C
4.03240.4672★☆☆☆☆
Avoca Specialty Care
Avoca
28.7 mi
C
3.34460.7387★☆☆☆☆
Good Samaritan Society - Red Oak
Red Oak
33 mi
C
3.25860.6661★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
37
Total Deficiencies
$0
Fines Assessed
Nov 12, 2025Health
3 deficiencies cited
▼
Jun 13, 2025Health
11 deficiencies cited
▼
Jan 9, 2025Health
8 deficiencies cited
▼
Jan 10, 2024Health
3 deficiencies cited
▼
Nov 2, 2022Health
12 deficiencies cited· Includes actual harm
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q2 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.