Home›Iowa›Pottawattamie County›North Crest Living Center
B
Good

North Crest Living Center

34 Northcrest Drive · Council Bluffs, IA 51503

7123282333 · For profit - Limited Liability company

62 beds57.8 residents87 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
B
Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

North Crest Living Center receives an overall staffing grade of B (Good). With 3.7712 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.6017 HPRD, below the recommended 0.75. It is 0.13 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 24.72% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.6017 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.7712hrs/resident/day▼ 0.13
CMS benchmark: 3.48
RN HPRD
0.6017hrs/resident/day▼ 0.08
Recommended: 0.75
Weekend Drop-off
24.72%
4.0545 weekday → 3.0521 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.74hrs/resident/day
Direct care aides
LPN HPRD
0.3767hrs/resident/day
Licensed practical nurses
Consistency
0.5264std 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-0.13 HPRD
3.90
03.77 HPRD
vs. Iowa State Average-0.05 HPRD
3.82
03.77 HPRD
vs. National Average-0.13 HPRD
3.90
03.77 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
North Crest Living Center ★
Council Bluffs · This facility
—
B
3.77120.6017★☆☆☆☆
Azria Health Longview
Missouri Valley
20.5 mi
C
4.03240.4672★☆☆☆☆
Oakland Manor
Oakland
23.1 mi
B
3.48830.739★☆☆☆☆
Avoca Specialty Care
Avoca
28.1 mi
C
3.34460.7387★☆☆☆☆
Azria Health Rose Vista
Woodbine
33.2 mi
C
3.58680.4739★☆☆☆☆
Good Samaritan Society - Red Oak
Red Oak
35.6 mi
C
3.25860.6661★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
34
Total Deficiencies
$0
Fines Assessed
Aug 26, 2025Health
3 deficiencies cited
▼
Jul 24, 2025Health
14 deficiencies cited
▼
Sep 19, 2024Health
10 deficiencies cited
▼
Aug 2, 2024Health
3 deficiencies cited
▼
Mar 28, 2024Health
2 deficiencies cited
▼
Jun 8, 2023Health
2 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · 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.