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Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Offers a balance of services and community atmosphere.
Lower occupancy suggests more openings may be available.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
39% of new residents, usually for short-term rehab.
54% of new residents, often for short stays.
8% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Active
Bethany Lutheran Home is administrated by Chandra Gustafson.
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
-14%
+5%+4%Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
-27%+37%-34%Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
+10%+14%-3%Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
-4%-3%+14%
Midlands Living Center -14%+5%+4%
Prairie Gate -27%+37%-34%
Bethany Lutheran Home +10%+14%-3%
North Crest Living Center -4%-3%+14%
0.0 miles from city center
Council Bluffs, IA 515030297
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Source: CMS Payroll-Based Journal (Q2 2025)
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 18 | 8.7 | Yes |
| Licensed Practical Nurse | 25 | 8.5 | Yes |
| Certified Nursing Assistant | 76 | 8 | Yes |
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 68 | 8 | 76 | 21,595 | 91 | 100% | 8 |
| Licensed Practical Nurse | 18 | 7 | 25 | 6,774 | 91 | 100% | 8.5 |
| Registered Nurse | 6 | 12 | 18 | 2,667 | 91 | 100% | 8.7 |
| Mental Health Service Worker | 3 | 0 | 3 | 1,205 | 67 | 74% | 7.7 |
| Physical Therapy Assistant | 0 | 2 | 2 | 873 | 68 | 75% | 7.1 |
| Medication Aide/Technician | 1 | 0 | 1 | 573 | 64 | 70% | 8.9 |
| Speech Language Pathologist | 0 | 2 | 2 | 525 | 68 | 75% | 5 |
| Dietitian | 1 | 0 | 1 | 488 | 66 | 73% | 7.4 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 434 | 54 | 59% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 384 | 48 | 53% | 8 |
| Respiratory Therapy Technician | 0 | 5 | 5 | 266 | 49 | 54% | 4.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 95 | 14 | 15% | 6.8 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 70 | 14 | 15% | 5 |
| Physical Therapy Aide | 0 | 2 | 2 | 69 | 18 | 20% | 3.6 |
| Qualified Social Worker | 0 | 1 | 1 | 46 | 10 | 11% | 4.6 |
| Medical Director | 0 | 1 | 1 | 42 | 16 | 18% | 2.6 |
Last Health inspection on Oct 2025
5.1 citations per inspection (avg)
Citations can result from standard inspections or complaint-based investigations.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Active councils help families stay involved in care decisions and facility operations.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
12% above Iowa average.
6% above Iowa average.
1% above Iowa average.
8% above Iowa average.
74% below Iowa average.
73% below Iowa average.
100% below Iowa average.
8% below Iowa average.
8% below Iowa average.
0% above Iowa average.
12% above Iowa average.
52% worse than Iowa average
20% better than Iowa average
37% worse than Iowa average Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Penalties are imposed by CMS for violations of federal nursing home regulations.
Last updated: Jan 2026
Historical financial and operational data for Bethany Lutheran Home based on CMS SNF Cost Reports.
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