Show Inspection Reports
Total health inspections
6
State average 4.9
Last Health inspection on Nov 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Chapters Living of Council Bluffs (ALP)
Assisted Living Home
Chapters Living of Council Bluffs (ALP)
Assisted Living Home
Chapters Living of Council Bluffs is a premier choice for Independent Living, Assisted Living, and Memory Care in Council Bluffs, IA. The community offers personalized care, engaging amenities, and a vibrant lifestyle. Residents can enjoy a range of services designed to support their independence and well-being.
Quality ratings
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.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
36
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
31%
Residents per day (avg)
26
Occupancy rate
31%
Residents per day (avg)
26
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
62% of new residents, usually for short-term rehab.
Typical stay
16 days
Private pay
38% of new residents, often for short stays.
Typical stay
4 - 5 months
Finances and operations
Voluntary non-profit home
Other
Home revenue
$9.1M
Operating deficit
-$3.5M
Voluntary non-profit home
Other
Home revenue
$9,055,999.00
Operating deficit
$-3,493,476.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$7.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$12.5M
36-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
2 years in operation
A newer community that may feature more recent facilities and programs.
About this community
License Status
ActiveFacility Type
Assisted Living Programs
License Date
July 12, 2023
License Expiration
September 19, 2027
Additional licensing details
License number:
S0475
CMS Certification Number:
165466
County:
Pottawattamie
Ownership & operating entity
Chapters Living of Council Bluffs (ALP) is administrated by Dave Creal.
Owner name:
No Related Entities Found
Safety & Compliance
Wheelchair Accessible
Care Services
Nursing Services
Rehabilitation Services
Memory Care
Independent Living
24-Hour Staffing
Contact Information
Email:
[email protected]
Fax:
7123664748
Amenities & Lifestyle
Programs & Activities
Activities
A rich calendar of activities is offered, including exercise classes, Bible studies, music, crafts, and game nights.
Specific Programs
Independent Living, Assisted Living, Memory Care, Services, Amenities, Activities, Photo Gallery, Careers, Contact Us
Dining & Nutrition
Food Description
Chef-prepared meals are provided.
Meals Included
Yes
Inspection History
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.
2 visits/inspections
Latest inspection
Date:August 27, 2025
Compare Assisted Living around Iowa
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Chapters Living of Council Bluffs (ALP)
-21%
-99%
-59%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 51503
138
No
-
BURNETT, ALLEN
31.0%
$9,010,384.00
$4,727,924.00
52.5%
25.90
0.0259
38
2
-21%-99%-59%-
Birkwood Village of Tama-Toledo
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 52342
74
No
-
-
-
-
-
-
-
-
-
-
-
-
-
Aspen Heights Assisted Living
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 51239
48
No
-
-
-
-
-
-
-
-
-
-
-
-
-
Bavarian Meadows
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 51050
44
No
-
-
-
-
-
-
-
-
-
-
-
-
-
Avoca Lodge Assisted Living
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Avoca
40
No
0
-
-
-
-
-
-
-
-
-
-
-
Semi-Private / 1 Bed
Chapters Living of Council Bluffs (ALP)
Type of care:
SNF
AL
Community:
IA 51503
Bed Count:
138
Pets Allowed:
No
Operator:
BURNETT, ALLEN
CCN:
165466
Occupancy:
31.0%
Home Revenue:
$9,010,384.00
Payroll Costs:
$4,727,924.00
Payroll %:
52.5%
Avg Residents/Day:
25.90
Overall Rating:
Adj Nurse Hours:
0.0259
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
38
Severe Citations:
2
RN share vs State Avg:
-21%
-21%
Staffing vs State Avg:
-99%
-99%
Occupancy vs State Avg:
-59%
-59%Places of interest near Chapters Living of Council Bluffs (ALP)
4.6 miles from city center
Council Bluffs, IA 51503
Calculate Travel Distance to Chapters Living of Council Bluffs (ALP)
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
22
Total Staff
8
Employees
14
Contractors
1,709
Total Hours (Quarter)
4
Avg Staff/Day
5
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 2 | 9.1 | No |
| Licensed Practical Nurse | 3 | 7.7 | No |
| Certified Nursing Assistant | 1 | 8.1 | No |
Staff by Category
Administration ⓘ
0 staff
0hs shift avg
Nursing Staff ⓘ
6 staff
8.2hs shift avg
Physicians & Practitioners ⓘ
2 staff
7.9hs shift avg
Therapy Services ⓘ
12 staff
4.9hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
2.1hs shift avg
Dietary Services ⓘ
0 staff
0hs shift avg
Other Services ⓘ
0 staff
0hs shift avg
Contractor Analysis
96.2%
of total hours from contractors
1,644 contractor hours this quarter
Physical Therapy Assistant: 3
Speech Language Pathologist: 5
Respiratory Therapy Technician: 2
Physical Therapy Aide: 2
Qualified Social Worker: 2
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Speech Language Pathologist | 0 | 5 | 5 | 638 | 65 | 76% | 5.9 |
| Physical Therapy Assistant | 0 | 3 | 3 | 497 | 67 | 79% | 6.8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 286 | 69 | 81% | 3.5 |
| Physical Therapy Aide | 0 | 2 | 2 | 194 | 59 | 69% | 3 |
| Qualified Social Worker | 0 | 2 | 2 | 29 | 14 | 16% | 2.1 |
| Licensed Practical Nurse | 3 | 0 | 3 | 23 | 1 | 1% | 7.7 |
| Registered Nurse | 2 | 0 | 2 | 18 | 2 | 2% | 9.1 |
| Certified Nursing Assistant | 1 | 0 | 1 | 8 | 1 | 1% | 8.1 |
| Nurse Practitioner | 1 | 0 | 1 | 8 | 1 | 1% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 8 | 1 | 1% | 7.7 |
Health Inspection History
Inspections
Total health citations
38
Citations per inspection
6.33
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
16 of 38 citations resulted from standard inspections; 18 of 38 resulted from complaint investigations; and 4 of 38 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
67% worse than State averageState average: 0.6
Serious Health citations
1
1
11% worse than State averageState average: 0.9
1 critical citation
1 serious citation
36 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Nov 12, 2025
Quality of Care moderate citation
Nov 12, 2025
Care Planning moderate citation
Nov 12, 2025
Abuse/Neglect moderate citation
Jun 13, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: Non-Profit Corporation
Part of: Christian Horizons
Resident Census by Payment Source
22
Total Residents
Medicare
6
(27.3%)
ⓘ
Medicaid
2
(9.1%)
ⓘ
Private Pay/Other
14
(63.6%)
ⓘ
Programs & Services
Residents' Group
ⓘ
CCRC
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.1
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.1
In line with Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
33.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
33.7
56% worse than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
23.5%
Percent of long-stay residents whose need for help with daily activities has increased
23.5%
25% worse than Iowa averageIowa average: 18.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
43.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
43.8%
67% worse than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.4%
Percent of long-stay residents experiencing one or more falls with major injury
4.4%
23% worse than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
9.5%
Percent of long-stay high risk residents with pressure ulcers
9.5%
117% worse than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.9%
Percent of long-stay residents who lose too much weight
2.9%
41% better than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
35.6%
Percent of long-stay residents who received an antipsychotic medication
35.6%
87% worse than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
91.1%
In line with Iowa averageIowa average: 94.4%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
91.5%
8% better than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.9%
Percent of short-stay residents who newly received an antipsychotic medication
1.9%
In line with Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
84.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
84.0%
15% better than Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Chapters Living of Council Bluffs (ALP) based on CMS SNF Cost Reports.
Occupancy Rate
31.0%
↓ 11.6pp vs 2023
Net Income
-$3,493,476
↑ ~$1.0M vs 2023
Total Payroll
$6,208,045
↓ ~$1.4M vs 2023
Profit Margin
-38.8%
↑ 6.0pp vs 2023
Loading trend charts...
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