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Other Senior care options in Council Bluffs:

Best Nursing Homes in Council Bluffs, IA

Reviewed by Dr. Jordan Weiss
Updated Mar 2026
We analyzed 6 homes in Council Bluffs, IA

Sources: CMS Centers for Medicare and Medicaid Services, and Iowa Department of Health, Office of Aging and Long Term Care.

Explore home photos

Video Tour: Top-rated Nursing Homes facilities in Council Bluffs, Iowa.

Watch this Video to see Council Bluffs's Top-rated Senior Communities

Compare Nursing Homes around Council Bluffs The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.

5 facilities compared · CMS & IA Dept. of Health data · Updated May 2026

Click column headers to sort
Prairie Gate-
IL

Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Council Bluffs
36
94.4%
Facility 94.4%
IA AVG 75.4%
Rank #26 / 231
+25%
-
Facility -
IA AVG 4.30
-----
0
Facility 0
IA AVG 0.8
-
Facility -
IA AVG 21.7
-
Facility -
IA AVG 4.1
-
Facility -
IA AVG 1.6
34-
6
Facility 6
IA AVG 33
Rank #58 / 65
Urinko, Natasha
$5.6M
Facility $5.6M
IA AVG $7.0M
Rank #224 / 226
$1.8M
Facility $1.8M
IA AVG $3.1M
Rank #192 / 226
32.6%
Facility 32.6%
IA AVG 46.3%
Rank #2 / 226
165789
Midlands Living Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Council Bluffs
94
72.3%
Facility 72.3%
IA AVG 75.4%
Rank #145 / 231
-4%
4.51
Facility 4.51
IA AVG 4.30
Rank #77 / 224
-14%+5%
0
Facility 0
IA AVG 0.8
14
Facility 14
IA AVG 21.7
Rank #97 / 224
2.8
Facility 2.8
IA AVG 4.1
Rank #68 / 224
-
Facility -
IA AVG 1.6
69A+
14
Facility 14
IA AVG 33
Rank #47 / 65
-
$9.3M
Facility $9.3M
IA AVG $7.0M
Rank #75 / 226
$3.8M
Facility $3.8M
IA AVG $3.1M
Rank #80 / 226
40.4%
Facility 40.4%
IA AVG 46.3%
Rank #144 / 226
165447
Prairie Gate
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Council Bluffs (Kane Township)
36
94.4%
Facility 94.4%
IA AVG 75.4%
Rank #26 / 231
+25%
5.87
Facility 5.87
IA AVG 4.30
Rank #11 / 224
-27%+37%
1
Facility 1
IA AVG 0.8
23
Facility 23
IA AVG 21.7
Rank #153 / 224
3.3
Facility 3.3
IA AVG 4.1
Rank #88 / 224
2
Facility 2
IA AVG 1.6
35-
0
Facility 0
IA AVG 33
-
$2.8M
Facility $2.8M
IA AVG $7.0M
Rank #226 / 226
$0.9M
Facility $0.9M
IA AVG $3.1M
Rank #225 / 226
33.1%
Facility 33.1%
IA AVG 46.3%
Rank #1 / 226
165794
Bethany Lutheran Home
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Seven Elliott Street
112
80.4%
Facility 80.4%
IA AVG 75.4%
Rank #103 / 231
+7%
4.89
Facility 4.89
IA AVG 4.30
Rank #47 / 224
+10%+14%
2
Facility 2
IA AVG 0.8
51
Facility 51
IA AVG 21.7
Rank #203 / 224
5.1
Facility 5.1
IA AVG 4.1
Rank #163 / 224
6
Facility 6
IA AVG 1.6
88A+
77
Facility 77
IA AVG 33
Roberts, Diana
$14.7M
Facility $14.7M
IA AVG $7.0M
Rank #38 / 226
$5.8M
Facility $5.8M
IA AVG $3.1M
Rank #31 / 226
39.1%
Facility 39.1%
IA AVG 46.3%
Rank #88 / 226
165524
North Crest Living Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Council Bluffs
62
91.9%
Facility 91.9%
IA AVG 75.4%
Rank #40 / 231
+22%
4.18
Facility 4.18
IA AVG 4.30
Rank #114 / 224
-4%-3%
0
Facility 0
IA AVG 0.8
34
Facility 34
IA AVG 21.7
Rank #183 / 224
5.7
Facility 5.7
IA AVG 4.1
Rank #176 / 224
-
Facility -
IA AVG 1.6
57-
77
Facility 77
IA AVG 33
Chamley, Steven
$6.2M
Facility $6.2M
IA AVG $7.0M
Rank #127 / 226
$2.6M
Facility $2.6M
IA AVG $3.1M
Rank #131 / 226
42.7%
Facility 42.7%
IA AVG 46.3%
Rank #140 / 226
165290

Prairie Gate

16 Valley View Dr, Council Bluffs, IA 51503
Overview of Prairie Gate

Make every moment of your retirement count at Prairie Gate, a distinct community in Council Bluffs, IA, offering independent living, memory care, enriched living, long-term care, and transitional care. The community has beautifully designed and cozy studio to two-bedroom floor plans, striving to keep residents comfortable and safe. On-site maintenance and plenty of convenient apartment features are also provided, so residents have a worry-free lifestyle.

Residents have easy access to thriving local amenities and recreational spaces, ensuring unending leisure and wellness opportunities. Continental breakfast is also provided, so residents can start their day with a delectable meal. With state-of-the-art amenities and exceptional services, residents can experience the best of their golden years without hassles.

What does this home offer?

Minimum age icon
Minimum age icon

Minimum Age: 60 Years Old

Housing options icon
Housing options icon

Housing Options: Studio / 1 Bed / 2 Bed / Private / Companions Suite

Building type icon
Building type icon

Building Type: 2-story

Dining services icon
Dining services icon

Dining Services

Beauty services icon
Beauty services icon

Beauty Services

Social and recreational activities icon
Social and recreational activities icon

Social and Recreational Activities

Exercise program icon
Exercise program icon

Exercise Programs

Parking Available icon

Parking Available

Contact Prairie Gate

Overview of Midlands Living Center

Located in Council Bluffs, Iowa, Midlands Living Center is a skilled nursing facility with a team that’s committed to addressing the physical, social, emotional, recreational, and spiritual needs of all senior residents.  Their services encompass short- and long-term care, specialized nursing care, rehabilitation, respite care, and hospice support. This senior community ensures that residents receive comprehensive care to enhance their quality of life.
Locally owned with 94-beds, Midlands Living Center places a strong emphasis on skilled nursing care, with a specialization in rehabilitative and therapeutic services. Their dedicated team comprises over 100 professionals, including certified nursing aides, licensed practical nurses, registered nurses, registered dietitians, nurse practitioners, and medical directors. The center collaborates closely with a network of specialists, including optometrists, podiatrists, physicians, and top-tier professionals in physical, occupational, and speech therapy. Their facility also offers various services, from onsite therapy to engaging activity programs, ensuring a holistic approach to well-being.

Contact Midlands Living Center

Midlands Living Center LLC

2452 North Broadway, Council Bluffs, IA 515030434
Overview of Midlands Living Center LLC
Midlands Living Center is a locally owned 94-bed skilled nursing facility located on the north edge of Council Bluffs. It provides both short- and long-term care, specialized nursing care, rehabilitation, respite care, and hospice. The facility is committed to meeting the physical, social, emotional, recreational, and spiritual needs of all residents.

Contact Midlands Living Center LLC

Bethany Lutheran Home

Seven Elliott Street, Council Bluffs, IA 515030297
Overview of Bethany Lutheran Home
Bethany Lutheran Home is a senior living facility located in Council Bluffs, Iowa. It offers comprehensive skilled nursing programs with focuses on rehabilitation, memory care, and long-term care. The facility is dedicated to providing person-centered care with a Christian mission focus.

Contact Bethany Lutheran Home

Prairie Gate

16 Valley View Dr, Council Bluffs, IA 51503
Overview of Prairie Gate
Prairie Gate is a senior living community in Council Bluffs, Iowa. It offers independent living, long-term care, memory care, and transitional care. Residents can enjoy various activities and events while living in a supportive environment.

Contact Prairie Gate

North Crest Living Center

34 Northcrest Drive, Council Bluffs, IA 515031695
Overview of North Crest Living Center
Northcrest Living Center is a locally owned and operated skilled nursing facility in Council Bluffs, IA. It offers a range of services including skilled nursing, rehabilitation, and various in-house amenities. The facility focuses on providing individualized care and has been rated above average in quality of resident care.

Contact North Crest Living Center

Ranking Methodology

How we rank these nursing homes

Every nursing home above is evaluated across five weighted categories using CMS data including Care Compare, Payroll-Based Journal, and Medicare Cost Reports.

CMS data 5 weighted categories Updated quarterly
Full methodology

Weighting overview

35%
Care Quality
20%
Staffing
20%
Regulatory
20%
Operational
5%
Environment
01

Care Quality 35%

The largest single share of every ranking. CMS star ratings and quality measures that reflect actual care delivered to residents.

Includes Overall Rating Health Inspection QM Rating Long-Stay QM Short-Stay QM
02

Staffing Adequacy 20%

The strongest predictor of resident outcomes. Volume and stability of nursing care, drawn from CMS Payroll-Based Journal.

Includes Nurse Hrs/Res/Day RN vs State Total Nurse Staff Hrs vs State RN Turnover
03

Regulatory & Safety Record 20%

Inspection patterns that star ratings can mask. We weight per-inspection rates more heavily than raw counts.

Includes Citations Citations/Inspection Severe Citations Fines Accreditations
04

Operational & Financial Stability 20%

Stable operations and sound finances are leading indicators of consistent care over time.

Includes Occupancy vs State Avg Length of Stay Revenue Payroll % Years in Operation Admin Tenure
05

Environment & Accessibility 5%

Context that matters to families but doesn't directly measure clinical care. Weighted lower for nursing homes than for assisted or independent living.

Includes Walk Score BBB Rating

Frequently Asked Questions

What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview:

  • Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement.
  • Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay.
  • Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation.
  • Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program.
  • State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options.
  • Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities.
  • Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.
How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up. 

What services do you offer?
  • Finding and ranking the best assisted living facilities
  • Finding and ranking the best nursing homes
  • Finding and ranking the best memory care facilities
  • Our concierge service helps seniors move into the perfect home for them
  • Helping seniors use medicare, medicaid, and other government programs to pay for their homes
  • Helping seniors avoid senior homes that have bad service or fraud
  • Autobiography & Family History Writing + Research
  • Senior-focused concierge medicine
  • Senior-focused nutritionist
  • Senior-focused personal training
  • Memory care specialists
  • Custom wheelchairs at all price points.
  • Custom hearing aids
  • Cosmetic skincare + dermatology
  • Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat.
  • Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.
Who we are

Your Senior Care Partner, Every Step of the Way

We help families find affordable senior communities and unlock same day discounts, Medicaid, and Medicare options tailored to your needs.

Contact us Today

Frequently Asked Questions about Nursing Homes in Council Bluffs, IA

What's the difference between assisted living and a nursing home in Iowa?

Assisted living in Iowa is a residential model focused on housing, hospitality, and help with daily activities. Nursing homes (skilled nursing facilities) provide 24/7 medical care from licensed nurses for residents with significant health needs, and are regulated more strictly under both state and federal CMS rules.

Does Iowa Medicaid cover nursing home care?

Yes — Iowa Medicaid covers nursing home care for residents who meet income, asset, and medical-need eligibility requirements. Most CMS-certified nursing homes accept Medicaid as a primary payer once long-term-care eligibility is established.

What is nursing home care?

Nursing homes (also called skilled nursing facilities) provide 24/7 medical care from licensed nurses, rehabilitation services, and long-term custodial care for residents with significant health or functional needs.

How many nursing homes are listed on this page?

This page features 6 nursing homes in Council Bluffs, IA. Use the filters and comparison tools above to compare ratings, amenities, and pricing.

How do I choose the right nursing home in Council Bluffs, IA?

Start by matching the level of care offered to the resident's current and anticipated needs, then compare licensing status, staff-to-resident ratios, recent inspection results, and pricing. Tour at least two or three communities in Council Bluffs, IA, talk to current residents and families, and confirm what is included in the base rate versus billed as add-on services.

What should I look for when visiting nursing homes in Council Bluffs, IA?

Pay attention to staff interactions with residents, cleanliness and odor, food quality at meal times, the activity calendar, and how questions about pricing and care plans are answered. Ask to see the most recent state inspection report, the move-out / level-of-care-change policy, and a sample monthly bill that lists every fee.