We arrange tours, appointments, and even moving support so you don’t have to
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 52nd out of 241 homes in Iowa. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 21m per day | ▼ 52% State avg: 44m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 56m per day | ▲ 65% State avg: 34m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 46m per day | ▲ 9% State avg: 2h 32m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 37m per day | ▲ 8% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ■ Avg State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 18m per day | ▼ 40% State avg: 30m per day · National avg: 28m per day |
Higher than the Iowa average: 75.4%Bethany Lutheran Home is administrated by Chandra Gustafson.
Key information about the people who lead and staff this community.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 99 | 27 | This facility has 267% more total deficiencies than a typical Iowa nursing home (99 vs. IA avg 27).↑ 267% worse |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 16.5 | 4.5 | This facility has 267% more deficiencies per year than a typical Iowa nursing home (16.5 vs. IA avg 4.5).↑ 267% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 2.7 | 1.8 | This facility has 50% more deficiencies per inspection than a typical Iowa nursing home (2.7 vs. IA avg 1.8).↑ 50% worse |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 37 | 15 | This facility has 147% more total inspections than a typical Iowa nursing home (37 vs. IA avg 15).↑ 147% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on October 2, 2025 identified deficiencies in several areas including care planning, nursing staff sufficiency, medication management, infection control, and accident prevention. Earlier inspections showed a pattern of similar issues with care planning, medication administration, staffing levels, and resident dignity, with multiple substantiated complaints and some immediate jeopardy findings in prior years. Notable enforcement actions included removal of immediate jeopardy in late 2023 and fines were not listed in the available reports. Most complaint investigations were substantiated, often involving inadequate supervision, failure to follow physician orders, and dignity concerns. The facility’s inspection history shows ongoing challenges with care coordination and staffing, with no clear improvement trend in recent inspections.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsIowa average 4.9
Last Health inspection on Oct 2025
Iowa average 21.7
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
16 of 51 citations resulted from standard inspections; 21 of 51 resulted from complaint investigations; and 14 of 51 came from combined inspections (standard and complaint).
400% worse than Iowa averageIowa average: 0.6
233% worse than Iowa averageIowa average: 0.9
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
13% worse than Iowa average
7% better than Iowa average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,097 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 70 | 4 | 74 | 21,813 | 92 | 100% | 8 |
| Licensed Practical Nurse | 23 | 7 | 30 | 7,017 | 92 | 100% | 8.3 |
| Registered Nurse | 8 | 15 | 23 | 2,381 | 92 | 100% | 7.9 |
| Mental Health Service Worker | 3 | 0 | 3 | 1,231 | 68 | 74% | 7.6 |
| Medication Aide/Technician | 2 | 0 | 2 | 920 | 76 | 83% | 8.2 |
| Physical Therapy Assistant | 0 | 5 | 5 | 812 | 73 | 79% | 6.5 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 66 | 72% | 7.8 |
| Speech Language Pathologist | 0 | 2 | 2 | 502 | 64 | 70% | 5.9 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 480 | 61 | 66% | 7.9 |
| Dietitian | 1 | 0 | 1 | 476 | 61 | 66% | 7.8 |
| Qualified Social Worker | 0 | 1 | 1 | 448 | 59 | 64% | 7.6 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 227 | 40 | 43% | 5.3 |
| Physical Therapy Aide | 0 | 3 | 3 | 108 | 22 | 24% | 4.9 |
| Occupational Therapy Aide | 0 | 1 | 1 | 98 | 16 | 17% | 6.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 61 | 11 | 12% | 5.5 |
| Medical Director | 0 | 1 | 1 | 30 | 20 | 22% | 1.5 |
| Clinical Nurse Specialist | 0 | 1 | 1 | 12 | 2 | 2% | 6 |
Includes penalties issued in 2023
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)
37% lower than Iowa averageIowa average: $48K
18% more fines than Iowa averageIowa average: 1.7
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Iowa averageIowa average: 0.5
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 2, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 21, 2023Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.5
In line with Iowa averageIowa average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.8
6% worse than Iowa averageIowa average: 21.6
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
21.1%
12% worse than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
20.9%
6% worse than Iowa averageIowa average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.4%
In line with Iowa averageIowa average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
8% worse than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
1.1%
74% better than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.7%
73% better than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
5.6%
12% worse than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
17.6%
8% better than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
87.0%
8% worse than Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.3%
In line with Iowa averageIowa average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
2.42
64% worse than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.18
44% better than Iowa averageIowa average: 2.09
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
41.0%
52% worse than Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
20% better than Iowa averageIowa average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
46.2%
37% worse than Iowa averageIowa average: 73.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
31.4%
47% worse than Iowa averageIowa average: 21.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
9.7%
26% better than Iowa averageIowa average: 13.1%
Percentage of SNF residents who experience falls with major injury during their stay.
1.1%
45% worse than Iowa averageIowa average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
46.3%
14% worse than Iowa averageIowa average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
56.0%
11% better than Iowa averageIowa average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
87Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Bethany Lutheran Home based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #13 / 242Payroll — State benchmarkedThis home is ranked 13th out of 242 homes in Iowa. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
0.0 miles from city center
Estimated distance in miles from Council Bluffs's city center to Bethany Lutheran Home's address, calculated via Google Maps.
Add your location
Bethany Lutheran Home is located in Seven Elliott Street, Iowa.
Here are the financial assistance programs available to residents in Iowa.
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| Midlands Living Center LLC |
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 | 78.1% | +4% | 4.51 | -23% | +5% | $0 | 14 | 2.8 | - | 69 | A+ | 77 | - | $9.3M | $4.4M | 47% | 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 | 49.8% | -34% | 5.87 | -9% | +37% | $27.6k | 23 | 3.3 | 2 | 35 | - | 0 | - | $2.8M | $1.1M | 40.1% | 165794 | ||||
| Risen Son Christian Village |
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.
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. | Council Bluffs (Risen Son Boulevard) | 138 | 31.0% | -59% | 0.03 | -22% | -99% | $0 | 38 | 6.3 | 2 | 26 | A+ | 8 | Allen Burnett | $9.1M | $6.2M | 68.6% | 165466 | ||||
| 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 | 73.4% | -3% | 4.89 | +28% | +14% | $30.3k | 51 | 5.1 | 6 | 88 | A+ | 77 | Diana Roberts | $14.7M | $9.7M | 65.7% | 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 | 86.3% | +14% | 4.18 | -32% | -3% | $0 | 34 | 5.7 | - | 57 | - | 77 | Steven Chamley | $6.2M | $3.6M | 59% | 165290 |
Bethany Lutheran Home has a walk score of 77. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to IA state health department records, Bethany Lutheran Home's license number is 780207.
Bethany Lutheran Home's occupancy is 80%.
The team at Bethany Lutheran Home can be reached at [email protected].
Chandra Gustafson is the administrator of Bethany Lutheran Home.
Bethany Lutheran Home has 112 beds.
Yes — there is 1 photo of Bethany Lutheran Home in the photo gallery on this page.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
