Occupancy rate
80%
In line with Iowa averageMix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Bethany Lutheran Home
Nursing Home in Council Bluffs
CMS overall rating
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.
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.
Bethany Lutheran Home
Nursing Home in Council Bluffs
CMS overall rating
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.
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.
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.
Quality ratings
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.
Staffing hours breakdown
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.
Total nursing care / resident
This home is ranked 49th out of 240 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.
This home is ranked 49th out of 240 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.
4h 53m per day
vs Iowa avg
+11%
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
112
Avg. Length of Stay
152 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
39% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
54% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
8% of new residents, often for long-term daily care.
Typical stay
2 - 3 years
Finances and operations
Voluntary non-profit community
Operated by a church.
Home revenue
$14.7M
Operating deficit
-$140.8K
Voluntary non-profit community
Operated by a church.
Home revenue
$14.7M
Operating deficit
-$140.8K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$5.8M
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.
$9.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$14.9M
112-bed community
A larger shared setting that may offer more common spaces and organized community services.
51 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
Occupancy
In line with Iowa averageOccupied beds
90 / 112
Average residents
51 per day
Facility TypeFree Standing Nf/snf
StatusActive
CountyPottawattamie
License Number780207
CMS Certification Number165524
Certification TypeFALSE
Bethany Lutheran Home is administrated by Chandra Gustafson.
Staffing
Key information about the people who lead and staff this community.
ContactTodd Muckey
Rehabilitation Services
Skilled Nursing
Email
[email protected]
Fax7123282304
Specific ProgramsRehab to Home
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.
37 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date
October 2, 2025
99 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Iowa average: 27 deficiencies
Inspection Report Summary for Bethany Lutheran Home
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.
Health Inspection History
Inspections
Total health inspections
10
Iowa average 4.9
Last Health inspection on Oct 2025
Total health citations
51
Iowa average 21.7
Citations per inspection
5.1
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).
Breakdown of citation severity (last 3 years)
Critical Health citations
3
3
400% worse than Iowa averageIowa average: 0.6
Serious Health citations
3
3
233% worse than Iowa averageIowa average: 0.9
3 critical citations
3 serious citations
45 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 02, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 02, 2025
Nursing Services moderate citation
Issues related to the availability and quality of nursing staff and the care they provide.
Oct 02, 2025
Issues related to the availability and quality of nursing staff and the care they provide.
Oct 02, 2025
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Oct 02, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Oct 02, 2025
Quality of Care critical citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 02, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 02, 2025Data 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.
Compare Nursing Homes around Council Bluffs The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Filter by care type
| 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 | 78.1% | +4% | 4.51 | -14% | +5% | 0 | 14 | 2.8 | 0 | 69 | A+ | 14 | - | $8.8M | $3.8M | 42.7% | 165447 | ||||
| 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 | -14% | +5% | 0 | 14 | 2.8 | 0 | 69 | A+ | - | - | $8.8M | $3.8M | 42.7% | 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) | 60 | 49.8% | -34% | 5.87 | -27% | +37% | 1 | 23 | 3.3 | 2 | 35 | - | - | - | $0.7M | $0.9M | 139.4% | 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 | 121 | 73.4% | -3% | 4.89 | +10% | +14% | 2 | 51 | 5.1 | 6 | 88 | A+ | - | Roberts, Diana | $11.8M | $5.8M | 48.7% | 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 | -4% | -3% | 0 | 34 | 5.7 | 0 | 57 | - | - | Chamley, Steven | $6.2M | $2.6M | 42.9% | 165290 |
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
142
Employees
100
Contractors
42
Staff to resident ratio
1.63:1
18% worse than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
51
Average shift
7.9 hours
7% better than Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
36,586
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
18
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.7 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
25
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
76
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
8.3%
3,037 contractor hours this quarter
Registered Nurse: 12
Certified Nursing Assistant: 8
Licensed Practical Nurse: 7
Respiratory Therapy Technician: 5
Speech Language Pathologist: 2
Physical Therapy Assistant: 2
Physical Therapy Aide: 2
Occupational Therapy Aide: 1
Qualified Social Worker: 1
Occupational Therapy Assistant: 1
Medical Director: 1
Staff by category
| 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 |
76 Certified Nursing Assistant
% of Days
100%
25 Licensed Practical Nurse
% of Days
100%
18 Registered Nurse
% of Days
100%
3 Mental Health Service Worker
% of Days
74%
2 Physical Therapy Assistant
% of Days
75%
1 Medication Aide/Technician
% of Days
70%
2 Speech Language Pathologist
% of Days
75%
1 Dietitian
% of Days
73%
1 Administrator
% of Days
66%
1 RN Director of Nursing
% of Days
59%
1 Nurse Practitioner
% of Days
53%
5 Respiratory Therapy Technician
% of Days
54%
1 Occupational Therapy Aide
% of Days
15%
1 Occupational Therapy Assistant
% of Days
15%
2 Physical Therapy Aide
% of Days
20%
1 Qualified Social Worker
% of Days
11%
1 Medical Director
% of Days
18%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
87
Medicare
11
12.6% of residents
Medicaid
49
56.3% of residents
Private pay or other
27
31% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
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.
10.5
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.8
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
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
21.1%
Percent of long-stay residents whose need for help with daily activities has increased
21.1%
12% worse than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
20.9%
Percent of long-stay residents whose ability to move independently worsened
20.9%
6% worse than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.4%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
8% worse than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.1%
Percent of long-stay high risk residents with pressure ulcers
1.1%
74% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.7%
Percent of long-stay residents with a urinary tract infection
0.7%
73% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.6%
Percent of long-stay residents who lose too much weight
5.6%
12% worse 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
17.6%
Percent of long-stay residents who received an antipsychotic medication
17.6%
8% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
87.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
87.0%
8% worse than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.3%
In line with Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
41.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
41.0%
52% worse than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
Percent of short-stay residents who newly received an antipsychotic medication
1.5%
20% better than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
46.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
46.2%
37% worse 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.
Penalties and fines
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)
Total fines amount
$30K
37% lower than Iowa averageIowa average: $48K
Number of fines
2
18% more fines than Iowa averageIowa average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
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
Fines amount comparison
Fines amount comparison
This facility
$30K
Iowa average
$48K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
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.
Nov 2, 2023
$11K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 21, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 21, 2023
$19K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Bethany Lutheran Home based on CMS SNF Cost Reports.
Occupancy Rate
73.4%
↑ 5.6pp vs 2022
Net Income
-$140.8K
↑ ~$3.6M vs 2022
Total Payroll
$9.7M
↑ ~$1.1M vs 2022
Profit Margin
-1.2%
↑ 34.5pp vs 2022
Loading trend charts...
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