Occupancy rate
39%
In line with Iowa averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Assisted Living in Iowa
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.
Chapters Living of Council Bluffs (ALP)
Assisted Living in Iowa
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.
Chapters Living of Council Bluffs (ALP)
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
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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
38.9%
Residents per day
14
Occupancy rate
38.9%
Residents per day
14
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 community
Home revenue
$9.1M
Operating deficit
-$3.5M
Voluntary non-profit community
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
Occupancy
In line with Iowa averageOccupied beds
14 / 36
Average residents
51 per day
License details
Facility type
Assisted Living Programs
Status
Active
Issuance
July 12, 2023
Expiration
September 19, 2027
County:
Pottawattamie
Additional licensing details
License number:
S0475
CMS Certification Number:
165466
Ownership & operating entity
Chapters Living of Council Bluffs (ALP) is administrated by Dave Creal.
Owner name:
No Related Entities Found
Safety & Compliance
Care Services
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
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date
August 27, 2025
3 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Iowa average: 27 deficiencies
Inspection Report Summary for Chapters Living of Council Bluffs (ALP)
The most recent inspection on August 27, 2025, identified a deficiency related to medication administration training documentation for one staff member. Earlier inspections showed some issues with tenant evaluations and service plan development, indicating challenges with compliance in care planning. The main themes across reports involved medication management and documentation, as well as evaluation and service planning processes. Complaint investigations included one substantiated case concerning medication aide training documentation, while other complaints were not listed in the available reports. The facility’s inspection history shows ongoing issues with staff training and care documentation without clear improvement or worsening trends.
Health Inspection History
Inspections
Total health inspections
6
State average 4.9
Last Health inspection on Nov 2025
Total health citations
38
State average 21.7
Citations per inspection
6.33
State average 4.11
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
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Nov 12, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Nov 12, 2025
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 12, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 12, 2025
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Nov 12, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Nov 12, 2025
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jun 13, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
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.
Compare Assisted Living around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Filter by care type
Chapters Living of Council Bluffs (ALP)
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
138
No
-
-
2
38.9%
1
Apple Valley Place
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.
Osage
78
No
-
-
17
65.4%
5
Aspen Heights Assisted Living
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.
Hull
48
No
-
-
14
54.2%
0
Bavarian Meadows
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.
Remsen
44
No
-
-
16
43.2%
1
Avoca Lodge Assisted Living
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.
Avoca
40
No
0
Semi-Private / 1 Bed
24
2.5%
4
Places of interest near Chapters Living of Council Bluffs (ALP)
4.6 miles from city center
3000 Risen Son Blvd., Council Bluffs, IA 51503
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
22
Employees
8
Contractors
14
Staff to resident ratio
1.00:1
50% worse than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
4
Average shift
5 hours
32% worse than Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
1,709
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
2
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
3
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
1
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
96.2%
1,644 contractor hours this quarter
Speech Language Pathologist: 5
Physical Therapy Assistant: 3
Respiratory Therapy Technician: 2
Physical Therapy Aide: 2
Qualified Social Worker: 2
Staff by category
| 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 |
5 Speech Language Pathologist
% of Days
76%
3 Physical Therapy Assistant
% of Days
79%
2 Respiratory Therapy Technician
% of Days
81%
2 Physical Therapy Aide
% of Days
69%
2 Qualified Social Worker
% of Days
16%
3 Licensed Practical Nurse
% of Days
1%
2 Registered Nurse
% of Days
2%
1 Certified Nursing Assistant
% of Days
1%
1 Nurse Practitioner
% of Days
1%
1 Clinical Nurse Specialist
% of Days
1%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
22 residents
Residents by payment source
Medicare
6 residents (27.3%)
Medicaid
2 residents (9.1%)
Private pay or other
14 residents (63.6%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
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.
10.1
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...
Guides for Better Senior Living
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Financial Aid for Iowa Seniors
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