Inspection Reports for Chapters Living of Council Bluffs (ALP)

3000 Risen Son Blvd., Council Bluffs, IA, 51503

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Inspection Report Summary

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.

Deficiencies (last 2 years)

Deficiencies (over 2 years) 1.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

66% better than Iowa average
Iowa average: 4.4 deficiencies/year

Deficiencies per year

4 3 2 1 0
2023
2025

Census

Latest occupancy rate 14 residents

Based on a August 2025 inspection.

This facility has shown a decline in demand based on occupancy rates.

Census over time

8 12 16 20 24 28 Dec 2023 Aug 2025

Inspection Report

Complaint Investigation
Census: 14 Deficiencies: 1 Date: Aug 27, 2025

Visit Reason
The inspection was conducted as part of an investigation of Complaint #128504-C regarding medication administration practices at the assisted living program.

Complaint Details
Investigation of Complaint #128504-C found the program did not have documentation that Staff A completed required medication training. The administrative staff confirmed this failure during interview.
Findings
The program failed to consistently ensure medications were administered by staff who had successfully completed a department-approved medication aide or medication manager course, specifically involving 1 of 3 staff reviewed (Staff A). Documentation of Staff A's medication training was not available.

Deficiencies (1)
Failure to ensure medications were administered by staff with department-approved medication aide or medication manager training.
Report Facts
Total census: 14 Tenants without cognitive impairment: 10 Tenants with cognitive impairment: 4 Staff reviewed: 3 Staff with missing training documentation: 1

Employees mentioned
NameTitleContext
Staff ANamed in medication administration training deficiency

Inspection Report

Original Licensing
Census: 20 Deficiencies: 2 Date: Dec 20, 2023

Visit Reason
The inspection was conducted as an initial certification visit to determine compliance with certification rules for an Assisted Living Program.

Findings
The program failed to complete required 30-day evaluations for four tenants and did not consistently develop service plans based on evaluations for those tenants.

Deficiencies (2)
Failed to complete 30-day evaluations for Tenant #1, #2, #3, and #4.
Failed to consistently develop service plans based on evaluations for Tenant #1, #2, #3, and #4.
Report Facts
Number of tenants without cognitive impairment: 18 Number of tenants with cognitive impairment: 2 Total census: 20 Tenants reviewed for evaluation and service plan deficiencies: 4

Employees mentioned
NameTitleContext
Suzann WalkerExecutive DirectorSigned the statement of deficiencies and plan of correction

Report

Nov 12, 2025

Report

Jun 13, 2025

Report

Jan 9, 2025

Report

Jan 9, 2025

Report

Jan 10, 2024

Report

Jan 10, 2024

Report

Nov 2, 2022

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