Occupancy rate
92%
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.
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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.
North Crest Living Center
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.
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.
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
62
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
91.9%
Residents per day (avg)
57
Occupancy rate
91.9%
Residents per day (avg)
57
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
36% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
57% of new residents, often for short stays.
Typical stay
5 - 6 months
Medicaid
6% of new residents, often for long-term daily care.
Typical stay
4 - 5 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$6.2M
Profit
$4.3K
Privately-owned community
Operated by a business corporation.
Home revenue
$6.2M
Profit
$4.3K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.6M
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.
$3.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.7M
62-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
25 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
Occupancy
In line with Iowa averageOccupied beds
57 / 62
Average residents
51 per day
Facility TypeFree Standing Nf/snf
StatusActive
IssuanceNovember 1, 2000
CountyPottawattamie
License Number780853
CMS Certification Number165290
Certification TypeFALSE
AwardsTelligen’s Blue Ribbon in COVID-19 Vigilance Award
North Crest Living Center is administrated by Kelley Seitz.
Owner NameMidlands Living Center LLC(Free Standing NF/SNF) | 780508
Rehabilitation Services
Short-Term Rehab
Skilled Nursing
24-Hour Staffing
Email
[email protected]
Fax7123232349
In-House Laundry Service
In-House Beauty And Barber Service
Furnishings For The Room
Restorative Exercise Program
Meals
Snacks And Beverages
In-House Trust Account
Recreational And Spiritual Activities
Transportation To Medical Appointments
On-Site
Monthly Visits From Podiatry
Optometry And Dentistry Professionals
Skilled Nursing
Rehabilitation - Physical
Occupational
Speech Therapy
Specific ProgramsIn-house laundry service, In-house beauty and barber service, Furnishings for the room, Restorative exercise program, Meals, snacks and beverages, In-house trust account, Recreational and spiritual activities, Transportation to medical appointments, On-site, monthly visits from Podiatry, Optometry and Dentistry Professionals, Skilled nursing, Rehabilitation - physical, occupational, speech therapy
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.
23 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date
October 23, 2025
40 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Iowa average: 27 deficiencies
Inspection Report Summary for North Crest Living Center
The most recent inspection on October 23, 2025 found the facility in substantial compliance with no deficiencies cited. Earlier inspections showed a pattern of deficiencies related mainly to infection prevention and control, timely physician notification, and care planning, with some issues involving staffing and communication about resident coverage and services. Several complaint investigations were substantiated, including one in August 2025 involving failures in infection control and timely physician notification that led to hospitalization, and another in August 2024 concerning resident safety and call light response. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s record shows improvement over time, with recent inspections indicating resolution of prior deficiencies and sustained compliance.
Health Inspection History
Inspections
Total health inspections
6
Iowa average 4.9
Last Health inspection on Aug 2025
Total health citations
34
Iowa average 21.7
Citations per inspection
5.67
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
22 of 34 citations resulted from standard inspections; 8 of 34 resulted from complaint investigations; and 4 of 34 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
0
0
100% better than Iowa averageIowa average: 0.9
0 critical citations
0 serious citations
34 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.
Aug 26, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Aug 26, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 26, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 26, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Aug 26, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Aug 26, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 24, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jul 24, 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 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
+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
+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
60
49.8%
-34%
5.87
+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
+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
-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
90
Employees
77
Contractors
13
Staff to resident ratio
1.48:1
26% worse than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
34
Average shift
7.1 hours
0% compared with Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
21,990
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
10
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.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
49
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
6.8%
1,493 contractor hours this quarter
Physical Therapy Assistant: 4
Speech Language Pathologist: 2
Licensed Practical Nurse: 2
Respiratory Therapy Technician: 1
Qualified Social Worker: 1
Physical Therapy Aide: 1
Medical Director: 1
Occupational Therapy Aide: 1
Staff by category
| Certified Nursing Assistant | 49 | 0 | 49 | 13,770 | 91 | 100% | 7.3 |
| Licensed Practical Nurse | 7 | 2 | 9 | 2,250 | 91 | 100% | 8.4 |
| Registered Nurse | 10 | 0 | 10 | 1,662 | 90 | 99% | 8.1 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 740 | 65 | 71% | 7.6 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Medication Aide/Technician | 3 | 0 | 3 | 437 | 47 | 52% | 8.1 |
| Speech Language Pathologist | 0 | 2 | 2 | 406 | 64 | 70% | 6.4 |
| Mental Health Service Worker | 1 | 0 | 1 | 402 | 53 | 58% | 7.6 |
| Dietitian | 2 | 0 | 2 | 366 | 63 | 69% | 5.7 |
| Physical Therapy Aide | 0 | 1 | 1 | 322 | 64 | 70% | 5 |
| Dental Services Staff | 1 | 0 | 1 | 176 | 33 | 36% | 5.3 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 120 | 42 | 46% | 2.9 |
| Physical Therapy Assistant | 0 | 4 | 4 | 112 | 40 | 44% | 2.8 |
| Qualified Social Worker | 0 | 1 | 1 | 104 | 60 | 66% | 1.7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 84 | 11 | 12% | 7.6 |
| Medical Director | 0 | 1 | 1 | 31 | 18 | 20% | 1.7 |
49 Certified Nursing Assistant
% of Days
100%
9 Licensed Practical Nurse
% of Days
100%
10 Registered Nurse
% of Days
99%
2 Clinical Nurse Specialist
% of Days
71%
1 Administrator
% of Days
71%
1 Nurse Practitioner
% of Days
67%
3 Medication Aide/Technician
% of Days
52%
2 Speech Language Pathologist
% of Days
70%
1 Mental Health Service Worker
% of Days
58%
2 Dietitian
% of Days
69%
1 Physical Therapy Aide
% of Days
70%
1 Dental Services Staff
% of Days
36%
1 Respiratory Therapy Technician
% of Days
46%
4 Physical Therapy Assistant
% of Days
44%
1 Qualified Social Worker
% of Days
66%
1 Occupational Therapy Aide
% of Days
12%
1 Medical Director
% of Days
20%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
61 residents
Residents by payment source
Medicare
14 residents (23%)
Medicaid
25 residents (41%)
Private pay or other
22 residents (36.1%)
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.
12.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.2
19% worse than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.8
24% 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
17.3%
Percent of long-stay residents whose need for help with daily activities has increased
17.3%
8% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
29.4%
Percent of long-stay residents whose ability to move independently worsened
29.4%
49% 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
33.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.6%
28% worse than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.4%
Percent of long-stay residents experiencing one or more falls with major injury
6.4%
76% worse than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.4%
Percent of long-stay high risk residents with pressure ulcers
2.4%
45% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
6.4%
Percent of long-stay residents with a urinary tract infection
6.4%
157% worse than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.5%
Percent of long-stay residents who lose too much weight
5.5%
10% worse than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
6.7%
Percent of long-stay residents who have depressive symptoms
6.7%
72% worse than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
11.7%
Percent of long-stay residents who received an antipsychotic medication
11.7%
38% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
82.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
82.5%
13% worse than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.4%
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
78.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
78.5%
8% worse than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
4.9%
Percent of short-stay residents who newly received an antipsychotic medication
4.9%
167% worse than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
72.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
72.0%
In line with 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 North Crest Living Center based on CMS SNF Cost Reports.
Occupancy Rate
86.3%
↑ 3.7pp vs 2022
Net Income
$4.3K
↓ ~$27.4K vs 2022
Total Payroll
$3.6M
↑ ~$829.6K vs 2022
Profit Margin
0.1%
↓ 0.5pp vs 2022
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