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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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 120th out of 241 homes in Iowa for nurse hours. 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.
| 34m per day | ▼ 23% 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.
| 23m per day | ▼ 34% 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 44m per day | ▲ 8% 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 2m per day | ▼ 9% 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 | ▼ 17% 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.
| 28m per day | ▼ 5% State avg: 30m per day · National avg: 28m per day |
Higher than the Iowa average: 75.4%North Crest Living Center is administrated by Kelley Seitz.
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.
| 78 | 27 | This facility has 189% more total deficiencies than a typical Iowa nursing home (78 vs. IA avg 27).↑ 189% worse |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 13 | 4.5 | This facility has 189% more deficiencies per year than a typical Iowa nursing home (13 vs. IA avg 4.5).↑ 189% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 3.4 | 1.8 | This facility has 89% more deficiencies per inspection than a typical Iowa nursing home (3.4 vs. IA avg 1.8).↑ 89% worse |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 23 | 15 | This facility has 53% more total inspections than a typical Iowa nursing home (23 vs. IA avg 15).↑ 53% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Iowa average 4.9
Last Health inspection on Aug 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.
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).
100% better than Iowa averageIowa average: 0.6
100% better than Iowa averageIowa average: 0.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
29% fewer staff per resident than Iowa average
0% compared with Iowa average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 7 RN Staff are full-time employees. No contractors work on this role.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursAssists with medical care and medications.
All 7 LPN Staff are full-time employees. No contractors work on this role.
7
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursHelps with daily care and mobility.
All 55 CNA Staff are full-time employees. No contractors work on this role.
55
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,271 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 55 | 0 | 55 | 14,113 | 92 | 100% | 7.3 |
| Registered Nurse | 7 | 0 | 7 | 2,118 | 92 | 100% | 8.5 |
| Licensed Practical Nurse | 7 | 0 | 7 | 1,994 | 91 | 99% | 8.6 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 475 | 64 | 70% | 7.4 |
| Nurse Practitioner | 1 | 0 | 1 | 448 | 56 | 61% | 8 |
| Dietitian | 3 | 0 | 3 | 430 | 62 | 67% | 6.4 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 422 | 53 | 58% | 8 |
| Speech Language Pathologist | 0 | 1 | 1 | 379 | 61 | 66% | 6.2 |
| Physical Therapy Aide | 0 | 1 | 1 | 378 | 63 | 68% | 6 |
| Medication Aide/Technician | 4 | 0 | 4 | 375 | 53 | 58% | 6.1 |
| Qualified Social Worker | 0 | 1 | 1 | 150 | 62 | 67% | 2.4 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 146 | 47 | 51% | 3.1 |
| Physical Therapy Assistant | 0 | 2 | 2 | 94 | 28 | 30% | 3.4 |
| Occupational Therapy Aide | 0 | 1 | 1 | 92 | 14 | 15% | 6.6 |
| Medical Director | 0 | 1 | 1 | 31 | 20 | 22% | 1.5 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
12.2
19% worse than Iowa averageIowa average: 10.2
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
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
17.3%
8% better than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
29.4%
49% worse than Iowa averageIowa average: 19.7%
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%
Percent of long-stay residents experiencing one or more falls with major injury
6.4%
76% worse than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
2.4%
45% better than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
6.4%
157% worse than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
5.5%
10% worse than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
6.7%
72% worse than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
11.7%
38% better than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
82.5%
13% worse than Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.4%
In line with Iowa averageIowa average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
2.34
58% worse than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.83
60% 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
78.5%
8% worse than Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
4.9%
167% worse than Iowa averageIowa average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
72.0%
In line with Iowa averageIowa average: 73.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.0%
27% worse than Iowa averageIowa average: 21.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
18.4%
40% worse than Iowa averageIowa average: 13.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Iowa averageIowa average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
39.3%
27% worse than Iowa averageIowa average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
53.7%
6% 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.
36% of new residents, usually for short-term rehab.
57% of new residents, often for short stays.
6% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
61Residents 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 North Crest Living Center 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 #127 / 242Payroll — State benchmarkedThis home is ranked 127th 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 North Crest Living Center's address, calculated via Google Maps.
Add your location
North Crest Living Center is located in Council Bluffs, 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
Facility
94
IA AVG
71
Rank
#77 / 407 |
72.3%
Facility
72.3%
IA AVG
75.4%
Rank
#172 / 401 | -4% | 4.51
Facility
4.51
IA AVG
4.30
Rank
#80 / 241 | -23% | +5% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 246 | 14
Facility
14
IA AVG
21.7
Rank
#105 / 241 | 2.8
Facility
2.8
IA AVG
4.1
Rank
#74 / 241 | - | 68 | A+ |
77
Facility
77
IA AVG
45
Rank
#59 / 528 | - | $9.3M
Facility
$9.3M
IA AVG
$7.0M
Rank
#78 / 242 | $4.4M
Facility
$4.4M
IA AVG
$3.1M
Rank
#96 / 242 | 47%
Facility
47%
IA AVG
46.3%
Rank
#189 / 242 | 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
Facility
36
IA AVG
71
Rank
#361 / 407 |
94.4%
Facility
94.4%
IA AVG
75.4%
Rank
#31 / 401 | +25% | 5.87
Facility
5.87
IA AVG
4.30
Rank
#10 / 241 | -9% | +37% | $27.6k
Facility
$27.6k
IA AVG
$53.4k
Rank
#186 / 246 | 23
Facility
23
IA AVG
21.7
Rank
#165 / 241 | 3.3
Facility
3.3
IA AVG
4.1
Rank
#97 / 241 | 2 | 34 | - |
0
Facility
0
IA AVG
45
Rank
#514 / 528 | - | $2.8M
Facility
$2.8M
IA AVG
$7.0M
Rank
#236 / 242 | $1.1M
Facility
$1.1M
IA AVG
$3.1M
Rank
#241 / 242 | 40.1%
Facility
40.1%
IA AVG
46.3%
Rank
#217 / 242 | 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 | 112
Facility
112
IA AVG
71
Rank
#50 / 407 |
80.4%
Facility
80.4%
IA AVG
75.4%
Rank
#120 / 401 | +7% | 4.89
Facility
4.89
IA AVG
4.30
Rank
#52 / 241 | +28% | +14% | $46.9k
Facility
$46.9k
IA AVG
$53.4k
Rank
#194 / 246 | 51
Facility
51
IA AVG
21.7
Rank
#219 / 241 | 5.1
Facility
5.1
IA AVG
4.1
Rank
#179 / 241 | 6 | 92 | - |
77
Facility
77
IA AVG
45
Rank
#59 / 528 | Diana Roberts | $14.7M
Facility
$14.7M
IA AVG
$7.0M
Rank
#24 / 242 | $9.7M
Facility
$9.7M
IA AVG
$3.1M
Rank
#13 / 242 | 65.7%
Facility
65.7%
IA AVG
46.3%
Rank
#41 / 242 | 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
Facility
62
IA AVG
71
Rank
#202 / 407 |
91.9%
Facility
91.9%
IA AVG
75.4%
Rank
#49 / 401 | +22% | 4.18
Facility
4.18
IA AVG
4.30
Rank
#120 / 241 | -32% | -3% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 246 | 34
Facility
34
IA AVG
21.7
Rank
#198 / 241 | 5.7
Facility
5.7
IA AVG
4.1
Rank
#192 / 241 | - | 58 | - |
77
Facility
77
IA AVG
45
Rank
#59 / 528 | Steven Chamley | $6.2M
Facility
$6.2M
IA AVG
$7.0M
Rank
#141 / 242 | $3.6M
Facility
$3.6M
IA AVG
$3.1M
Rank
#127 / 242 | 59%
Facility
59%
IA AVG
46.3%
Rank
#90 / 242 | 165290 | ||||
| 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) | 102
Facility
102
IA AVG
71
Rank
#64 / 407 |
27.5%
Facility
27.5%
IA AVG
75.4%
Rank
#387 / 401 | -64% | 0.03 | -22% | -99% | $132.6k
Facility
$132.6k
IA AVG
$53.4k
Rank
#1 / 246 | 38
Facility
38
IA AVG
21.7
Rank
#205 / 241 | 6.3
Facility
6.3
IA AVG
4.1
Rank
#211 / 241 | 2 | 28 | A+ |
8
Facility
8
IA AVG
45
Rank
#477 / 528 | Allen Burnett | $9.1M
Facility
$9.1M
IA AVG
$7.0M
Rank
#82 / 242 | $6.2M
Facility
$6.2M
IA AVG
$3.1M
Rank
#39 / 242 | 68.6%
Facility
68.6%
IA AVG
46.3%
Rank
#28 / 242 | 165466 |
The legal owner and operator of North Crest Living Center is Midlands Living Center LLC(Free Standing NF/SNF) | 780508.
North Crest Living Center 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, North Crest Living Center's license number is 780853.
According to IA state health department records, North Crest Living Center's license expires on October 1, 2026.
North Crest Living Center's occupancy is 92%.
The team at North Crest Living Center can be reached at [email protected].
Kelley Seitz is the administrator of North Crest Living Center.
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