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Chapters Living of Council Bluffs is a 102-bed healthcare facility at 3000 Risen Son Boulevard in Council Bluffs, Iowa. Administered by Dave Creal, the community provides a continuum of care including independent living, assisted living, and skilled nursing under a license valid through September 2027. Current data indicates a census of approximately 22 residents, representing a 22% occupancy rate for the skilled nursing portion, which is significantly lower than the Iowa average. The location is categorized as car-dependent with a Walk Score of zero, though the facility offers 24-hour staffing and on-site amenities.
The facility holds a 1-star overall CMS rating, with health inspection and staffing metrics both falling into the lowest “much below average” category. Since mid-2025, several complaint investigations have documented more than 20 deficiencies involving infection control, resident rights, and inadequate nurse staffing. While the assisted living program recorded a citations-per-inspection rate of zero for more severe “immediate jeopardy” categories in late 2025, the broader campus has faced recurring issues with medication administration training and discharge planning.
Clinical care includes 24-hour nursing oversight and a rehabilitation program featuring physical, occupational, and speech therapy. Professional services focus on recovery from surgery or illness, with short-stay quality measures performing at a 3-star level. While long-stay metrics show challenges in mobility, the facility achieves better-than-average results in fall prevention, recording zero major injuries in recent data. The facility accepts Medicare and Medicaid, with short-term stays typically averaging one month.
The residential environment features spacious common areas with fireplaces, a beauty salon, and an elegant dining room where chef-prepared meals are served. Shared amenities include a library, a covered patio, and accessible showers designed for resident safety. Social engagement is supported through exercise classes, Bible studies, and regular game nights. Payroll records show a high investment in staffing relative to revenue, though hours per resident remain below state benchmarks.
Interested individuals seeking a newer facility with private suites and comprehensive rehabilitation services should consider these recent quality indicators. Families are encouraged to ask directly about the specific steps taken to address the 2026 staffing and infection control citations and request current nurse-to-resident ratios for the skilled nursing wing before making a placement decision.
Lower than the Iowa average: 75.4%Chapters Living of Council Bluffs (ALP) is administrated by Dave Creal.
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.
| 3 | 27 | This facility has 89% fewer total deficiencies than a typical Iowa nursing home (3 vs. IA avg 27).↓ 89% better |
|
Deficiencies per year
Average deficiencies per year since 2023.
| 1 | 9 | This facility has 89% fewer deficiencies per year than a typical Iowa nursing home (1 vs. IA avg 9).↓ 89% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.5 | 1.8 | This facility has 17% fewer deficiencies per inspection than a typical Iowa nursing home (1.5 vs. IA avg 1.8).↓ 17% better |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 2 | 15 | This facility has 87% fewer total inspections than a typical Iowa nursing home (2 vs. IA avg 15).↓ 87% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsThese measures show how residents usually do over time at this home, based on health outcomes and preventive care.
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
34.7%
63% worse than Iowa averageIowa average: 21.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
12.8%
In line with 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.
82.9%
54% better than Iowa averageIowa average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
62.9%
24% 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.
4.6 miles from city center
Estimated distance in miles from Council Bluffs's city center to Chapters Living of Council Bluffs (ALP)'s address, calculated via Google Maps.
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Chapters Living of Council Bluffs (ALP) 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 | 72.3% | -4% | 4.51 | -23% | +5% | $0 | 14 | 2.8 | - | 68 | A+ | 77 | - | $9.3M | $4.4M | 47% | 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 | 94.4% | +25% | 5.87 | -9% | +37% | $27.6k | 23 | 3.3 | 2 | 34 | - | 0 | - | $2.8M | $1.1M | 40.1% | 165794 | ||||
| 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) | 138 | 13.8% | -82% | 0.03 | -22% | -99% | $0 | 38 | 6.3 | 2 | 19 | A+ | 8 | Allen Burnett | $9.1M | $6.2M | 68.6% | 165466 | ||||
| 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 | 80.4% | +7% | 4.89 | +28% | +14% | $30.3k | 51 | 5.1 | 6 | 88 | A+ | 77 | Diana Roberts | $14.7M | $9.7M | 65.7% | 165524 |
Chapters Living of Council Bluffs (ALP) is in the Kane Township neighborhood of Council Bluffs.
The legal owner and operator of Chapters Living of Council Bluffs (ALP) is No Related Entities Found.
According to IA state health department records, Chapters Living of Council Bluffs (ALP)'s license number is S0475.
According to IA state health department records, Chapters Living of Council Bluffs (ALP)'s license expires on September 19, 2027.
Chapters Living of Council Bluffs (ALP)'s occupancy is 39%.
The team at Chapters Living of Council Bluffs (ALP) can be reached at [email protected].
Dave Creal is the administrator of Chapters Living of Council Bluffs (ALP).
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