ElderGrade
D

54/100

Below average

Chapters Living Of Council Bluffs

3000 Risen Son Blvd, Council Bluffs, IA 51503

CMS 1/5 stars #5 of 7 in Pottawattamie County (712) 366-9655
Certified beds
102
Occupancy
28%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Special Focus Facility

    CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $163,800 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

10/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -10 for 1 immediate-jeopardy citation(s) in the last 3 years
  • -10 for 68 total citations against a national median of 17

Staffing

26/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 5.21 total nurse hours per resident per day (national median 3.77)
  • 1.02 RN hours per resident per day
  • Weekend staffing drops 10% against weekdays

Staff stability

7.5/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • No turnover figure reported — scored neutral

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

2/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $163,800 in federal fines across 1 action(s)

Grade ceiling applied

  • Capped at 54 (grade D) — CMS Special Focus Facility
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.88 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 1.02 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 4.39 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover Not reported

The share of nursing staff who left over the last year.

Recent inspection findings

All 68 citations

Last standard health inspection: January 30, 2026 (6 months ago).

K Jan 30, 2026 F0686 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Immediate jeopardy to resident health or safety

F Jan 30, 2026 F0657 From a complaint

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

No actual harm, potential for more than minimal harm

F Jan 30, 2026 F0851

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

No actual harm, potential for more than minimal harm

F Jan 30, 2026 F0865

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

No actual harm, potential for more than minimal harm

F Jan 30, 2026 F0867

Administration Deficiencies

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

No actual harm, potential for more than minimal harm

F Jan 30, 2026 F0868

Administration Deficiencies

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

No actual harm, potential for more than minimal harm

F Jan 30, 2026 F0881

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

No actual harm, potential for more than minimal harm

F Jan 30, 2026 F0887

Infection Control Deficiencies

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
MO IA IL HOLDINGS LLC Organization DIRECT OWNERSHIP INTEREST
BEH MO IA IL LLC Organization INDIRECT OWNERSHIP INTEREST
SLB CAPITAL CH LLC Organization INDIRECT OWNERSHIP INTEREST
ABRAMCZYK, SOLOMON Individual INDIRECT OWNERSHIP INTEREST
BARON, ELIYAHU Individual INDIRECT OWNERSHIP INTEREST
FELDMAN, STEVEN Individual INDIRECT OWNERSHIP INTEREST
GELLER, SETH Individual INDIRECT OWNERSHIP INTEREST
IANN, SAMUEL Individual INDIRECT OWNERSHIP INTEREST
OBERLANDER, CHAIM Individual INDIRECT OWNERSHIP INTEREST
STRICKER, DANIEL Individual INDIRECT OWNERSHIP INTEREST
ABRAMCZYK, SOLOMON Individual MANAGING CONTROL - GOVERNING BODY
ABRAMCZYK, SOLOMON Individual OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about Chapters Living Of Council Bluffs

What is the ElderGrade for Chapters Living Of Council Bluffs? +

Chapters Living Of Council Bluffs holds an ElderGrade of D (54 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Chapters Living Of Council Bluffs? +

Residents receive an average of 4.88 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Chapters Living Of Council Bluffs been cited for harming residents? +

Yes. 1 of the 68 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Chapters Living Of Council Bluffs accept Medicaid? +

Yes, Chapters Living Of Council Bluffs is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.