Chapters Living of Council Bluffs
Cost data not yet available
Nursing Homes · Medicare certified
Seven Elliott Street · Council Bluffs, IA 51503 · 112 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1003807280. Look this up in the CMS NPPES registry (opens in a new tab)
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Bethany Lutheran Home is a nursing home in Council Bluffs, Iowa. Its reported capacity is 112 beds. Federal records list it as Medicare certified. It is recorded as a nonprofit operator. Our copy of the inspection record holds 43 citations, the newest dated 21 May 2026. Federal enforcement records add 3 fine or payment denial actions. Staffing reports put it at 3.99 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated July 2026.
CMS Care Compare · Source data August 2026
Staffing rating
4.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
41
Staffing rating
4.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
41
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
4.0Quality-measure rating
2.0Inspections on record
2
Cited deficiencies
40
Records from August 2023 to May 2026.
May 21, 2026 · D
Citation F0602Federal surveyors cited this nursing home on 2026-05-21 under CMS tag F0602 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Protect each resident from the wrongful use of the resident's belongings or money. Source: CMS Care Compare Health Deficiencies (as of 2026-07-01).
October 2, 2025 · D
Citation F0656Federal surveyors cited this nursing home on 2025-10-02 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2025-11-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 2, 2025 · E
Citation F0725Federal surveyors cited this nursing home on 2025-10-02 under CMS tag F0725 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. The deficiency was recorded as corrected on 2025-11-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 2, 2025 · D
Citation F0658Federal surveyors cited this nursing home on 2025-10-02 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2025-11-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 2, 2025 · J
Citation F0689Federal surveyors cited this nursing home on 2025-10-02 under CMS tag F0689 (CMS scope/severity J: isolated, immediate jeopardy) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-07-21. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 2, 2025 · D
Citation F0637Federal surveyors cited this nursing home on 2025-10-02 under CMS tag F0637 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Assess the resident when there is a significant change in condition. The deficiency was recorded as corrected on 2025-11-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 2, 2025 · D
Citation F0760Federal surveyors cited this nursing home on 2025-10-02 under CMS tag F0760 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2025-11-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 2, 2025 · D
Citation F0644Federal surveyors cited this nursing home on 2025-10-02 under CMS tag F0644 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. The deficiency was recorded as corrected on 2025-11-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 2, 2025 · F
Citation F0880Federal surveyors cited this nursing home on 2025-10-02 under CMS tag F0880 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-11-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 30, 2025 · G
Citation F0658Federal surveyors cited this nursing home on 2025-05-30 under CMS tag F0658 (CMS scope/severity G: isolated, actual harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2025-04-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 30, 2025 · D
Citation F0689Federal surveyors cited this nursing home on 2025-05-30 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-05-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 13, 2025 · D
Citation F0550Federal surveyors cited this nursing home on 2025-03-13 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2025-02-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 13, 2025 · D
Citation F0609Federal surveyors cited this nursing home on 2025-03-13 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2025-02-14. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 13, 2025 · D
Citation F0657Federal surveyors cited this nursing home on 2025-03-13 under CMS tag F0657 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2025-03-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
March 13, 2025 · D
Citation F0658Federal surveyors cited this nursing home on 2025-03-13 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2025-03-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 31, 2024 · E
Citation F0725Federal surveyors cited this nursing home on 2024-10-31 under CMS tag F0725 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. The deficiency was recorded as corrected on 2025-01-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 31, 2024 · D
Citation F0623Federal surveyors cited this nursing home on 2024-10-31 under CMS tag F0623 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. The deficiency was recorded as corrected on 2025-01-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 31, 2024 · D
Citation F0644Federal surveyors cited this nursing home on 2024-10-31 under CMS tag F0644 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. The deficiency was recorded as corrected on 2025-01-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 31, 2024 · E
Citation F0727Federal surveyors cited this nursing home on 2024-10-31 under CMS tag F0727 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. The deficiency was recorded as corrected on 2025-01-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 31, 2024 · D
Citation F0625Federal surveyors cited this nursing home on 2024-10-31 under CMS tag F0625 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. The deficiency was recorded as corrected on 2025-01-02. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
Total fines on file: $46,914
October 2, 2025 · Fine
Citation FINE-136620CMS recorded a civil money penalty of $16,588 against this nursing home on 2025-10-02 (Fine ID: 136620). Source: CMS Care Compare Penalties (as of 2026-07-01).
November 2, 2023 · Fine
Citation FINE-79167CMS recorded a civil money penalty of $11,183 against this nursing home on 2023-11-02 (Fine ID: 79167). Source: CMS Care Compare Penalties (as of 2026-07-01).
August 21, 2023 · Fine
Citation FINE-78904CMS recorded a civil money penalty of $19,143 against this nursing home on 2023-08-21 (Fine ID: 78904). Source: CMS Care Compare Penalties (as of 2026-07-01).
Latest: 3.99 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
Most recent period is higher than 2025Q4 (+0.07 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
Non profit - Other
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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Jul 23, 2026First appeared in our data
This listing first appeared in the government file we read. That is usually when it entered the file, not the day it opened.
Reported by CMS nursing homes (provider info)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical IA range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · IA$9,277/moIowa publishes what its Medicaid program pays a nursing facility per resident per day. It is not a private-pay price and it is not what a family is billed. It is useful because it shows what the state considers the cost of a day of nursing-home care.
Median facility daily rate
$307.06per day
That works out to about $9,335 a month at 30.4 days. The monthly figure is our arithmetic, not a number the state published.
Median we calculated from the state's own facility rate file. Period: January 1, 2026. Calculated across 381 facilities in the state's rate file.
Other licensed providers in Council Bluffs, with their own public records.
Cost data not yet available
Cost data not yet available
Cost data not yet available
A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.
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