All citations for Chapters Living of Council Bluffs

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

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Last standard health inspection on record

January 30, 2026

Showing 1 to 25 of 101 citations

Immediate jeopardy to resident health or safety
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Pattern (more than a few residents). CMS level K.
Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of January 30, 2026. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (February 27, 2026).
No harm, with potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Widespread (many residents). CMS level F.
Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of January 30, 2026. Found during a standard inspection and a complaint inspection.
The home gave a date the problem would be corrected (February 27, 2026).
No harm, with potential for more than minimal harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Widespread (many residents). CMS level F.
Health citation F-0851, Administration Deficiencies. Inspection of January 30, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 27, 2026).
No harm, with potential for more than minimal harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Widespread (many residents). CMS level F.
Health citation F-0865, Administration Deficiencies. Inspection of January 30, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 27, 2026).
No harm, with potential for more than minimal harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Widespread (many residents). CMS level F.
Health citation F-0867, Administration Deficiencies. Inspection of January 30, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 27, 2026).
No harm, with potential for more than minimal harm
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Widespread (many residents). CMS level F.
Health citation F-0868, Administration Deficiencies. Inspection of January 30, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 27, 2026).
No harm, with potential for more than minimal harm
Implement a program that monitors antibiotic use.
Widespread (many residents). CMS level F.
Health citation F-0881, Infection Control Deficiencies. Inspection of January 30, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 27, 2026).
No harm, with potential for more than minimal harm
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.
Widespread (many residents). CMS level F.
Health citation F-0887, Infection Control Deficiencies. Inspection of January 30, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 27, 2026).
No harm, with potential for more than minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of January 30, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 2, 2026).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of January 30, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 11, 2026).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of January 30, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 20, 2026).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of January 30, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 20, 2026).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of January 30, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 5, 2026).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of January 30, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 20, 2026).
No harm, with potential for more than minimal harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Widespread (many residents). CMS level F.
Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 30, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (January 29, 2026).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 30, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (February 12, 2026).
No harm, with potential for more than minimal harm
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0354, Smoke Deficiencies. Inspection of January 9, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 10, 2025).
No harm, with potential for more than minimal harm
Provide a written emergency evacuation plan.
Widespread (many residents). CMS level F.
Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of January 9, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 10, 2025).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of January 9, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 24, 2025).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of January 9, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 10, 2025).
No harm, with potential for more than minimal harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Widespread (many residents). CMS level F.
Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 9, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 23, 2025).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 9, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 10, 2025).
No harm, with potential for more than minimal harm
Ensure that testing and maintenance of electrical equipment is performed.
Widespread (many residents). CMS level F.
Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 9, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 25, 2025).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of February 26, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (March 1, 2024).
No harm, with potential for more than minimal harm
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0346, Smoke Deficiencies. Inspection of February 26, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (March 4, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.