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 46 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of January 30, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 2, 2026).

  10. No harm, with potential for more than minimal harm

    Give residents a notice of rights, rules, services and charges.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0572, Resident Rights 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).

  11. No harm, with potential for more than minimal harm

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0577, Resident Rights Deficiencies. Inspection of January 30, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 27, 2026).

  12. No harm, with potential for more than minimal harm

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0580, Resident Rights Deficiencies. Inspection of January 30, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 27, 2026).

  13. No harm, with potential for more than minimal harm

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of January 30, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 27, 2026).

  14. No harm, with potential for more than minimal harm

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0585, Resident Rights Deficiencies. Inspection of January 30, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 27, 2026).

  15. No harm, with potential for more than minimal harm

    Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0606, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 30, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 27, 2026).

  16. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 30, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 27, 2026).

  17. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 30, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 27, 2026).

  18. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0677, 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).

  19. No harm, with potential for more than minimal harm

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0678, Quality of Life and Care Deficiencies. Inspection of January 30, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 27, 2026).

  20. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0689, 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 (April 2, 2026).

  21. No harm, with potential for more than minimal harm

    Provide enough food/fluids to maintain a resident's health.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of January 30, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 27, 2026).

  22. No harm, with potential for more than minimal harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of January 30, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 27, 2026).

  23. No harm, with potential for more than minimal harm

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of January 30, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 27, 2026).

  24. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of January 30, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 27, 2026).

  25. No harm, with potential for more than minimal harm

    Observe each nurse aide's job performance and give regular training.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of January 30, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 27, 2026).

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.