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.

Back to Chapters Living of Council Bluffs

Last standard health inspection on record

January 30, 2026

Showing 1 to 25 of 33 citations

  1. 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).

  2. 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).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

  14. 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).

  15. 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).

  16. 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).

  17. 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).

  18. 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 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 1, 2024).

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

    Establish roles under a Waiver declared by secretary.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of January 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 11, 2024).

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

    List the names and contact information of those in the facility.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of January 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 1, 2024).

  21. 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 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 2, 2024).

  22. 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 10, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 27, 2024).

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

    Have properly located and lighted "Exit" signs.

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

    Fire safety citation K-0293, 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).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, 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).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of January 30, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 22, 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.