Nursing homeActiveSpecial Focus Facility candidate · what this means

Chapters Living of Council Bluffs

3000 Risen Son Blvd, Council Bluffs, IA 515037123669655102 certified beds · 29 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2024
Deficiencies
68
0671
Penalties · 3 yrs
$163,800
1 fine · 1 action
Last survey
2026-01-30
Standard
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 4
Quality 3
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-01-30Standard0421CMS-2567 (Care Compare)
2025-11-12Complaint030CMS-2567 (Care Compare)
2025-06-13Complaint0110CMS-2567 (Care Compare)
2025-01-09Standard080CMS-2567 (Care Compare)
2024-01-10Standard030CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-01-30Standard survey · 43 deficienciesOfficial report
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity KHarm
Care planning
Pattern; immediate jeopardy to resident health or safety.Corrected 2026-02-27Record 165466-20260130-F686
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-02Record 165466-20260130-F550
F572Give residents a notice of rights, rules, services and charges.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F572
F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F577
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F580
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F582
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F584
F585Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F585
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F602
F606Not hire anyone with a finding of abuse, neglect, exploitation, or theft.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F606
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F607
F610Respond appropriately to all alleged violations.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F610
F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F628
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F641
F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F655
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity FStandard
Care planningRecords
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F657
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F677
F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F678
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F679
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-02Record 165466-20260130-F689
F692Provide enough food/fluids to maintain a resident's health.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F692
F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F693
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F695
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F725
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F726
F727Have 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.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F727
F730Observe each nurse aide's job performance and give regular training.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F730
F802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-02Record 165466-20260130-F802
F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F803
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-02Record 165466-20260130-F804
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F805
F808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F808
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-02Record 165466-20260130-F812
F814Dispose of garbage and refuse properly.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F814
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-02Record 165466-20260130-F842
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F851
F865Have a plan that describes the process for conducting QAPI and QAA activities.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F865
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F867
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F868
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-02Record 165466-20260130-F880
F881Implement a program that monitors antibiotic use.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F881
F887Educate 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.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-02-27Record 165466-20260130-F887
2025-11-12Complaint survey · 3 deficienciesOfficial report
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-09Record 165466-20251112-F658
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-09Record 165466-20251112-F690
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-09Record 165466-20251112-F880
2025-06-13Complaint survey · 11 deficienciesOfficial report
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-14Record 165466-20250613-F584
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-14Record 165466-20250613-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-14Record 165466-20250613-F610
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-14Record 165466-20250613-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-14Record 165466-20250613-F657
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-14Record 165466-20250613-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-14Record 165466-20250613-F686
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-14Record 165466-20250613-F725
F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-14Record 165466-20250613-F838
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-14Record 165466-20250613-F842
F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-07-14Record 165466-20250613-F882
2025-01-09Standard survey · 8 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-31Record 165466-20250109-F550
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-31Record 165466-20250109-F641
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-31Record 165466-20250109-F658
F660Plan the resident's discharge to meet the resident's goals and needs.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-31Record 165466-20250109-F660
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-31Record 165466-20250109-F684
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-31Record 165466-20250109-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-31Record 165466-20250109-F880
F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-01-31Record 165466-20250109-F943
2024-01-10Standard survey · 3 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-07Record 165466-20240110-F600
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-07Record 165466-20240110-F610
F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-07Record 165466-20240110-F688

Penalties & enforcement

DateActionAmountSource
2026-01-30Civil money penalty$163,800CMS · Penalties
2026-01-30Denial of payment for new admissions
Payment denial for 27 days, from 2026-03-06
CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day1.02
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day4.88
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours4.39
Facility
Iowa
National
Iowa 3.37 · National 3.42

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityIowaNational
Percentage of long-stay residents with pressure ulcers
lower is better
25.2%4.2%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
0.0%3.8%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
37.9%19.5%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
2.2%2.4%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.2%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
0.0%17.1%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
0.0%4.6%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
10.8%20.8%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Abramczyk, Solomon
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Sharp, David
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Stricker, Daniel
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Walker, Shyann
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Abramczyk, Solomon
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Abramczyk, Solomon
Individual
ADP OF THE SNFNOT APPLICABLE
Abramczyk, Solomon
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Baron, Eliyahu
Individual
ADP OF THE SNFNOT APPLICABLE
Baron, Eliyahu
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Beh Mo Ia Il LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Beh Mo Ia Il LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Chapters Senior Living LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Feldman, Steven
Individual
ADP OF THE SNFNOT APPLICABLE
Feldman, Steven
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Geller, Seth
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Geller, Seth
Individual
ADP OF THE SNFNOT APPLICABLE
Iann, Samuel
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Iann, Samuel
Individual
ADP OF THE SNFNOT APPLICABLE
Mo Ia Il Holdings LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Mo Ia Il Holdings LLC
Organization
DIRECT OWNERSHIP INTERESTNOT APPLICABLE
Oberlander, Chaim
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Oberlander, Chaim
Individual
ADP OF THE SNFNOT APPLICABLE
Sharp, David
Individual
ADP OF THE SNFNOT APPLICABLE
Slb Capital Ch LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Slb Capital Ch LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Stricker, Daniel
Individual
ADP OF THE SNFNOT APPLICABLE
Stricker, Daniel
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Walker, Shyann
Individual
ADP OF THE SNFNOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.

No county cost figures on file for Pottawattamie.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Prairie Gate
Council Bluffs
1.6 mi2025-10-090212
Bethany Lutheran Home
Council Bluffs
2.4 mi2026-05-210254
North Crest Living Center
Council Bluffs
3.2 mi2025-08-260320
Midlands Living Center L L C
Council Bluffs
3.9 mi2026-01-080160
St. Joseph Villa Nursing Center
Omaha
6.7 mi2026-06-101252
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01