Council Bluffs, Iowa · CCN 165466 · Phone: 7123669655 · 102 beds · Ownership: Non Profit - Corporation
Chapters Living Of Council Bluffs is a Medicare-certified skilled nursing facility (CCN 165466) in Council Bluffs, Iowa. It holds a CMS overall Five-Star rating of 1 of 5 stars on CMS Care Compare. FileFlo scores its CMS survey-readiness at 22/100 (High Risk).
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Chapters Living Of Council Bluffs is a Medicare- and Medicaid-certified skilled nursing facility in Council Bluffs, Iowa, operating under CMS Certification Number (CCN) 165466. 102-bed facility. Non Profit - Corporation. Independent (not part of a multi-facility chain). The facility is required to comply with the Requirements for Long-Term Care Facilities at 42 CFR Part 483.
Chapters Living Of Council Bluffs has held its Medicare/Medicaid certification for approximately 23 years (certification date on file: 2002-07-01). Long-tenured facilities (15+ years) often have established F-tag remediation playbooks and a deeper standard-survey trail; newly-certified facilities (under 3 years) are subject to a different initial survey cadence under 42 CFR 488.308.
Local market context (Pottawattamie County): Chapters Living Of Council Bluffs operates in Pottawattamie County alongside 2 other Medicare-certified SNFs in our Iowa cohort sample. Multi-facility counties create direct cohort comparison pressure — hospital discharge planners typically run side-by-side Care Compare lookups before placement decisions.
CMS publishes Five-Star ratings for nursing homes monthly, drawn from the most recent three years of standard surveys, complaint surveys, and Minimum Data Set (MDS) submissions.
Long-Stay Quality Measure rating: ★★☆☆☆ (2 of 5). Long-stay measures cover residents in the facility 100+ days and include indicators like residents experiencing one or more falls with major injury, residents whose ability to move independently worsened, and residents with a urinary tract infection.
Short-Stay Quality Measure rating: ★★★☆☆ (3 of 5). Short-stay measures cover post-acute residents discharged within 100 days and include rehospitalization within 30 days, successful return to community, and improvement in function.
Differentiating long-stay from short-stay QMs matters for placement decisions — a facility with strong short-stay QMs may still underperform on long-stay metrics, and vice versa.
Special Focus Facility status: Chapters Living Of Council Bluffs appears on the CMS Special Focus Facility list (status: SFF Candidate). SFF designation is reserved for facilities with a persistent pattern of substandard quality of care — typically high deficiency counts across consecutive surveys. CMS conducts a standard survey approximately every six months on SFF facilities (vs. up to fifteen months for non-SFF) and tracks two consecutive improved surveys as the exit criterion. Facilities that fail to improve over 18-24 months on the SFF list face termination of their Medicare provider agreement under 42 CFR 488.456.
Recent health deficiencies cited at last standard survey: 27. National average for facilities of this size is approximately 8 deficiencies per cycle. Chapters Living Of Council Bluffs has no CMS fines in its most recent reporting cycle. Last documented standard health survey: 2025-01-09. CMS conducts standard surveys at most every 15 months for SNFs, with substandard-quality findings triggering more frequent revisits.
CMS health survey weighted score: 214.75. The weighted score multiplies deficiency severity (A-L) by scope (isolated, pattern, widespread); higher weighted scores translate directly into the Health Inspection star rating tier breakpoints CMS publishes monthly.
Detailed staffing hours-per-resident-day data is not currently published for Chapters Living Of Council Bluffs in CMS Provider Data. The CMS Minimum Staffing Standards rule (89 FR 40876, May 2024) phases in a 3.48 total HPRD floor for non-rural facilities by May 2027 (rural facilities by May 2029), absent a hardship exemption under 42 CFR 483.35.
Chapters Living Of Council Bluffs is independently operated (not part of a multi-facility chain). Independent SNFs typically rely on internal compliance staff or contracted consultants rather than corporate-level survey-prep teams; this affects both how quickly Plans of Correction are produced and how F-tag remediation is documented across multiple shifts.
Provider type designation: Medicare And Medicaid.
The facility is classified by CMS as urban (within a metropolitan statistical area). Urban SNFs typically face higher acuity post-acute admissions, more competitive labor markets, and stricter local-jurisdiction infection control requirements layered on top of federal CoPs.
Peer comparisons use a same-state cohort of 200 Medicare-certified SNFs, pulled live from CMS Provider Data. The cohort excludes terminated and surrendered certifications.
FileFlo's compliance indicator for Chapters Living Of Council Bluffs is 22/100 (High Risk). The score is derived from publicly published health-deficiency counts, weighted survey scores, infection-control citations, fines, and staffing hours per resident day. It is not a CMS rating. The full survey-readiness audit (covering F-tags from the most recently cited deficiencies, infection control, staffing minimums, MDS accuracy) is at /tools/cms-survey-readiness-score.
FileFlo publishes a profile for every Medicare-certified nursing home so administrators, DONs, and family members can find the same publicly-published quality data without bouncing between Care Compare, the SFF list, and the CMS Provider Data Catalog. Field-level CFR citations are linked throughout. Dispute this record if any field is incorrect — we resync with CMS monthly and process correction requests within five business days.
Reviews from residents, family members, and facility staff help others making care decisions. All reviews are verified and PII-scrubbed before publishing.
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Chapters Living Of Council Bluffs (CCN 165466) holds a CMS overall Five-Star rating of 1 of 5 stars on CMS Care Compare. CMS updates these ratings quarterly from the facility's submitted assessment and claims data.
Chapters Living Of Council Bluffs is a Medicare-certified skilled nursing facility (CMS Certification Number 165466) in Council Bluffs, Iowa.
FileFlo scores Chapters Living Of Council Bluffs's CMS survey-readiness at 22/100 (High Risk). This is a FileFlo indicator built from CMS-published data, not an official CMS rating.
As a Medicare-certified skilled nursing facility, Chapters Living Of Council Bluffs is surveyed against the Conditions of Participation in 42 CFR Part 483 — covering patient/resident rights, assessment and care planning, quality (QAPI), infection control, and aide services. Each CoP section is linked on this page.
Run FileFlo's free CMS survey-readiness audit for Chapters Living Of Council Bluffs — it grades the skilled nursing facility against every Condition of Participation in 42 CFR Part 483 in about three minutes, names each gap's F-Tag, and requires no signup.
The 42 CFR Part 483 CoP sections a CMS survey actually checks, in plain English:
Compliance terms: F-Tag · Joint Commission. See the Skilled Nursing Facility directory and the Healthcare compliance guide →
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Data sourced from CMS Care Compare (publish 2026-04-01). Information may not reflect the facility's current status. Resync occurs monthly. Dispute this record · Claim this profile