Best Nursing Homes in Council Bluffs, IA, Graded A–F
All 5 graded Medicare-certified nursing homes in Council Bluffs, IA, scored from CMS Care Compare — nurse staffing, health inspections, quality measures and penalties — against Iowa peers of the same size. Grades are computed, never edited, and every input is shown on the facility page.
CMS data as of Aug 2026 · graded Sep 11, 2026Grade distribution — Council Bluffs, IA
A0
B2
C2
D1
F0
Highest graded
Council Bluffs · Staffing 3.8 nurse hours per resident-da...See grade
5 facilitiesgraded in Council Bluffs, IA · 0 earned an A
All Iowa
Des Moines (12)Cedar Rapids (10)Dubuque (8)Davenport (7)Sioux City (6)Waterloo (6)Cedar Falls (5)Marion (5)Newton (5)
Highest in Council Bluffs, IA 1
Midlands Living Center L L C - Council Bluffs, IA · 94 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 3.8 nurse hours per resident-day — above median in Iowa
- 5 health deficiencies at the last standard survey (CMS severity score 24) — above median
- No fines or payment denials in 3 years
BScore 71 · GoodSee Full Grade
7123237135
Council Bluffs, Pottawattamie County
Medicaid
2
Prairie Gate - Council Bluffs, IA · 72 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 4.2 nurse hours per resident-day — top quarter in Iowa
- 5 health deficiencies at the last standard survey (CMS severity score 20) — above median
- $27,630 in fines in 3 years, 1 payment denials
BScore 66 · GoodSee Full Grade
7123526600
Council Bluffs, Pottawattamie County
Medicaid
3
North Crest Living Center - Council Bluffs, IA · 62 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 3.9 nurse hours per resident-day — above median in Iowa
- 17 health deficiencies at the last standard survey (CMS severity score 104) — bottom quarter
- No fines or payment denials in 3 years
CScore 47 · AverageSee Full Grade
7123282333
Council Bluffs, Pottawattamie County
Medicaid
4
Bethany Lutheran Home - Council Bluffs, IA · 112 beds · non profit - other CMS Care Compare · data as of Aug 2026
- Staffing 4.0 nurse hours per resident-day — above median in Iowa
- 9 health deficiencies at the last standard survey (CMS severity score 68) — bottom quarter
- $46,914 in fines in 3 years
CScore 44 · AverageSee Full Grade
7123289500
Council Bluffs, Pottawattamie County
Medicaid
5
Chapters Living Of Council Bluffs - Council Bluffs, IA · 102 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 4.9 nurse hours per resident-day — top 10% in Iowa
- 46 health deficiencies at the last standard survey (CMS severity score 740) — bottom quarter
- $163,800 in fines in 3 years, 1 payment denials
DScore 41 · Below averageSee Full Grade
7123669655
Council Bluffs, Pottawattamie County
Medicaid
Special Focus Facility
Iowa nursing homes by city
How we grade nursing homes
What data goes into a grade?
CMS Care Compare: Nurse staffing (30), Health inspections (30), Quality measures (25), Penalties (15). Each metric is percentile-ranked against Iowa facilities in the same size band; A ≥ 72, B ≥ 58, C ≥ 42, D ≥ 28, F below. Facilities with under 60% of data are shown as "Not graded".
Can a facility pay to improve its grade?
No. Grades are computed from public data and have no editable field. Nothing on this page is sponsored.
Is a grade a substitute for visiting?
No. Use it to shortlist, then visit, ask for the latest inspection report, and talk to residents' families.