Bethany Lutheran Home
Nursing home in Council Bluffs, IA
Medicare & Medicaid certified1★ overall (CMS)
Public-record details
- Address
- Seven Elliott Street, Council Bluffs, IA 51503
- Phone
- (712) 328-9500
- Listed under
- Nonprofit
- Medicare CCN
- 165524
- Overall star rating
- 1 of 5 ★☆☆☆☆
- Health inspection rating
- 1 of 5
- Staffing rating
- 4 of 5
- Quality measures rating
- 3 of 5
- Certified beds
- 112
- Average residents per day
- 95
- Ownership
- Nonprofit, other
- Legal business name
- Bethany Lutheran Home
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Nov 1, 2003
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Oct 2, 2025. CMS lists 43 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 21, 2023 to May 21, 2026): 27 from complaint inspections, 5 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.
| Inspection | Citation | Severity |
|---|---|---|
| May 21, 2026 | Protect each resident from the wrongful use of the resident's belongings or money. | D |
| Oct 2, 2025 | Assess the resident when there is a significant change in condition | D |
| Oct 2, 2025 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D |
| Oct 2, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| Oct 2, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| Oct 2, 2025 | Ensure that residents are free from significant medication errors. | D |
| Oct 2, 2025 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| Oct 2, 2025 | Provide and implement an infection prevention and control program. | F |
| Oct 2, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| May 30, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| May 30, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. | G |
| Mar 13, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
Fines and payment denials
CMS records 3 fines totalling $46,914 in the last three years.
| Oct 2, 2025 | Fine: $16,588 |
| Nov 2, 2023 | Fine: $11,183 |
| Aug 21, 2023 | Fine: $19,143 |
Staffing
- Total nurse staffing per resident per day
- 3.99 hours
- Registered nurse (RN) time per resident per day
- 0.30 hours
- Nurse aide time per resident per day
- 2.67 hours
- Total nurse staffing on weekends
- 3.70 hours
- Nursing staff turnover (yearly)
- 30%
- RN turnover (yearly)
- 50%
- Administrators who left in the past year
- 0
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.