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Deficiency Records for Chapters Living of Council Bluffs
View the most recent health deficiencies and inspection results for Chapters Living of Council Bluffs. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Chapters Living of Council Bluffs. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-30 | 2026-04-02 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2026-01-30 | 2026-04-02 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2026-01-30 | 2026-04-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-01-30 | 2026-04-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-01-30 | 2026-04-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-01-30 | 2026-04-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-01-30 | 2026-04-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2026-01-30 | 2026-02-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2026-01-30 | 2026-02-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-01-30 | 2026-02-27 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2026-01-30 | 2026-02-27 | N |
| Have 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. | Health | 2026-01-30 | 2026-02-27 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2026-01-30 | 2026-02-27 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2026-01-30 | 2026-02-27 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2026-01-30 | 2026-02-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-01-30 | 2026-02-27 | N |
| Ensure 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. | Health | 2026-01-30 | 2026-02-27 | N |
| Honor 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. | Health | 2026-01-30 | 2026-02-27 | N |
| Honor 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. | Health | 2026-01-30 | 2026-02-27 | N |
| Provide activities to meet all resident's needs. | Health | 2026-01-30 | 2026-02-27 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2026-01-30 | 2026-02-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2026-01-30 | 2026-02-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2026-01-30 | 2026-02-27 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-01-30 | 2026-02-27 | N |
| Respond appropriately to all alleged violations. | Health | 2026-01-30 | 2026-02-27 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2026-01-30 | 2026-02-27 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2026-01-30 | 2026-02-27 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2026-01-30 | 2026-02-27 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2026-01-30 | 2026-02-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-01-30 | 2026-02-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-01-30 | 2026-02-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-01-30 | 2026-02-27 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2026-01-30 | 2026-02-27 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2026-01-30 | 2026-02-27 | Y |
| Educate 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. | Health | 2026-01-30 | 2026-02-27 | N |
| Implement a program that monitors antibiotic use. | Health | 2026-01-30 | 2026-02-27 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2026-01-30 | 2026-02-27 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2026-01-30 | 2026-02-27 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2026-01-30 | 2026-02-27 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2026-01-30 | 2026-02-27 | N |
| Dispose of garbage and refuse properly. | Health | 2026-01-30 | 2026-02-27 | N |
| Ensure 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. | Health | 2026-01-30 | 2026-02-27 | N |
| Ensure 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. | Health | 2026-01-30 | 2026-02-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2026-01-30 | 2026-02-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-01-30 | 2026-02-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-01-30 | 2026-02-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2026-01-30 | 2026-02-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-01-30 | 2026-02-12 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2026-01-30 | 2026-02-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2026-01-30 | 2026-02-11 | N |
| Use approved construction type or materials. | Fire Safety | 2026-01-30 | 2026-02-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-01-30 | 2026-02-05 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2026-01-30 | 2026-02-02 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2026-01-30 | 2026-01-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-01-30 | 2026-01-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2026-01-30 | 2026-01-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-11-12 | 2026-01-09 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-11-12 | 2026-01-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-11-12 | 2026-01-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-06-13 | 2025-07-14 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2025-06-13 | 2025-07-14 | Y |
| Honor 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. | Health | 2025-06-13 | 2025-07-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-06-13 | 2025-07-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-06-13 | 2025-07-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-06-13 | 2025-07-14 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-06-13 | 2025-07-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-06-13 | 2025-07-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-06-13 | 2025-07-14 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-06-13 | 2025-07-14 | Y |
| Conduct 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. | Health | 2025-06-13 | 2025-07-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-01-09 | 2025-01-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-01-09 | 2025-01-31 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2025-01-09 | 2025-01-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-09 | 2025-01-31 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2025-01-09 | 2025-01-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-01-09 | 2025-01-31 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2025-01-09 | 2025-01-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-09 | 2025-01-31 | Y |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-01-09 | 2025-01-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-01-09 | 2025-01-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-01-09 | 2025-01-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-01-09 | 2025-01-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-09 | 2025-01-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-01-09 | 2025-01-10 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2025-01-09 | 2025-01-10 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-01-09 | 2025-01-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-01-09 | 2025-01-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-09 | 2025-01-10 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-02-26 | 2024-03-04 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-26 | 2024-03-01 | Y |
| Provide 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. | Health | 2024-01-10 | 2024-02-07 | N |
| Respond appropriately to all alleged violations. | Health | 2024-01-10 | 2024-02-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-10 | 2024-02-07 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-01-10 | 2024-02-02 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-01-10 | 2024-02-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-10 | 2024-02-01 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-01-10 | 2024-02-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-01-10 | 2024-02-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-10 | 2024-01-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-01-10 | 2024-01-11 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-01-10 | 2024-01-11 | N |