North Crest Living Center
34 Northcrest Drive · Council Bluffs, IA · 51503 · 7123282333
62 certified beds For profit - Limited Liability company
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar; CMS rates its health inspections "much below average". That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.67 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.56 | 0.55–0.75 |
| Weekend hours / resident-day | 3.04 | ≈ weekday level |
| Nursing turnover / year | 57% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (34 in the current record)
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Potential for harm · D August 26, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected September 24, 2025 · Resident Rights
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Potential for harm · D August 26, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected September 24, 2025 · Quality of Life and Care
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Potential for harm · D August 26, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected September 24, 2025 · Infection Control
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Potential for harm · D July 24, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected August 22, 2025 · Resident Rights
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Potential for harm · D July 24, 2025
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.
Corrected August 22, 2025 · Resident Rights
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Potential for harm · D July 24, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected August 22, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 24, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected August 22, 2025 · Resident Rights
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Potential for harm · E July 24, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 24, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 22, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 24, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 23, 2025 · Quality of Life and Care
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Potential for harm · D July 24, 2025
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected August 22, 2025 · Quality of Life and Care
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Potential for harm · E July 24, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected August 22, 2025 · Nutrition and Dietary
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Potential for harm · F July 24, 2025
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected August 22, 2025 · Administration
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Potential for harm · F July 24, 2025
Provide and implement an infection prevention and control program.
Corrected August 22, 2025 · Infection Control
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Potential for harm · E July 24, 2025
Implement a program that monitors antibiotic use.
Corrected August 22, 2025 · Infection Control
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Potential for harm · D July 24, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected August 22, 2025 · Infection Control
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Potential for harm · D July 24, 2025
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.
Corrected August 22, 2025 · Infection Control
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Potential for harm · D September 19, 2024
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected October 19, 2024 · Resident Rights
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Potential for harm · D September 19, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected October 19, 2024 · Resident Rights
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Potential for harm · D September 19, 2024
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected October 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 19, 2024
Ensure each resident receives an accurate assessment.
Corrected October 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 19, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · F September 19, 2024
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected October 19, 2024 · Nursing and Physician Services
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Potential for harm · F September 19, 2024
Provide and implement an infection prevention and control program.
Corrected October 19, 2024 · Infection Control
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Potential for harm · D September 19, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected October 19, 2024 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165290 · certified since August 1, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.