Chapters Living of Council Bluffs

Official Government Ratings

Care Quality Indicators

How Chapters Living of Council Bluffs Compares

Chapters Living of Council Bluffs is a 102-bed nonprofit nursing facility in Council Bluffs, Iowa. It holds an overall CMS rating of 1 out of 5 stars, below the Iowa average of 3.1 stars. Its lowest sub-rating is health inspections at 1 star. Its rate of high-risk residents with pressure ulcers (15.7%) is above the Iowa average of 4.3% — a measure worth asking the staff about. With 102 certified beds, it has notable available capacity at roughly 23% occupied.

Among the 5 nursing facilities ElderVoice tracks in Council Bluffs, the local average is 1.8 stars.

By the numbers vs. Iowa average

• Long-stay antipsychotic medication use: 39.3% — worse than the Iowa average of 19.4% (102% higher).
• Falls with major injury: 2.3% — better than the Iowa average of 3.7% (39% lower).
• High-risk pressure ulcers: 15.7% — worse than the Iowa average of 4.3% (267% higher).
• Short-stay rehospitalization: 34.6% — worse than the Iowa average of 21.6% (60% higher).

Comparisons use CMS Care Compare data (updated May 4, 2026) measured against Iowa averages across 390 facilities tracked by ElderVoice.

The Senior Community Around Council Bluffs

Council Bluffs sits in Pottawattamie County, where adults 65 and older make up about 17.5% of the population — a share of seniors in line with Iowa as a whole (17.1% statewide). The area's median household income is consistent with state averages.

Residents 65+

16,350 (17.5%)

Median age

39.6 years

Median household income

$59,901

Median home value

$141,300

Demographics for Pottawattamie County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Council Bluffs.

Facility Details