CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Iowa. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
North Crest Living Center is a 1-star Medicare and Medicaid certified nursing home in Council Bluffs, Iowa with 62 certified beds. It has been operating since 1996. Its overall CMS rating is 1 out of 5.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Have a plan that describes the process for conducting QAPI and QAA activities.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure services provided by the nursing facility meet professional standards of quality.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
+ 4 more deficiencies
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| GORACKE, DOUGLAS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 20% | Oct 1, 2009 |
| LARISON, AUDRA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 20% | Mar 3, 2022 |
| BANK IOWA | 5% OR GREATER MORTGAGE INTEREST | Organization | N/A | Apr 5, 2010 |
| CHAMLEY, STEVEN | W-2 MANAGING EMPLOYEE | Individual | N/A | Oct 1, 2009 |
| GOODMAN, JENNY | W-2 MANAGING EMPLOYEE | Individual | N/A | Jul 29, 2019 |
| HUNT, BRENDA | W-2 MANAGING EMPLOYEE | Individual | N/A | Aug 7, 2019 |
| CHAMLEY, STEVEN | CORPORATE DIRECTOR | Individual | N/A | Oct 1, 2009 |
| GORACKE, DOUGLAS | CORPORATE DIRECTOR | Individual | N/A | Oct 1, 2009 |
| CHAMLEY, STEVEN | CORPORATE OFFICER | Individual | N/A | Oct 1, 2009 |
| LARISON, AUDRA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2019 |
Compare CMS ratings and recorded fines for North Crest Living Center and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.