• CMS rates this facility 1/5 stars (below average)
• Has 62 certified beds with an average of 57.8 residents per day (93% occupancy)
• Last health inspection found 17 deficiencies (inspected Jul 24, 2025)
• No fines on record
• Total nursing staff: 3.77 hours per resident per day
• Staff turnover rate: 59.3% (high)
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. The facility scored below average compared to Iowa facilities.
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.
Provide and implement an infection prevention and control program.
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.
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.
Provide safe and appropriate respiratory care for a resident when needed.
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Have a plan that describes the process for conducting QAPI and QAA activities.
Provide and implement an infection prevention and control program.
Implement a program that monitors antibiotic use.
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.
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.
Provide and implement an infection prevention and control program.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Ensure each resident receives an accurate assessment.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Provide and implement an infection prevention and control program.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
+ 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 |
|---|---|---|---|---|
| CHAMLEY, STEVEN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 60% | Oct 1, 2009 |
| 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 |
| LARISON, AUDRA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 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 |
| 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 |
| BANK IOWA | 5% OR GREATER MORTGAGE INTEREST | Organization | N/A | Apr 5, 2010 |