Bethany Lutheran Home
Seven Elliott Street, Council Bluffs, IA 51503 · CCN 165524
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★☆ 4
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- Non profit - Other
- Certified beds
- 112
- Avg residents/day
- 87.9
- Phone
- 7123289500
Inspection history vs Iowa & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Iowa avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-10-02 | 14 | 6.2 | 9.5 | +7.8 worse |
| 2 | 2024-10-31 | 12 | 7.0 | 9.8 | +5.0 worse |
| 3 | 2023-08-21 | 22 | 7.9 | 9.3 | +14.1 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 2 |
| Resident assessment and care planning | 7 |
| Nursing and physician services | 1 |
| Resident rights | 1 |
| Pharmacy service | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.04 | 42.5% |
| RN staffing (reported) | 0.35 | 63.6% |
| Total nurse staffing (adjusted) | 4.90 | — |
Fines & penalties
- Total fines
- $55,846
- Number of fines
- 3
- Number of penalties
- 3
- Payment denials
- 0
Inspection citations (48)2 immediate jeopardy3 actual harm
- DF0637Assess the resident when there is a significant change in condition2025-10-02 · Health · corrected 2025-11-25
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2025-10-02 · Health · corrected 2025-11-25
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-10-02 · Health · corrected 2025-11-25
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-10-02 · Health · corrected 2025-11-25
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-10-02 · Health · corrected 2025-07-21
Immediate jeopardy
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-10-02 · Health · corrected 2025-11-25
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2025-10-02 · Health · corrected 2025-11-25
Potential for more than minimal harm
- FF0880Provide and implement an infection prevention and control program.2025-10-02 · Health · corrected 2025-11-25
Potential for more than minimal harm
- GF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-05-30 · Health · corrected 2025-04-05
Actual harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-30 · Health · corrected 2025-05-12
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-03-13 · Health · corrected 2025-02-14
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-03-13 · Health · corrected 2025-02-14
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-03-13 · Health · corrected 2025-03-24
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-03-13 · Health · corrected 2025-03-24
Potential for more than minimal harm
- DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-10-31 · Health · corrected 2025-01-02
Potential for more than minimal harm
- DF0625Notify 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.2024-10-31 · Health · corrected 2025-01-02
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-10-31 · Health · corrected 2025-01-02
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-10-31 · Health · corrected 2025-01-02
Potential for more than minimal harm
- EF0727Have 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.2024-10-31 · Health · corrected 2025-01-02
Potential for more than minimal harm
- DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2024-10-31 · Health · corrected 2025-01-02
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-10-31 · Health · corrected 2025-01-02
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-10-31 · Health · corrected 2025-01-02
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-08-12 · Health · corrected 2024-08-20
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-12 · Health · corrected 2024-08-20
Actual harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-05-14 · Health · corrected 2024-05-30
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-14 · Health · corrected 2024-05-30
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-11-02 · Health · corrected 2023-11-03
Potential for more than minimal harm
- JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-11-02 · Health · corrected 2023-11-03
Immediate jeopardy
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-08-21 · Health · corrected 2023-09-14
Potential for more than minimal harm
- DF0585Honor 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.2023-08-21 · Health · corrected 2023-09-14
Potential for more than minimal harm
- DF0625Notify 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.2023-08-21 · Health · corrected 2023-09-14
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-08-21 · Health · corrected 2023-09-14
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-08-21 · Health · corrected 2023-09-14
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-08-21 · Health · corrected 2023-09-14
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-08-21 · Health · corrected 2023-09-14
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-21 · Health · corrected 2023-09-14
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-08-21 · Health · corrected 2023-09-14
Potential for more than minimal harm
- GF0695Provide safe and appropriate respiratory care for a resident when needed.2023-08-21 · Health · corrected 2023-09-14
Actual harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2023-08-21 · Health · corrected 2023-09-14
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2023-08-21 · Health · corrected 2023-09-14
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2023-08-21 · Health · corrected 2023-09-14
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-08-21 · Health · corrected 2023-09-14
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-03-08 · Health · corrected 2023-04-06
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-03-08 · Health · corrected 2023-04-06
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2023-03-08 · Health · corrected 2023-04-06
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-03-08 · Health · corrected 2023-04-06
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-03-08 · Health · corrected 2023-04-06
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-03-08 · Health · corrected 2023-04-06
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| BISHOP, ANDREW | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-07-01 |
| BREWER, JULIA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-06-18 |
| GUSTAFSON, CHANDRA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-12-29 |
| PFITZER, GENEVIEVE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-06-21 |
| BURRIS, JULIA | Individual | CORPORATE DIRECTOR | — | 2023-01-01 |
| CARLON, DIANE | Individual | CORPORATE DIRECTOR | — | 2024-01-01 |
| GOODELL, ALICE | Individual | CORPORATE DIRECTOR | — | 2024-01-01 |
| STEENSLAND, GREG | Individual | CORPORATE DIRECTOR | — | 2025-01-12 |
| SWALWELL, JOHN | Individual | CORPORATE DIRECTOR | — | 2024-01-01 |
| WORTHINGTON, SHARON | Individual | CORPORATE DIRECTOR | — | 2021-09-01 |
| CARLON, DIANE | Individual | CORPORATE OFFICER | — | 2025-01-12 |
| GUILL, SHERYL | Individual | CORPORATE OFFICER | — | 2025-01-12 |
| MORENO, JULIE | Individual | CORPORATE OFFICER | — | 2022-01-01 |
| SWALWELL, JOHN | Individual | CORPORATE OFFICER | — | 2025-01-12 |
Other facilities in Council Bluffs
| Name | Overall | Beds |
|---|---|---|
| Midlands Living Center L L C | ★★★★☆ | 94 |
| Prairie Gate | ★★☆☆☆ | 72 |
| North Crest Living Center | ★☆☆☆☆ | 62 |
| Chapters Living of Council Bluffs | ★☆☆☆☆ | 102 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.