F

Bethany Lutheran Home

Seven Elliott Street, Council Bluffs, IA 51503
Score: 17 / 100

With a score of 17/100, Bethany Lutheran Home ranks in the bottom tier of Iowa nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing at Bethany Lutheran Home is near the national average, with 4.04 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 48 deficiencies at Bethany Lutheran Home, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 12 / 20 pts
3 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.04 3.8 Average
Registered Nurses (RN) 0.35 0.7 Below Average
Licensed Practical Nurses (LPN) 0.94 0.7 Above Average
Certified Nursing Assistants (CNA) 2.76 2.4 Above Average
Weekend Total Nursing 3.65 3.8 Average
Weekend RN Hours 0.31 0.7 Below Average

🔍 Inspection & Deficiency History

48
Total Deficiencies
Oct 1, 2025
Most Recent Inspection
🟠 46 Moderate 🔴 2 Serious
View recent deficiencies (5 shown)
  • Tag 0689 Severity J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Oct 1, 2025 · Quality of Life and Care Deficiencies
  • Tag 0880 Severity F
    Provide and implement an infection prevention and control program.
    Oct 1, 2025 · Infection Control Deficiencies
  • Tag 0725 Severity E
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    Oct 1, 2025 · Nursing and Physician Services Deficiencies
  • Tag 0637 Severity D
    Assess the resident when there is a significant change in condition
    Oct 1, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0644 Severity D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    Oct 1, 2025 · Resident Assessment and Care Planning Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 2.8% 4.5% Better
Falls with major injury 3.9% 3.0% Worse
On antipsychotic medication 17.2% 14.5% Worse
Urinary tract infections 0.3% 2.5% Better
ADL decline (daily activities) 19.6% 14.0% Worse
Excessive weight loss 4.9% 7.5% Better
New/worsened incontinence 24.4% 45.0% Better

⚠️ Penalties & Fines

3 penalties recorded by CMS

Total fines: $55,846

How This Grade Was Calculated

This facility's grade of F is based on a score of 17 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 3★ → 12 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -5 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Other
Certified Beds
112
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Oct 1, 2025
Deficiencies (Cycle 1)
14

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