Bethany Lutheran Home

Nursing Home · Council Bluffs, IA

CMS overall rating 1/5 Non profit - Other

CMS certification number165524

Contact & location

Seven Elliott Street
Council Bluffs, IA 51503
Pottawattamie County
Phone
(712) 328-9500
ZIP code
51503 – all care providers

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Facility details

Certified beds
112
Residents per day
94.6 (84% occupied)
Ownership
Non profit - Other
Medicare certified since
November 1, 2003
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.1
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 4/5
State avg 3.7
Quality measures★★★★★ 3/5
State avg 3.3
Long-stay quality★★★★★ 3/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.99 (state 3.82 · U.S. 3.86)
Registered nurses (RN)
0.30 (state 0.74 · U.S. 0.69)
Licensed practical nurses
1.01 (state 0.56 · U.S. 0.86)
Nurse aides
2.67 (state 2.51 · U.S. 2.32)
Weekend total
3.70 (state 3.37 · U.S. 3.42)
Nursing staff turnover
30.4 (state 44.0 · U.S. 45.8)%
RN turnover
50.0 (state 42.1 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
October 2, 2025
Health deficiencies (last cycle)
9.0 (state 6.5 · U.S. 9.3)
From complaints
3
Citations on record (3 years)
43 health · 13 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-05-21 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Past Non-Compliance
2025-10-02 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-07-21
2025-10-02 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-11-25
2025-10-02 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-11-25
2025-10-02 Assess the resident when there is a significant change in condition
F0637 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-25
2025-10-02 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-25
2025-10-02 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-25
2025-10-02 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-25
2025-10-02 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-25
2025-05-30 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-04-05
2025-05-30 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-12
2025-03-13 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-14
2025-03-13 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-14
2025-03-13 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-24
2025-03-13 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-24
2024-10-31 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-01-02
2024-10-31 Have 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.
F0727 · Nursing and Physician Services Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-01-02
2024-10-31 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-01-02
2024-10-31 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-02
2024-10-31 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.
F0625 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-02
2024-10-31 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-02
2024-10-31 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
F0744 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-02
2024-10-31 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-02
2024-08-12 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2024-08-20
2024-08-12 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-20
2024-05-14 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-05-30
2024-05-14 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-05-30
2023-11-02 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2023-11-03
2023-11-02 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-11-03
2023-08-21 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2023-09-14
2023-08-21 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-14
2023-08-21 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-14
2023-08-21 Honor 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.
F0585 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-14
2023-08-21 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.
F0625 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-14
2023-08-21 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-14
2023-08-21 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-14
2023-08-21 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-14
2023-08-21 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-14
2023-08-21 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-14
2023-08-21 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-14
2023-08-21 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-14
2023-08-21 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-14
2023-08-21 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-14

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

3 penalties in the last three years, including $46,914 in fines.

DateTypeAmount
2025-10-02Fine$16,588
2023-11-02Fine$11,183
2023-08-21Fine$19,143

Ownership & management

NameRoleSince
Bishop, Andrew (individual)Administrator · NOT APPLICABLE
Gustafson, Chandra (individual)Administrator · NOT APPLICABLE
Pfitzer, Genevieve (individual)Administrator · NOT APPLICABLE
Carlon, Diane (individual)Corporate Director · NOT APPLICABLE
Eilts, Susanne (individual)Corporate Director · NOT APPLICABLE
Goodell, Alice (individual)Corporate Director · NOT APPLICABLE
Kraul-Henkel, Becky (individual)Corporate Director · NOT APPLICABLE
Steensland, Greg (individual)Corporate Director · NOT APPLICABLE
Swalwell, John (individual)Corporate Director · NOT APPLICABLE
Worthington, Sharon (individual)Corporate Director · NOT APPLICABLE
Carlon, Diane (individual)Corporate Officer · NOT APPLICABLE
Steensland, Greg (individual)Corporate Officer · NOT APPLICABLE
Swalwell, John (individual)Corporate Officer · NOT APPLICABLE
Worthington, Sharon (individual)Corporate Officer · NOT APPLICABLE
Bishop, Andrew (individual)Operational/managerial Control · NOT APPLICABLE
Gustafson, Chandra (individual)Operational/managerial Control · NOT APPLICABLE
Pfitzer, Genevieve (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Bethany Lutheran Home?

Bethany Lutheran Home has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Iowa.

How many beds does Bethany Lutheran Home have?

It has 112 certified beds and cares for about 95 residents per day.

Has Bethany Lutheran Home been fined?

Yes. CMS lists 3 penalties totaling $46,914 in the last three years.

What is the phone number of Bethany Lutheran Home?

(712) 328-9500. The facility is located at Seven Elliott Street, Council Bluffs, IA 51503.

Other nursing homes in Council Bluffs

Compare all nursing homes in Council Bluffs, IA →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.