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North Crest Living Center

34 Northcrest Drive, Council Bluffs, IA 51503 · Pottawattamie County · (712) 328-2333

62 certified beds, about 57 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1996

Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 165290 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 24, 2025, inspectors cited 14 health deficiencies (the Iowa average is 6.5, the national average 9.2).

None of its 34 health citations since June 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.91 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.45 of those hours.

54.5% of nursing staff left within the year CMS measured (Iowa average 44.0%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 34 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
25D
5E
4F
Potential for minimal harm
0A
0B
0C
August 26, 2025Complaint inspection · 3 citations
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 24, 2025
    Inspectors wroteBased on Electronic Health Records (EHR) review, document review, Medication Administration Record - Treatment Administration Record (MAR-TAR), staff interview and policy review the facility failed to notify the primary care physician with the resident's lab results from a Urine Analysis (UA) for 1 of 3 residents (Residents #1) reviewed. The facility reported a census of 57 residents.
  2. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 24, 2025
    Inspectors wroteBased on Electronic Health Record (EHR) review, Medication Administration Record - Treatment Administration Record (MAR-TAR) review, policy review and staff interviews the facility failed to provide appropriate interventions for the urinary catheter to provide appropriate services to prevent urinary tract infections to 1 of 3 residents reviewed (Resident #1). The facility reported a census of 57 residents.
  3. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 24, 2025
    Inspectors wroteBased on observation, policy review, and staff interview the facility failed to provide appropriate infection prevention practices when providing care to a resident with a catheter, that was on Enhanced Barrier Precautions (EBP) for 1 of 3 reviewed (Resident #3). The facility reported a census of 57 residents.
July 24, 2025Standard inspection · 14 citations
  1. F
    Have a plan that describes the process for conducting QAPI and QAA activities.
    F865 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteBased on document review, staff interviews, and facility plan review the facility failed to demonstrate good faith attempts to correct quality deficiencies based on issues that were identified with repeat deficiencies in 3 areas and corrections developed in a Performance Improvement Plan (PIP) that remained incomplete in a reasonable time frame. The facility reported a census of 61 residents.
  2. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to follow infection control standards of practice. Laundry staff failed to wear Personal Protective Equipment (PPE) while sorting laundry, and the facility failed to ensure that they had consistent implementation of the responsibilities of the Infection Preventionist (IP). The facility reported a census of 61 residents.
  3. E
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 23, 2025
    Inspectors wroteBased on Electronic Health Record (EHR) review, document review, policy review and staff interviews the facility failed to provide a comprehensive care plan that included goals or interventions for residents with a catheter, depression and anxiety for 6 of 10 residents reviewed (Resident #1, #3 and #5, #6, #7 and #34). The facility reported a census of 61 residents.
  4. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteBased on observations, resident interviews, staff interviews, document and policy review the facility failed to provide food at an appetizing temperature to 4 of 24 residents reviewed (Resident #1, #11, #20 and #27). The facility reported a census of 61 residents.
  5. E
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteBased on staff interview, record review and policy review the facility failed to ensure they followed through with antibiotic stewardship practices. The facility reported a census of 61 residents.
  6. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteBased on record review, staff interview and policy review, the facility failed to inform residents of their options and costs when services were no longer covered by Medicare Part A for 3 of 3 residents reviewed (Resident #50, #43 and #5). The facility reported a census of 61 residents.
  7. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteBased on Electronic Health Records (EHR) review, observations, resident interview, and staff interview the facility failed to provide the residents with a comfortable / clean homelike environment. Resident rooms found with various debris on the floor and application of bed linen not completed in a timely manner for 3 of 24 residents reviewed (Resident #15, #22 and #24). The facility reported a census of 61 residents.
  8. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteBased on clinical record review and staff interview the facility failed to identify non-pharmacological interventions and targeted behaviors on the care plan related to high risk medications in 3 out of 5 sampled residents reviewed (Resident #2, #13 and #37). The facility reported a census of 61 residents.
  9. D
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteBased on Electronic Health Record (EHR) review, staff interview, and facility policy, the facility failed to ensure bed hold notice was sent to the resident and or the resident's responsible person when the resident transferred out of the facility for 1 of 1 residents reviewed (Residents #60). The facility reported a census of 61 residents.
  10. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteBased on observation, resident interview, staff interviews, record review and policy review the facility failed to obtain and follow physicians' orders for 2 of 21 of residents (Resident #36 and #6). Staff chose to hold insulin for Resident #36 without obtaining doctor-specified parameters on when to hold the insulin and failed to notify the doctor when the insulin hadn't been given. Resident #6 had an indwelling urinary catheter, staff failed to obtain an order for the device. The facility reported a census of 61 residents.
  11. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 23, 2025
    Inspectors wroteBased on observations, electronic medical record (EMR) reviews, staff interviews, and policy review, the facility failed to provide respiratory care and services in accordance with professional standards of practice for 1 of 1 residents reviewed, requiring the use of oxygen (Resident #47). The facility reported a census of 61 residents.
  12. D
    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
    F744 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteBased on observations, staff interviews, Electronic Medical Record (EMR) review, and policy review, the facility failed to provide appropriate treatment and services to meet a resident's highest practicable physical, mental, and psychosocial well-being for a resident diagnosed with dementia for 1 of 1 residents reviewed (Resident #37). The facility had a census of 61.
  13. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteBased on clinical record review, staff interview, and policy review the facility failed to ensure that staff obtained signed consents and were educated on the influenza immunization before it was administered. The facility reported a census of 61 residents.
  14. D
    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.
    F887 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 22, 2025
    Inspectors wroteBased on staff interview, clinical record review and policy review the facility failed to ensure that staff obtained signed consents and were educated on the COVID-19 immunization before it was administered. The facility reported a census of 61 residents.
September 19, 2024Standard inspection, Complaint inspection · 10 citations
  1. F
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 19, 2024
    Inspectors wroteBased on staffing reviews, interviews, and Facility Assessment review the facility failed to provide adequate nursing staff to assure residents safety and well-being. The facility reported a census of 56 residents.
  2. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 19, 2024
    Inspectors wroteBased on observation, resident interview, staff interview, and policy review the facility failed to follow standard precautions while separating laundry, and following enhanced barrier precautions (EBP). The facility further failed to establish a facility wide written infection prevention control policy. The facility reported a census of 56 residents.
  3. D
    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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 19, 2024
    Inspectors wroteBased on clinical record review, staff interviews and policy review, the facility failed to obtain complete resident records to honor the resident wishes as stated on the Iowa Physician Order for Scope and Treatment. The facility failed to obtain a physician order for DNR for 1 of 14 residents (Resident #32) reviewed. The facility reported a census of 56 residents.
  4. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 19, 2024
    Inspectors wroteBased on clinical record review, policy review, and staff interviews, the facility failed to notify the physician immediately after a sudden change in the resident's condition, and failed to notify the physician immediately after transferring a resident to the emergency department (ED) with chest pain and shortness of breath for of 1 of 16 resident reviewed (Resident #28). The facility reported a census of 56 residents.
  5. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 19, 2024
    Inspectors wroteBased on clinical document review, staff interview, and policy review the facility failed to notify a resident 48 hours in advance when the end of a medicare part A stay or when all of part B therapies were ending to 1 of 3 residents (Resident #146) reviewed. The facility reported a census of 56 residents.
  6. D
    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.
    F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 19, 2024
    Inspectors wroteBased on clinical record review, staff interview, and policy review the facility failed to obtain bed hold notifications for 2 of 3 residents (Resident #1, #60) reviewed. The facility reported a census of 56 residents.
  7. D
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 19, 2024
    Inspectors wroteBased on electronic health record review (EHR) and staff interviews the facility failed to submit a comprehensive Minimum Data Set (MDS) as directed by the Centers for Medicaid and Medicare Services (CMS) Resident Assessment Instrument (RAI) Version 3.0 Manual assessment within the required timeframe for 1 out of 16 residents reviewed (Residents #216 ) reviewed. The facility census was 56.
  8. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 19, 2024
    Inspectors wroteBased on clinical record review, staff interview, and policy review the facility failed to represent an accurate picture of the resident's status during the observation period of the Minimum Data Set (MDS) by not accurately recording medication use for 2 of 5 residents reviewed (Residents #7, and #31). The facility reported a census of 56 residents.
  9. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 19, 2024
    Inspectors wroteBased on clinical document review, staff interview, and policy review the facility failed to provide a comprehensive care plan related to high risk medications for residents with an order for anticoagulants for 2 of 5 residents (Residents #17, and #31) reviewed. The facility reported a census of 56 residents.
  10. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 19, 2024
    Inspectors wroteBased on clinical record review and staff interviews the facility failed to provide professional standards of care by not obtaining daily weights per physician orders for 1 of 16 residents reviewed (Resident #56). The facility reported a census of 56 residents.
August 2, 2024Complaint inspection · 3 citations
  1. E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 2, 2024
    Inspectors wroteBased on observations, clinical record review, facility document review and staff interviews, the facility failed to ensure implemented interventions to reduce hazards and protect residents were followed for 3 of 3 residents (#1, #2 #3) reviewed. The facility reported a census of 54 residents.
  2. D
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 2, 2024
    Inspectors wroteBased on resident interview, family interview, clinical record review, facility document review and staff interviews, the facility failed to provide nursing staff to meet the needs of the residents by not responding to call lights in a timely manner for 2 of 3 residents (Resident #1 and Resident #2) reviewed. The facility reported a census of 54.
  3. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 2, 2024
    Inspectors wroteBased on observation, clinical record review, staff interviews, and facility policy review, the facility staff failed to maintain infection control practices by failed to wash hands during personal care for 1 of 2 residents reviewed (Resident #3). The facility reported a census of 54 residents.
March 28, 2024Complaint inspection · 2 citations
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 22, 2024
    Inspectors wroteBased on clinical record review, staff interviews, family interviews and facility policy the facility failed to notify 2 of 3 resident's (Resident #1 and #2) family when they sustained a fall. The facility reported a census of 53 residents.
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 22, 2024
    Inspectors wroteBased on clinical record review and staff interviews the facility failed to complete an assessment prior to hospitalization and upon return fromt the hospital for 1 of 3 residents (Resident #5) reviewed. The facility reported a census 53 residents.
June 8, 2023Standard inspection · 2 citations
  1. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) June 28, 2023
    Inspectors wroteBased on observations, clinical record review, staff interviews and policy review the facility failed to complete routine hand hygiene and failed to use a sanitized oral syringe for medication administration for 1 out of 1 residents reviewed (Resident #9). The facility also failed to complete hand hygiene after administration of eye drops for 5 of 5 residents reviewed (Resident #14, #41, #22, and #17). The facility reported a census of 57 residents.
  2. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) June 28, 2023
    Inspectors wroteBased on clinical record review and staff interviews the facility failed to complete and submit a comprehensive assessment related to a significant change for 1 of 5 residents reviewed (Resident #29). The facility reported a census of 57 residents.

Fire safety inspections

16 fire safety citations on file: 7 on July 24, 2025, 6 on September 19, 2024, 3 on June 8, 2023.

Every fire safety citation16 citations
  1. F
    Conduct testing and exercise requirements.
    E 39 · July 24, 2025 · Corrected (the home has a date of correction)
  2. F
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · July 24, 2025 · Corrected (the home has a date of correction)
  3. F
    Have simulated fire drills held at unexpected times.
    K 712 · July 24, 2025 · Corrected (the home has a date of correction)
  4. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · July 24, 2025 · Corrected (the home has a date of correction)
  5. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · July 24, 2025 · Corrected (the home has a date of correction)
  6. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · July 24, 2025 · Corrected (the home has a date of correction)
  7. E
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · July 24, 2025 · Corrected (the home has a date of correction)
  8. E
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · September 19, 2024 · Corrected (the home has a date of correction)
  9. D
    Provide properly protected cooking facilities.
    K 324 · September 19, 2024 · Corrected (the home has a date of correction)
  10. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · September 19, 2024 · Corrected (the home has a date of correction)
  11. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · September 19, 2024 · Corrected (the home has a date of correction)
  12. D
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · September 19, 2024 · Corrected (the home has a date of correction)
  13. D
    Have proper medical gas storage and administration areas.
    K 923 · September 19, 2024 · Corrected (the home has a date of correction)
  14. F
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · June 8, 2023 · Corrected (the home has a date of correction)
  15. F
    Have simulated fire drills held at unexpected times.
    K 712 · June 8, 2023 · Corrected (the home has a date of correction)
  16. D
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · June 8, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeIowaUnited States
All nursing staff (RN, LPN and aides)3.913.823.86
Registered nurses0.450.740.69
All nursing staff on weekends3.203.373.42
Nurse aides2.95
Licensed practical nurses0.50
Nursing staff turnover (share who left in a year)54.5%44.0%45.8%
Registered nurse turnover50.0%42.1%42.9%
Administrators who left0

CMS expects 3.16 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.19 on weekdays and 3.20 on weekends, 24% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.72 in April to June 2025 to 3.91 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.910.454.193.20 0.0%0 of 9057
Oct to Dec 20253.670.563.923.04 0.0%0 of 9258
Jul to Sep 20253.770.604.053.05 0.0%0 of 9258
Apr to Jun 20253.720.564.062.89 1.6%0 of 9157
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Iowa, Jan to Mar 20263.800.713.983.364.7%0.3% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeIowaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
16.817.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
1.41.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
5.52.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.03.83.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
3.02.11.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
20.016.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.74.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
9.219.415.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
25.620.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
17.513.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.71.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
0.82.11.8

Owners and operators

Legal business name: NLC PARTNERS LLC.

NameRoleTypeShareSince
Goracke, Douglas5% or greater direct ownership interestIndividual20%10/01/2009
Larison, Audra5% or greater direct ownership interestIndividual20%03/03/2022
Bank Iowa5% or greater mortgage interestOrganization04/05/2010
Chamley, StevenW-2 managing employeeIndividual10/01/2009
Goodman, JennyW-2 managing employeeIndividual07/29/2019
Hunt, BrendaW-2 managing employeeIndividual08/07/2019
Chamley, StevenCorporate directorIndividual10/01/2009
Goracke, DouglasCorporate directorIndividual10/01/2009
Chamley, StevenCorporate officerIndividual10/01/2009
Larison, AudraOperational/managerial controlIndividual02/01/2019

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 9 problems in this area, most recently on August 26, 2025: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
  2. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 8 problems in this area, most recently on August 26, 2025: "Provide and implement an infection prevention and control program."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 7 problems in this area, most recently on July 24, 2025: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
  4. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on August 26, 2025: "Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.20 hours per resident per day, below the Iowa average of 3.37.

Other nursing homes nearby

Iowa contacts for a concern about a nursing home

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Common questions

What is North Crest Living Center's Medicare star rating?
CMS rates North Crest Living Center 1 out of 5 stars overall, with 1 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did North Crest Living Center get at its last inspection?
14 health deficiencies at the standard inspection on July 24, 2025. The Iowa average is 6.5.
Has North Crest Living Center been fined?
CMS lists no fines in the last three years.
Does North Crest Living Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns North Crest Living Center?
CMS lists 10 owners and managers. Legal business name: NLC PARTNERS LLC.

Sources

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