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Nursing HomeMedicaid Investigative

North Crest Living Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

34 Northcrest Drive, Council Bluffs, IA 5150362 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 40 Google reviews

5
4
3
2
1
North Crest Living Center Nursing Home in Council Bluffs, IA — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Above-median deficiencies (17 vs median 5)
  • High staff turnover (59%)
  • High RN turnover (70%)

Bottom 25% in IA · Below recommended RN staffing · No penalties on record

Source: Medicare data

What this means for your family

North Crest Living Center offers strong rehab services and a clean environment, which many families appreciate. However, because multiple reviewers have reported serious lapses in clinical care and significant communication barriers with management, we strongly recommend conducting unannounced visits and closely monitoring your loved one's care plan during their first few weeks.

Google Reviews

Google Reviews

40 reviews on Google
North Crest Living Center receives highly polarized feedback, with many families praising the compassionate care and effective rehab services, while others report significant failures in communication and basic resident care. While some families feel their loved ones are treated with dignity and kindness, others have raised serious concerns regarding administrative responsiveness and the quality of clinical oversight.

Quality Themes

Tap a score for details
Food8.0Staff6.0Clean9.0Activities8.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Effective physical therapy and rehab services
  • Clean and well-maintained facility environment
  • Supportive and professional administrative coordination

Concerns

  • Poor administrative communication and lack of follow-up (mentioned by 2 reviewers)
  • Inconsistent or negligent clinical care (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(3)'19(2)'22(1)'24(4)'26(24)

Distribution · 45 analyzed

5
37
4
2
3
0
2
0
1
6

How They Respond to Reviews

3%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given that medication management is a top priority for our family, could you walk us through the specific protocols and oversight measures you have in place to ensure accuracy and safety?
  • 2I noticed the facility has had a high volume of state violations recently; what specific steps is the leadership team taking to address these findings and improve your overall regulatory standing?
  • 3We understand that clear communication is vital for peace of mind; what is your standard process for keeping family members updated on changes in a resident’s health or care plan?
  • 4While we’ve heard wonderful things about your physical therapy team, how do you ensure that the same level of consistent, attentive care is provided by the nursing staff throughout all shifts?
  • 5What does a typical day look like for a resident here, and how do you encourage social engagement among the 62 residents to ensure everyone feels included in the community?
  • 6In the event of a medical emergency or an urgent health change, what is the exact chain of communication to ensure family members are notified immediately?

Personalized based on this facility's data


Key Review Excerpts

The physical therapy team was overly helpful with getting her through therapy and getting her physically able to return home. It is clean and easy to get around.

Rehab patient's family · 2025★★★★★

My relative heard them say outside of his room that they don't need to take care of him because he is going to die anyway. He was there for rehab and wasn't on hospice.

Long-term resident's family · 2021★★★★★

I am actually pretty disappointed in this place. My grandfather has been in this facility for a total of 4 days… 2 meals he has not been fed in his first 24 hours of being there… his oxygen that is suppose to be at a 6 was at a 2.

Long-term resident's family · 2023★★★★★
Source: 40 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.56hrs
75%
Registered nurses for medical care
Total Nursing
3.67hrs
90%
All nurses + aides combined
Staff Turnover
57%
Lower is better (< 30% = good)
RN Turnover
55%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

5

measures

Worse Than Avg

6

measures

Mixed Results

6

measures

Long-Stay Residents
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility78.8%
Worse than Avg
Here
78.8%
US
93.4%
IA
93.9%
Pottawattamie
95.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility34.8%
Worse than Avg
Here
34.8%
US
19.4%
IA
25.9%
Pottawattamie
26.9%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility7.6%
Better than Avg
Here
7.6%
US
15.5%
IA
19.4%
Pottawattamie
21.0%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility13.1%
Better than Avg
Here
13.1%
US
19.5%
IA
20.7%
Pottawattamie
14.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility4.9%
Mixed vs Avgs
Here
4.9%
US
12.1%
IA
4.1%
Pottawattamie
3.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚶

Residents whose walking got worse

↓ Lower is better
This Facility20.6%
Mixed vs Avgs
Here
20.6%
US
15.3%
IA
17.5%
Pottawattamie
21.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility70.0%
Worse than Avg
Here
70.0%
US
81.8%
IA
84.1%
Pottawattamie
79.0%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility72.0%
Mixed vs Avgs
Here
72.0%
US
79.8%
IA
73.3%
Pottawattamie
71.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.8%
Worse than Avg
Here
3.8%
US
1.6%
IA
2.0%
Pottawattamie
1.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

17deficiencies
Well above state avg (6.2)
12 complaint-triggered

North Crest Living Center shows a troubling pattern with families filing 12 complaints that triggered federal investigations, indicating ongoing resident and family concerns. The facility has persistent problems with infection control (appearing in 8 deficiencies), resident communication requirements, and fire safety systems that repeat across multiple surveys from 2023 to 2025. While the provider reports correcting each violation, the recurring nature of these deficiencies suggests systemic issues that warrant careful investigation during any visit.

Aug 26, 2025Complaint
3
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jul 24, 2025Routine
21
0865Potential for harm · WidespreadCorrected

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0921Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0881Potential for harm · PatternCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0761Potential for harm · PatternCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0584Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0605Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0628Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0744Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

0883Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0887Potential for harm · IsolatedCorrected

Infection Control Deficiencies

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.

Sep 19, 2024Routine
13
0725Potential for harm · WidespreadCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0914Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0640Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0741Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Sep 19, 2024Complaint
3
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0625Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Aug 2, 2024Complaint
3
0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0725Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 28, 2024Complaint
2
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
27deficiencies
Jun 11, 2026Complaint
Clean

Fed violations: 0, State violations: 0

Oct 23, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Sep 30, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Aug 26, 2025Complaint
Clean

Fed violations: 3, State violations: 0

Aug 23, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Jul 24, 2025Inspection
Clean

Fed violations: 14, State violations: 0

Dec 31, 2024Complaint
Clean

Fed violations: 0, State violations: 0

Oct 19, 2024Inspection
Clean

Fed violations: 0, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

North Crest Living Center

Organization Type

for profit

Ownership & Management

Owners

Goracke, Douglas

Owner

20%

Larison, Audra

Owner

20%

Key personnel

Bank Iowa5% or Greater Mortgage InterestChamley, StevenW-2 Managing EmployeeGoodman, JennyW-2 Managing EmployeeHunt, BrendaW-2 Managing EmployeeChamley, StevenOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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