Nursing homes › Iowa › Bethany Lutheran Home
Seven Elliott Street, Council Bluffs, IA 51503 · 7123289500 · 112 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: Non profit - Other.
Total nurse staffing: 3.99 (Iowa median: 3.69). RN hours: 0.30. Weekend total: 3.70. Nursing staff turnover: 30%.
All-time on record: 43 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-21 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | Past Non-Compliance |
| 2025-10-02 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2025-07-21 |
| 2025-10-02 | Provide and implement an infection prevention and control program. | F | Health | 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. | E | complaint | corrected 2025-11-25 |
| 2025-10-02 | Assess the resident when there is a significant change in condition | D | Health | corrected 2025-11-25 |
| 2025-10-02 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | 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. | D | Health | corrected 2025-11-25 |
| 2025-10-02 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2025-11-25 |
| 2025-10-02 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2025-11-25 |
| 2025-05-30 | Ensure services provided by the nursing facility meet professional standards of quality. | G | complaint | 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. | D | complaint | 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. | D | complaint | corrected 2025-02-14 |
| 2025-03-13 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | 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. | D | complaint | corrected 2025-03-24 |
| 2025-03-13 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | 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. | E | Health | 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. | E | Health | 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. | E | Health | 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. | D | Health | 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. | D | Health | corrected 2025-01-02 |
| 2024-10-31 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2025-01-02 |
| 2024-10-31 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Health | corrected 2025-01-02 |
| 2024-10-31 | Provide and implement an infection prevention and control program. | D | Health | 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. | G | complaint | 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. | D | complaint | 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. | E | complaint | 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. | D | complaint | corrected 2024-05-30 |
| 2023-11-02 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | complaint | corrected 2023-11-03 |
| 2023-11-02 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2023-11-03 |
| 2023-08-21 | Provide safe and appropriate respiratory care for a resident when needed. | G | complaint | 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. | E | complaint | 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. | D | complaint | 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. | D | complaint | 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. | D | Health | 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. | D | complaint | corrected 2023-09-14 |
| 2023-08-21 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2023-09-14 |
| 2023-08-21 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2023-09-14 |
| 2023-08-21 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | 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. | D | complaint | 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. | D | complaint | corrected 2023-09-14 |
| Date | Type | Amount |
|---|---|---|
| 2025-10-02 | Fine | $16,588 |
| 2023-11-02 | Fine | $11,183 |
| 2023-08-21 | Fine | $19,143 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CARLON, DIANE | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2024 |
| EILTS, SUSANNE | Corporate Director | Individual | NOT APPLICABLE | since 01/13/2026 |
| GOODELL, ALICE | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2024 |
| KRAUL-HENKEL, BECKY | Corporate Director | Individual | NOT APPLICABLE | since 01/13/2026 |
| STEENSLAND, GREG | Corporate Director | Individual | NOT APPLICABLE | since 01/12/2025 |
| SWALWELL, JOHN | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2024 |
| WORTHINGTON, SHARON | Corporate Director | Individual | NOT APPLICABLE | since 09/01/2021 |
| CARLON, DIANE | Corporate Officer | Individual | NOT APPLICABLE | since 01/12/2025 |
| STEENSLAND, GREG | Corporate Officer | Individual | NOT APPLICABLE | since 01/13/2026 |
| SWALWELL, JOHN | Corporate Officer | Individual | NOT APPLICABLE | since 01/13/2026 |
| WORTHINGTON, SHARON | Corporate Officer | Individual | NOT APPLICABLE | since 01/13/2026 |
| BISHOP, ANDREW | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/01/2024 |
| GUSTAFSON, CHANDRA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/29/2023 |
| PFITZER, GENEVIEVE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/21/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 165524. Corrections: data@carerecords.org.