Total health inspections
5
Iowa average 4.9
Last Health inspection on Apr 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Nursing Home
Midlands Living Center
Located in Council Bluffs, Iowa, Midlands Living Center is a skilled nursing facility with a team that’s committed to addressing the physical, social, emotional, recreational, and spiritual needs of all senior residents. Their services encompass short- and long-term care, specialized nursing care, rehabilitation, respite care, and hospice support. This senior community ensures that residents receive comprehensive care to enhance their quality of life.
Locally owned with 94-beds, Midlands Living Center places a strong emphasis on skilled nursing care, with a specialization in rehabilitative and therapeutic services. Their dedicated team comprises over 100 professionals, including certified nursing aides, licensed practical nurses, registered nurses, registered dietitians, nurse practitioners, and medical directors. The center collaborates closely with a network of specialists, including optometrists, podiatrists, physicians, and top-tier professionals in physical, occupational, and speech therapy. Their facility also offers various services, from onsite therapy to engaging activity programs, ensuring a holistic approach to well-being.
Jordan Tjaden serves as the Administrator at Midlands Living Center, overseeing daily operations to ensure residents receive proper care and treatment. Jordan works closely with the skilled staff to maintain a supportive and compassionate environment for all community members.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
94
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
78.1%
Residents per day (avg)
69
Occupancy rate
78.1%
Residents per day (avg)
69
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
48% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
30% of new residents, often for short stays.
Typical stay
10 - 11 months
Medicaid
22% of new residents, often for long-term daily care.
Typical stay
1 - 2 years
Finances and operations
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$9.3M
Profit
$1.3M
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$9,294,630.00
Profit
$1,320,142.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$7.3M
22 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 14 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
BBB Rating: A+ (Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
Additional licensing details
CMS Certification Number:
165447
Staffing
Key information about the people who lead and staff this community.
Leadership
Contact:
Steven Chamley, Administrator
Care Services
Doctor on Staff
Nursing Services
Rehabilitation Services
Respite Care
Skilled Nursing
Licensed Nurses/CNAs
Programs & Activities
Specific Programs
Skilled nursing, Rehabilitation - physical, occupational, and speech therapy, Recreational and spiritual activities, Restorative exercise program, Furnished rooms, In-house laundry service, In-house beauty and barber service, Meals, snacks, and beverages, Resident Trust, Medical appointment transportation, Regular, in-house visits from Podiatry, Optometry, and Dentistry Professionals, Medical Director, Pharmacist, and Dietician Services.
Volunteer Programs
Yes
Dining & Nutrition
Food Description
Meals, snacks, and beverages provided.
Meals Included
Yes
Types of Care at Midlands Living Center
Respite Care
Nursing Home
Health Inspection History
Inspections
Total health citations
14
Citations per inspection
2.8
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
10 of 14 citations resulted from standard inspections; 2 of 14 resulted from complaint investigations; and 2 of 14 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
0
0
100% better than Iowa averageIowa average: 0.9
0 critical citations
0 serious citations
14 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Apr 24, 2025
Corrected
Infection Control moderate citation
Jan 15, 2025
Corrected
Quality of Care moderate citation
Jan 15, 2025
Corrected
Care Planning moderate citation
Jan 15, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Council Bluffs
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Midlands Living Center
-14%
+5%
+4%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Council Bluffs
94
A+
14
-
78.1%
$8,793,254.00
$3,751,116.00
42.7%
69
4.5131
-
14
-
-14%+5%+4%1 Bed
Midlands Living Center LLC
-14%
+5%
+4%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 515030434
94
A+
-
-
78.1%
$8,793,254.00
$3,751,116.00
42.7%
69.40
4.5131
-
14
-
-14%+5%+4%-
Prairie Gate
-27%
+37%
-34%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 51503
60
-
-
-
49.8%
$660,029.00
$920,015.00
139.4%
34.80
5.8747
1
23
2
-27%+37%-34%-
Bethany Lutheran Home
+10%
+14%
-3%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 515030297
121
A+
-
ROBERTS, DIANA
73.4%
$11,818,868.00
$5,757,065.00
48.7%
88
4.8874
2
51
6
+10%+14%-3%-
North Crest Living Center
-4%
-3%
+14%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 515031695
62
-
-
CHAMLEY, STEVEN
86.3%
$6,151,875.00
$2,641,607.00
42.9%
57.10
4.1772
-
34
-
-4%-3%+14%-
Midlands Living Center
Type of care:
SNF
AL
Community:
Council Bluffs
Bed Count:
94
CCN:
165447
Occupancy:
78.1%
Home Revenue:
$8,793,254.00
Payroll Costs:
$3,751,116.00
Payroll %:
42.7%
Avg Residents/Day:
69
Overall Rating:
Adj Nurse Hours:
4.5131
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
14
RN share vs State Avg:
-14%
-14%
Staffing vs State Avg:
+5%
+5%
Occupancy vs State Avg:
+4%
+4%
Bed Options:
1 Bed
Midlands Living Center LLC
Type of care:
SNF
AL
Community:
IA 515030434
Bed Count:
94
CCN:
165447
Occupancy:
78.1%
Home Revenue:
$8,793,254.00
Payroll Costs:
$3,751,116.00
Payroll %:
42.7%
Avg Residents/Day:
69.40
Overall Rating:
Adj Nurse Hours:
4.5131
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
14
RN share vs State Avg:
-14%
-14%
Staffing vs State Avg:
+5%
+5%
Occupancy vs State Avg:
+4%
+4%
Prairie Gate
Type of care:
SNF
AL
Community:
IA 51503
Bed Count:
60
CCN:
165794
Occupancy:
49.8%
Home Revenue:
$660,029.00
Payroll Costs:
$920,015.00
Payroll %:
139.4%
Avg Residents/Day:
34.80
Overall Rating:
Adj Nurse Hours:
5.8747
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
23
Severe Citations:
2
RN share vs State Avg:
-27%
-27%
Staffing vs State Avg:
+37%
+37%
Occupancy vs State Avg:
-34%
-34%
Bethany Lutheran Home
Type of care:
SNF
AL
Community:
IA 515030297
Bed Count:
121
Operator:
ROBERTS, DIANA
CCN:
165524
Occupancy:
73.4%
Home Revenue:
$11,818,868.00
Payroll Costs:
$5,757,065.00
Payroll %:
48.7%
Avg Residents/Day:
88
Overall Rating:
Adj Nurse Hours:
4.8874
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
51
Severe Citations:
6
RN share vs State Avg:
+10%
+10%
Staffing vs State Avg:
+14%
+14%
Occupancy vs State Avg:
-3%
-3%
North Crest Living Center
Type of care:
SNF
AL
Community:
IA 515031695
Bed Count:
62
Operator:
CHAMLEY, STEVEN
CCN:
165290
Occupancy:
86.3%
Home Revenue:
$6,151,875.00
Payroll Costs:
$2,641,607.00
Payroll %:
42.9%
Avg Residents/Day:
57.10
Overall Rating:
Adj Nurse Hours:
4.1772
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
34
RN share vs State Avg:
-4%
-4%
Staffing vs State Avg:
-3%
-3%
Occupancy vs State Avg:
+14%
+14%Places of interest near Midlands Living Center
3.5 miles from city center — 7.62 miles to nearest hospital (Clarkson Heart Center at Doctors Building South)
2452 N Broadway, Council Bluffs, IA 51503
Calculate Travel Distance to Midlands Living Center
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
91
Total Staff
80
Employees
11
Contractors
29,730
Total Hours (Quarter)
42
Avg Staff/Day
7.8
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 9 | 7.7 | No |
| Licensed Practical Nurse | 14 | 8.4 | No |
| Certified Nursing Assistant | 41 | 7.9 | No |
Staff by Category
Administration ⓘ
2 staff
6.9hs shift avg
Nursing Staff ⓘ
70 staff
8.1hs shift avg
Physicians & Practitioners ⓘ
3 staff
8hs shift avg
Therapy Services ⓘ
8 staff
5hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
3.1hs shift avg
Dietary Services ⓘ
3 staff
8.2hs shift avg
Other Services ⓘ
3 staff
7.7hs shift avg
Contractor Analysis
5.2%
of total hours from contractors
1,539 contractor hours this quarter
Physical Therapy Assistant: 3
Respiratory Therapy Technician: 1
Qualified Social Worker: 2
Medical Director: 1
Physical Therapy Aide: 2
Speech Language Pathologist: 1
Occupational Therapy Aide: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 41 | 0 | 41 | 13,257 | 91 | 100% | 7.9 |
| Licensed Practical Nurse | 14 | 0 | 14 | 5,390 | 91 | 100% | 8.4 |
| Registered Nurse | 9 | 0 | 9 | 3,092 | 91 | 100% | 7.7 |
| Medication Aide/Technician | 3 | 0 | 3 | 1,510 | 90 | 99% | 9.9 |
| Mental Health Service Worker | 3 | 0 | 3 | 1,271 | 75 | 82% | 7.7 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 997 | 64 | 70% | 8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 833 | 69 | 76% | 7.9 |
| Dietitian | 1 | 0 | 1 | 538 | 63 | 69% | 8.5 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Physical Therapy Assistant | 0 | 3 | 3 | 491 | 67 | 74% | 6.7 |
| Speech Language Pathologist | 0 | 1 | 1 | 370 | 63 | 69% | 5.9 |
| Nurse Aide in Training | 3 | 0 | 3 | 281 | 31 | 34% | 7.4 |
| Qualified Social Worker | 0 | 2 | 2 | 197 | 64 | 70% | 3.1 |
| Physical Therapy Aide | 0 | 2 | 2 | 183 | 62 | 68% | 2.9 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 174 | 52 | 57% | 3.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 104 | 13 | 14% | 8 |
| Medical Director | 0 | 1 | 1 | 20 | 13 | 14% | 1.5 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
64 residents
Residents by payment source
Medicare
12 residents (18.8%)
Medicaid
29 residents (45.3%)
Private pay or other
23 residents (35.9%)
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.8
14% better than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.6
9% better than Iowa averageIowa average: 21.6
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
16.3%
Percent of long-stay residents whose need for help with daily activities has increased
16.3%
14% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
14.8%
Percent of long-stay residents whose ability to move independently worsened
14.8%
25% better than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.8%
6% worse than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
7% worse than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.7%
Percent of long-stay high risk residents with pressure ulcers
3.7%
15% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.2%
Percent of long-stay residents with a urinary tract infection
2.2%
12% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.5%
Percent of long-stay residents who lose too much weight
5.5%
9% worse than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
11.8%
Percent of long-stay residents who received an antipsychotic medication
11.8%
38% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.9%
In line with Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Iowa averageIowa average: 95.3%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.26
Number of hospitalizations per 1,000 long-stay resident days.
1.26
15% better than Iowa averageIowa average: 1.48
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.82
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.82
61% better than Iowa averageIowa average: 2.09
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
80.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
80.5%
5% worse than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
26% better than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
73.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
73.1%
In line with Iowa averageIowa average: 73.3%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.3%
14% better than Iowa averageIowa average: 21.4%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
6.7%
Percentage of short-stay residents who had an outpatient emergency department visit.
6.7%
49% better than Iowa averageIowa average: 13.1%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Iowa averageIowa average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
54.9%
Percentage of residents at or above expected ability to care for themselves at discharge.
54.9%
In line with Iowa averageIowa average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
55.2%
Rate of successful return to home or community from a skilled nursing facility.
55.2%
9% better than Iowa averageIowa average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Midlands Living Center based on CMS SNF Cost Reports.
Occupancy Rate
78.1%
↑ 0.8pp vs 2022
Net Income
$1,320,142
↑ ~$1.1M vs 2022
Total Payroll
$4,365,516
↑ ~$138K vs 2022
Profit Margin
15.0%
↑ 12.0pp vs 2022
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