Midlands Living Center

Midlands Living Center is a Nursing Home in Iowa

Midlands Living Center is a Nursing Home in Iowa

Midlands Living Center

2452 N Broadway, Council Bluffs, IA 51503 View Map

Midlands Living Center is a Nursing Home in Iowa

Midlands Living Center is a Nursing Home in Iowa

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Overview of 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.

+1 712-323-7135

Managed by Jordan Tjaden

Administrator

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

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 4.51/day
Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
3/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
3/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
3/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
4/5

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.

Lower demand than the Iowa average
Occupancy rate 78.1%
Residents per day (avg) 69
Occupancy rate
78.1%
Residents per day (avg)
69

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

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

Proprietary home
Partnership
Home revenue
$9.3M
Profit
$1.3M
Proprietary home Partnership
Home revenue
$9,294,630.00
Profit
$1,320,142.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.8M
40.4% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.6M
Total costs $7.3M
Years in operation
22 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 14 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
BBB Rating
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

Additional licensing details

CMS Certification Number: 165447

Staffing

Key information about the people who lead and staff this community.

Leadership

Contact: Steven Chamley, Administrator

Types of Care at Midlands Living Center

Respite Care Nursing Home
Contact Midlands Living Center

Compare Nursing Homes around Council Bluffs

The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Midlands Living Center
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
No
A+
14
-
78.1%
$8,793,254.00
$3,751,116.00
42.7%
69.40
3/5
4.5131
3/5
3/5
4/5
1 Bed
North Crest Living Center
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
No
-
-
CHAMLEY, STEVEN
86.3%
$6,151,875.00
$2,641,607.00
42.9%
57.10
1/5
4.1772
1/5
3/5
2/5
-

Places of interest near Midlands Living Center

Address 3.5 miles from city center

Address 2452 N Broadway, Council Bluffs, IA 51503

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Address

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 Nurse97.7 No
Licensed Practical Nurse148.4 No
Certified Nursing Assistant417.9 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 Assistant4104113,25791100%7.9
Licensed Practical Nurse140145,39091100%8.4
Registered Nurse9093,09291100%7.7
Medication Aide/Technician3031,5109099%9.9
Mental Health Service Worker3031,2717582%7.7
Clinical Nurse Specialist2029976470%8
Other Dietary Services Staff2028336976%7.9
Dietitian1015386369%8.5
Administrator1015126470%8
Nurse Practitioner1015126470%8
Physical Therapy Assistant0334916774%6.7
Speech Language Pathologist0113706369%5.9
Nurse Aide in Training3032813134%7.4
Qualified Social Worker0221976470%3.1
Physical Therapy Aide0221836268%2.9
Respiratory Therapy Technician0111745257%3.3
Occupational Therapy Aide0111041314%8
Medical Director011201314%1.5

Health Inspection History

Total Health inspections 5
Near Iowa average
Iowa average: 4.9

Last Health inspection on Apr 2025

Total Health citations 14
35% below Iowa average
Iowa average: 21.7

2.8 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 12 citations
Complaint investigations 4 citations
Breakdown of citations
Critical Health citations 0
100% below Iowa average
Iowa average: 0.6
Serious Health citations 0
100% below Iowa average
Iowa average: 0.9
Moderate Health citations 14

Minor Health citations 0
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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Ownership: For-Profit LLC
Resident Census by Payment Source
64 Total Residents
Medicare 12 (18.8%)
Medicaid 29 (45.3%)
Private Pay/Other 23 (35.9%)

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 8.8
14% better than Iowa average
Iowa average: 10.2
Functional decline score 19.6
9% better than Iowa average
Iowa average: 21.6
Long-Stay Resident Measures
Daily care & independence

Need for Help with Daily Activities Increased 16.3%
14% below Iowa average.

Walking Ability Worsened 14.8%
25% below Iowa average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 27.8%
6% above Iowa average.
Safety & clinical stability

Falls with Major Injury 3.9%
7% above Iowa average.

High Risk Residents with Pressure Ulcers 3.7%
15% below Iowa average.

Urinary Tract Infection 2.2%
12% below Iowa average.
Emotional & behavioral wellbeing

Depressive Symptoms 0.0%
100% below Iowa average.

Antipsychotic Use 11.8%
38% below Iowa average.
Preventive care

Pneumococcal Vaccine 94.9%
0% above Iowa average.

Influenza Vaccine 100.0%
5% above Iowa average.
Nutrition & physical health

Lost Too Much Weight 5.5%
9% above Iowa average.
Short-stay resident measures
Pneumococcal Vaccine 80.5%

5% worse than Iowa average
Antipsychotic medication increase 1.4%

26% better than Iowa average
Influenza Vaccine 73.1%

Near Iowa average

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

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The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Financial Aid for Iowa Seniors

Get financial aid guidance

Elderly Waiver

Iowa Medicaid Elderly Waiver

Age 65+, Iowa resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Rural focus; waitlists possible.

Iowa Family Caregiver Support

IA NFCSP

Caregiver of someone 60+, Iowa resident.

No strict limit; prioritizes low-income.

Not applicable.

Limited slots; rural emphasis.

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

Age 65+ or disabled, Iowa resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Three tiers; no waitlist.

Program of All-Inclusive Care for the Elderly (PACE)

Iowa PACE

Age 55+, Iowa resident, nursing home-level care need, safe with PACE support.

~$2,829/month (300% FBR, Medicaid-eligible).

$2,000 (individual), $3,000 (couple).

Limited to western Iowa (e.g., Council Bluffs); expanding slowly.

Senior Community Service Employment Program (SCSEP)

Iowa SCSEP

Age 55+, unemployed, low-income, Iowa resident.

~$1,983/month (125% FPL).

Not specified; income-focused.

Priority for veterans, rural residents.

VA Aid and Attendance (A&A) and Housebound Benefits

Iowa VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, Iowa resident, wartime service, need for ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth limit).

High veteran demand in rural areas.

Able Up Iowa

Able Up Iowa

Age 65+ or disabled, Iowa resident, ability to repay loan, need for assistive tech or mods.

No strict limit; must demonstrate repayment capacity.

Not specified; credit-based.

Loans up to $25,000; statewide via Easterseals partnership.

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