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 Based on health inspections, staffing and quality measures.
3/5
Health Inspection Info Based on deficiencies found during state health inspections.
3/5
Staffing Info Based on nurse staffing hours per resident per day.
3/5
Quality Measures Info 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 74.3%
Residents per day (avg) 69
Occupancy rate
74.3%
Residents per day (avg)
69

Who this home usually serves

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Breakdown by payment type

Medicare

44% of new residents, usually for short-term rehab.

Typical stay 11 - 12 months

Private pay

26% of new residents, often for short stays.

Typical stay 11 - 12 months

Medicaid

29% of new residents, often for long-term daily care.

Typical stay 2 - 3 months

Finances and operations

Proprietary home
Individual
Home revenue
$7.7M
Profit
$228.1K
Proprietary home Individual
Home revenue
$7,663,875.00
Profit
$228,079.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.7M
47.9% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.5M
Total costs $7.2M
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

Places of interest near Midlands Living Center

Address 3.5 miles from city center

Address 2452 N Broadway, Council Bluffs, IA 51503

Calculate Travel Distance to Midlands Living Center

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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

Source: CMS Health Citations (Oct 2022 – Apr 2025)

5
Inspections
14
Total Citations
0
Critical (J-L)
0
Serious (G-I)
2.8
Citations/Inspection
Apr 2025
Last Inspection
Citation Severity Distribution
Minor (A-C)
0
Moderate (D-F)
14
Serious (G-I)
0
Critical (J-L)
0
What do these levels mean?
Top Deficiency Categories
Infection Control
4
29% of total
Resident Rights
2
14% of total
Quality of Life & Care
2
14% of total
Abuse, Neglect & Exploitation
1
7% of total
Citation Sources
Standard Inspections 12
Complaint Investigations 4
State Comparison (IA)
Avg Citations (State)
21.7
This Facility: 14
Avg Critical (State)
0.6
This Facility: 0
Recent Citations (Last 3 Years)
DateSeverity ?CategoryTagStatus
Apr 24, 2025 D Infection ControlF0880 Corrected
Jan 15, 2025 D Infection ControlF0880 Corrected
Jan 15, 2025 D Quality of CareF0689 Corrected
Jan 15, 2025 D Care PlanningF0656 Corrected
Jan 15, 2025 D Care PlanningF0657 Corrected
Jan 15, 2025 D Care PlanningF0658 Corrected
Sep 30, 2024 D Resident RightsF0550 Corrected
Dec 21, 2023 E Abuse/NeglectF0943 Corrected
Dec 21, 2023 D Infection ControlF0880 Corrected
Dec 21, 2023 D Care PlanningF0644 Corrected
Dec 21, 2023 D Care PlanningF0657 Corrected
Oct 06, 2022 E Infection ControlF0880 Corrected
Oct 06, 2022 D Quality of CareF0689 Corrected
Oct 06, 2022 D Resident RightsF0585 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 Measures

CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.

Source: CMS Nursing Home Compare (Data as of Jan 2026)

High-Risk Clinical Events
8.8 Score
14% better than avg Iowa avg: 10.2

Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline

Functional Decline
19.6 Score
9% better than avg Iowa avg: 21.6

Composite score based on ADL decline, walking ability decline, and incontinence

Long-Stay Resident Measures

Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.

Need for Help with Daily Activities Increased
16.3%
Lost Too Much Weight
5.5%
Urinary Tract Infection
2.2%
Depressive Symptoms
0.0%
Falls with Major Injury
3.9%
Pneumococcal Vaccine
94.9%
Antipsychotic Use
11.8%
Walking Ability Worsened
14.8%
Influenza Vaccine
100.0%
High Risk Residents with Pressure Ulcers
3.7%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
27.8%
Short-Stay Resident Measures

Measures for residents who stay 100 days or less (typically rehabilitation patients).

Pneumococcal Vaccine
80.5% 5% worse than avg Iowa: 85.1%
Short-Stay Residents Who Received a New Antipsychotic Medication
1.4% 26% better than avg Iowa: 1.8%
Influenza Vaccine
73.1% Near average Iowa: 73.3%

Guides for Better Senior Living

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Claim What’s Yours: Financial Aid for Iowa Seniors

Program
State Program Name
Eligibility
Benefits
Elderly Waiver
Iowa Medicaid Elderly Waiver
Official government program page
  • General: Age 65+, Iowa resident, Medicaid-eligible, nursing home-level care need.
  • Income Limits (2025): ~$2,829/month (300% FBR, individual).
  • Asset Limits: $2,000 (individual), $3,000 (couple).
  • IA Specifics: Rural focus; waitlists possible.
  • Services: In-home care (5-7 hours/day), meals ($6/meal), respite (240 hours/year), adult day care ($60/day).
Iowa Family Caregiver Support
IA NFCSP
  • General: Caregiver of someone 60+, Iowa resident.
  • Income Limits: No strict limit; prioritizes low-income.
  • Asset Limits: Not applicable.
  • IA Specifics: Limited slots; rural emphasis.
  • Services: In-home respite (4-6 hours/day), adult day care (~$60/day), short-term facility care (up to 5 days).
Medicare Savings Program (MSP)
Iowa Medicare Savings Program
Official government program page
  • General: Age 65+ or disabled, Iowa resident, Medicare Part A/B.
  • Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
  • Asset Limits: $9,430 (individual), $14,130 (couple).
  • IA Specifics: Three tiers; no waitlist.
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Program of All-Inclusive Care for the Elderly (PACE)
  • General: Age 55+, Iowa resident, nursing home-level care need, safe with PACE support.
  • Income Limits (2025): ~$2,829/month (300% FBR, Medicaid-eligible).
  • Asset Limits: $2,000 (individual), $3,000 (couple).
  • IA Specifics: Limited to western Iowa (e.g., Council Bluffs); expanding slowly.
  • Services: Personal care (5-7 hours/day), medical care, meals, transportation, therapy, respite.
Senior Community Service Employment Program (SCSEP)
  • General: Age 55+, unemployed, low-income, Iowa resident.
  • Income Limits (2025): ~$1,983/month (125% FPL).
  • Asset Limits: Not specified; income-focused.
  • IA Specifics: Priority for veterans, rural residents.
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
VA Aid and Attendance (A&A) and Housebound Benefits
Iowa VA Aid and Attendance/Housebound
  • General: Age 65+ or disabled veteran/spouse, Iowa resident, wartime service, need for ADL help (A&A) or homebound.
  • Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
  • Asset Limits: ~$155,356 (net worth limit).
  • IA Specifics: High veteran demand in rural areas.
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
Able Up Iowa
  • General: Age 65+ or disabled, Iowa resident, ability to repay loan, need for assistive tech or mods.
  • Income Limits (2025): No strict limit; must demonstrate repayment capacity.
  • Asset Limits: Not specified; credit-based.
  • IA Specifics: Loans up to $25,000; statewide via Easterseals partnership.
  • Services: Loans for wheelchairs, ramps, walk-in tubs (~$500-$10,000 avg.), reducing reliance on paid care.

Claim What’s Yours Financial Aid for Iowa Seniors

Iowa Medicaid Elderly Waiver

Elderly Waiver

Requirements:
  • General:
    Age 65+, Iowa resident, Medicaid-eligible, nursing home-level care need.
  • Income Limits (2025):
    ~$2,829/month (300% FBR, individual).
  • Asset Limits:
    $2,000 (individual), $3,000 (couple).
  • IA Specifics:
    Rural focus; waitlists possible.
Benefits without Contact:
  • Services: In-home care (5-7 hours/day), meals ($6/meal), respite (240 hours/year), adult day care ($60/day).
IA NFCSP

Iowa Family Caregiver Support

Requirements:
  • General:
    Caregiver of someone 60+, Iowa resident.
  • Income Limits:
    No strict limit; prioritizes low-income.
  • Asset Limits:
    Not applicable.
  • IA Specifics:
    Limited slots; rural emphasis.
Benefits without Contact:
  • Services: In-home respite (4-6 hours/day), adult day care (~$60/day), short-term facility care (up to 5 days).
Iowa Medicare Savings Program

Medicare Savings Program (MSP)

Requirements:
  • General:
    Age 65+ or disabled, Iowa resident, Medicare Part A/B.
  • Income Limits (2025):
    ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
  • Asset Limits:
    $9,430 (individual), $14,130 (couple).
  • IA Specifics:
    Three tiers; no waitlist.
Benefits without Contact:
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Iowa PACE

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

Requirements:
  • General:
    Age 55+, Iowa resident, nursing home-level care need, safe with PACE support.
  • Income Limits (2025):
    ~$2,829/month (300% FBR, Medicaid-eligible).
  • Asset Limits:
    $2,000 (individual), $3,000 (couple).
  • IA Specifics:
    Limited to western Iowa (e.g., Council Bluffs); expanding slowly.
Benefits without Contact:
  • Services: Personal care (5-7 hours/day), medical care, meals, transportation, therapy, respite.
Iowa SCSEP

Senior Community Service Employment Program (SCSEP)

Requirements:
  • General:
    Age 55+, unemployed, low-income, Iowa resident.
  • Income Limits (2025):
    ~$1,983/month (125% FPL).
  • Asset Limits:
    Not specified; income-focused.
  • IA Specifics:
    Priority for veterans, rural residents.
Benefits without Contact:
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
Iowa VA Aid and Attendance/Housebound

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

Requirements:
  • General:
    Age 65+ or disabled veteran/spouse, Iowa resident, wartime service, need for ADL help (A&A) or homebound.
  • Income Limits (2025):
    Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
  • Asset Limits:
    ~$155,356 (net worth limit).
  • IA Specifics:
    High veteran demand in rural areas.
Benefits without Contact:
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living).
Able Up Iowa

Able Up Iowa

Requirements:
  • General:
    Age 65+ or disabled, Iowa resident, ability to repay loan, need for assistive tech or mods.
  • Income Limits (2025):
    No strict limit; must demonstrate repayment capacity.
  • Asset Limits:
    Not specified; credit-based.
  • IA Specifics:
    Loans up to $25,000; statewide via Easterseals partnership.
Benefits without Contact:
  • Services: Loans for wheelchairs, ramps, walk-in tubs (~$500-$10,000 avg.), reducing reliance on paid care.
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