Midlands Living Center LLC

Q: Who is the owner of Midlands Living Center LLC?

Midlands Living Center LLC is legally operated by North Crest Living Center(Free Standing NF/SNF) | 780853, and administered by Jordan Tjaden.

Q: Is Midlands Living Center LLC in a walkable area?

Midlands Living Center LLC has a walk score of 77. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

Q: What is the license number of Midlands Living Center LLC?

According to IA state health department records, Midlands Living Center LLC's license number is 780508.

Q: When does Midlands Living Center LLC's license expire?

According to IA state health department records, Midlands Living Center LLC's license expires on October 1, 2026.

Q: What is the occupancy rate at Midlands Living Center LLC?

Midlands Living Center LLC's occupancy is 72%.

Q: How long has Midlands Living Center LLC been in business?

Midlands Living Center LLC has been operating for approximately 22 years, based on available licensing and registration records.

Q: Are pets allowed at Midlands Living Center LLC?

No, Midlands Living Center LLC has a no-pet policy.

Nursing Home, Hospice Care, Respite Care & Skilled Nursing · Council Bluffs, IA

CMS overall rating

2452 North Broadway, Council Bluffs, Ia 515030434 View map

Calculator: See prices in your area

Midlands Living Center LLC accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Midlands Living Center LLC accepts Medicare, Medicaid, and private pay.

Overview of Midlands Living Center

Midlands Living Center is a 94-bed skilled nursing facility at 2452 North Broadway in Council Bluffs, Iowa. Locally owned and administered by Jordan Tjaden, the community provides short-term rehabilitation, long-term care, and hospice support for residents in Pottawattamie County. The campus is car-dependent with a Walk Score of 14, though it provides medical appointment transportation for its residents.

The facility is CMS-certified and carries an above average 4-star overall rating as of May 2026. Between 2021 and 2025, state inspections yielded an average of 4.3 deficiencies per year, which is 37% below the Iowa state average. While an April 2025 investigation identified a single deficiency related to infection control during catheter care, a September 2025 follow-up found the facility in substantial compliance with zero deficiencies. No federal fines or payment denials have been issued in the past three years.

Staffing levels exceed state averages in several key categories. Total adjusted nursing hours are 4 hours 31 minutes per resident day, with Licensed Practical Nurse (LPN) hours at 48 minutes, 41% above the Iowa average. Weekend nursing coverage is also a strength, performing 5% above the state mean. Quality measures are rated at 4 stars, with long-stay hospitalizations 28% better than average and a 96.4% success rate in managing residents’ physical restraint needs.

The campus offers furnished rooms with in-house laundry and on-site beauty and barber services.Shared clinical amenities include:On-site optometry, podiatry, and dentistry alongside physical, occupational, and speech therapy. The social calendar features recreational and spiritual activities, and the facility maintains an A+ rating with the Better Business Bureau. Medicare, Medicaid, and private pay are accepted, with a current occupancy rate of approximately 72%.

Families should evaluate the current bedside care standards during an on-site visit. It is advisable to ask the administrator for specific details on the corrective actions taken after the 2025 catheter care finding and to confirm that the infection prevention protocols remain in full compliance for 2026.

Facility Direct Line (712) 323-7135

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Iowa state averages

Total nursing care / resident

4h 31m per day

This facility Iowa avg (4h 18m per day)

vs Iowa avg

+5%

4 of 6 metrics below state avg

Standout metric LPN / LVN is +43% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	36m per day	▼ 18% State avg: 44m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	49m per day	▲ 43% State avg: 34m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 24m per day	▼ 5% State avg: 2h 32m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	3h 19m per day	■ Avg State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	1m per day	▼ 38% State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	21m per day	▼ 31% State avg: 30m per day · National avg: 28m per day

Capacity and availability

235 days

94-bed community

A larger shared setting that may offer more common spaces and organized community services.

22 years in operation

A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

Walk Score: 77 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

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

About this community

Occupancy

Occupancy rate

72%

Similar to the Iowa average: 75.4%

Occupied beds

68 / 94

Average occupied beds in Iowa homes 51 beds

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility

StatusActive

ExpirationOctober 1, 2026

CountyPottawattamie

License Number780508

CMS Certification Number165447

Certification TypeFALSE

Midlands Living Center LLC is administered by Jordan Tjaden.

Owner NameNorth Crest Living Center(Free Standing Nf/Snf) | 780853

Staffing

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

ContactSteven Chamley, Administrator (per BBB, record updated Jul 2026)

Rehabilitation Services

Respite Care

Doctor on Staff

Email jtjaden@midlandslivingcenter.com

Fax7123250289

Pets not allowed

Since 2020 · 6 years of data 44 deficiencies 23 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2020 vs. Iowa state average

Overall vs. IA average

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	IA Average	vs. IA Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	44	27	This facility has 63% more total deficiencies than a typical Iowa nursing home (44 vs. IA avg 27).↑ 63% worse
Deficiencies per inspection Average deficiencies per inspection.	1.9	1.8	This facility has 6% more deficiencies per inspection than a typical Iowa nursing home (1.9 vs. IA avg 1.8).↑ 6% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	IA Average	vs. IA Avg
Total inspections Combined count of all inspections conducted at this facility.	23	15	This facility has had 53% more total inspections than the Iowa average (23 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↑ 53% more

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The most recent complaint investigation ending September 2, 2025 found the facility in substantial compliance with no deficiencies.
The January 15, 2025 annual inspection identified five deficiencies including failure in care plan development, infection control, and following physician orders, with one substantiated complaint.
The facility had recurring infection control issues, including a substantiated catheter care complaint in April 2025 and prior infection prevention deficiencies noted in 2023 and 2024.

Show Inspection Reports

Inspections since 2022

Total health inspections 5

Iowa average 4.9

Last Health inspection on Apr 2025

Total health citations

Iowa average 21.7

Citations per inspection

2.8

Iowa average 4.11

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 4 years)

Critical health citations

100% better than Iowa average

Iowa average: 0.6

Serious health citations

100% better than Iowa average

Iowa average: 0.9

0 critical citations Iowa average: 0.6

0 serious citations Iowa average: 0.9

14 moderate citations Iowa average: 19.7

0 minor citations Iowa average: 0.5

Citations history (last 4 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

Total staff 89

Employees 77

Contractors 12

Staff to resident ratio 1.39 : 1

32% fewer staff per resident than Iowa average

Avg staff/day 40

Average shift 7.8 hours

5% better than Iowa average

Total staff hours (quarter) 28,641

Nursing staff breakdown

8.2 hours

8.5 hours

8.1 hours

Contractor staffing

1,286 contractor hours this quarter

Physical Therapy Assistant: 4 Speech Language Pathologist: 2 Respiratory Therapy Technician: 2 Qualified Social Worker: 1 Physical Therapy Aide: 1 Occupational Therapy Aide: 1 Medical Director: 1

Staff by category


Certified Nursing Assistant	36	0	36	13,156	92	100%	8.1
Licensed Practical Nurse	13	0	13	5,098	92	100%	8.5
Registered Nurse	8	0	8	2,294	92	100%	8.2
Medication Aide/Technician	5	0	5	1,895	92	100%	8.2
Clinical Nurse Specialist	4	0	4	1,044	68	74%	8
Mental Health Service Worker	2	0	2	1,000	79	86%	7.8
Other Dietary Services Staff	2	0	2	893	70	76%	7.8
Nurse Practitioner	2	0	2	520	65	71%	8
Dietitian	1	0	1	520	64	70%	8.1
Physical Therapy Assistant	0	4	4	513	71	77%	6.4
Administrator	1	0	1	488	61	66%	8
Nurse Aide in Training	2	0	2	357	41	45%	6.9
Speech Language Pathologist	0	2	2	335	64	70%	5.2
Respiratory Therapy Technician	0	2	2	131	41	45%	3.2
Qualified Social Worker	0	1	1	121	59	64%	2.1
Occupational Therapy Aide	0	1	1	104	13	14%	8
RN Director of Nursing	1	0	1	90	11	12%	8.1
Physical Therapy Aide	0	1	1	62	29	32%	2.1
Medical Director	0	1	1	20	13	14%	1.5

36 Certified Nursing Assistant

% of Days 100%

13 Licensed Practical Nurse

% of Days 100%

8 Registered Nurse

% of Days 100%

5 Medication Aide/Technician

% of Days 100%

4 Clinical Nurse Specialist

% of Days 74%

2 Mental Health Service Worker

% of Days 86%

2 Other Dietary Services Staff

% of Days 76%

2 Nurse Practitioner

% of Days 71%

1 Dietitian

% of Days 70%

4 Physical Therapy Assistant

% of Days 77%

1 Administrator

% of Days 66%

2 Nurse Aide in Training

% of Days 45%

2 Speech Language Pathologist

% of Days 70%

2 Respiratory Therapy Technician

% of Days 45%

1 Qualified Social Worker

% of Days 64%

1 Occupational Therapy Aide

% of Days 14%

1 RN Director of Nursing

% of Days 12%

1 Physical Therapy Aide

% of Days 32%

1 Medical Director

% of Days 14%

View All Staffing Data in Council Bluffs

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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

Significantly above average Iowa avg: 3.3

Need for Help with Daily Activities Increased 16.3%

14% better than Iowa average

Iowa average: 18.8%

Walking Ability Worsened 14.8%

25% better than Iowa average

Iowa average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 27.8%

6% worse than Iowa average

Iowa average: 26.2%

Falls with Major Injury 3.9%

7% worse than Iowa average

Iowa average: 3.6%

High Risk Residents with Pressure Ulcers 3.7%

15% better than Iowa average

Iowa average: 4.4%

Urinary Tract Infection 2.2%

12% better than Iowa average

Iowa average: 2.5%

Lost Too Much Weight 5.5%

9% worse than Iowa average

Iowa average: 5.0%

Depressive Symptoms 0.0%

100% better than Iowa average

Iowa average: 3.9%

Antipsychotic Use 11.8%

38% better than Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine 94.9%

In line with Iowa average

Iowa average: 94.4%

Influenza Vaccine 100.0%

5% better than Iowa average

Iowa average: 95.3%

Hospitalizations per 1,000 days 1.26

15% better than Iowa average

Iowa average: 1.48

ED visits per 1,000 days 0.82

61% better than Iowa average

Iowa average: 2.09

Short-stay resident measures

Above average Iowa avg: 2.6

Pneumococcal Vaccine 80.5%

5% worse than Iowa average

Iowa average: 85.1%

Antipsychotic medication increase 1.4%

26% better than Iowa average

Iowa average: 1.8%

Influenza Vaccine 73.1%

In line with Iowa average

Iowa average: 73.3%

Re-hospitalized after SNF stay 18.3%

14% better than Iowa average

Iowa average: 21.3%

Emergency department visits 6.7%

49% better than Iowa average

Iowa average: 13.1%

Falls with major injury 0.0%

100% better than Iowa average

Iowa average: 0.8%

Ability to care for self at discharge 54.9%

In line with Iowa average

Iowa average: 53.7%

Successful return to home or community 55.2%

9% better than Iowa average

Iowa average: 50.6%

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

Total residents 64

Medicare

18.8% of residents

Medicaid

45.3% of residents

Private pay or other

35.9% of residents

Financial Trends

Historical financial and operational data for Midlands Living Center LLC from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 78.1% ↑ 0.8pp vs 2022

Net Patient Income $1.5M ↑ ~$953.4K vs 2022

Payroll Costs $4.4M ↑ ~$138.0K vs 2022

Operating Margin 18.5% ↑ 11.2pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	82.7%	81.6%	85.2%	91.4%	83.8%	81.9%	80.9%	79.3%	78.3%	75.5%	72.8%	77.3%	78.1%
Beds	100	100	100	100	100	100	100	100	100	92	94	94	94
Net Income	$312,134	$366,080	$353,480	$299,264	$227,326	$139,159	$221,790	$228,019	$474,194	$400,072	$257,515	$228,079	$1,320,142
Gross Revenue	$5,969,885	$6,413,644	$6,571,309	$6,468,105	$6,381,922	$6,371,511	$6,966,152	$6,897,396	$6,967,343	$7,466,635	$6,750,611	$7,659,873	$8,793,254
Operating Expenses	$5,020,393	$5,479,932	$5,618,946	$5,578,746	$5,664,962	$5,754,449	$5,983,624	$6,010,021	$5,795,821	$6,138,790	$5,811,707	$6,474,553	$6,448,181
Net Patient Income	$462,078	$278,558	$420,190	$475,506	$311,834	$263,382	$400,552	$419,705	$696,920	$691,678	$534,005	$509,346	$1,462,720
Net Patient Revenue	$5,482,471	$5,758,490	$6,039,136	$6,054,252	$5,976,796	$6,017,831	$6,384,176	$6,429,726	$6,492,741	$6,830,468	$6,345,712	$6,983,899	$7,910,901
Payroll Costs	$3,005,582	$3,184,717	$3,520,459	$3,469,264	$3,826,004	$3,972,809	$4,003,106	$3,937,135	$3,843,225	$3,998,932	$3,703,805	$4,227,559	$4,365,516
Operating Margin %	8.4%	4.8%	7.0%	7.9%	5.2%	4.4%	6.3%	6.5%	10.7%	10.1%	8.4%	7.3%	18.5%
Medicare %	6.6%	9.9%	7.2%	6.1%	5.5%	4.9%	7.2%	4.6%	3.8%	6.8%	5.8%	7.1%	7.5%
Medicaid %	74.8%	66.2%	62.3%	60.8%	57.7%	54.9%	47.9%	50.7%	52.1%	52.4%	54.5%	58.1%	50.6%
Private %	18.6%	23.9%	30.6%	33.0%	36.7%	40.2%	44.8%	44.7%	44.1%	40.8%	39.7%	34.9%	41.9%
Net Patient Revenue/Day	$182	$193	$194	$181	$195	$201	$216	$222	$227	$251	$254	$263	$295
Cost/Day	$166	$183	$181	$167	$185	$192	$203	$208	$203	$226	$233	$244	$241
Avg Length of Stay	144.4 days	121.9 days	162.7 days	323.9 days	343.8 days	252.0 days	215.6 days	253.9 days	226.7 days	446.2 days	271.3 days	285.2 days	235.2 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$7.9M

Net patient income

$1.5M

For-profit Operated by a single business entity.

Net patient revenue

$7.9M

Net patient income

$1.5M

Other income

$501.4K

Payroll costs

$4.4M 55.2% of net patient revenue

Other operating costs

$2.1M

Total costs

$6.4M

TYPE OF STAY

Mostly short-term rehab stays

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

New residents most often arrive under Medicare (48% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 48%

Private pay 30%

Medicaid 22%

Coverage residents most often leave under.

Medicare 42%

Private pay 32%

Medicaid 26%

0.0 miles from city center Estimated distance in miles from Council Bluffs's city center to Midlands Living Center LLC's address, calculated via Google Maps.

Quick search

Calculate Travel Distance to Midlands Living Center LLC

Add your location

Compare Nursing Homes around Council Bluffs

Info below is compiled from CMS reports & the IA Dept. of Inspections, Appeals & Licensing (DIAL), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.


Midlands Living Center LLC		NH HOS RC SNF	Council Bluffs	94 Facility 94 IA AVG 71 Rank #77 / 406	72.3% Facility 72.3% IA AVG 64.7 Rank #176 / 379	+12%	4.51 Facility 4.51 IA AVG 4.30 Rank #73 / 235				-23%	+5%	$0 Facility $0 IA AVG $53.4k Rank #1 / 241	14 Facility 14 IA AVG 21.7 Rank #96 / 234	2.8 Facility 2.8 IA AVG 4.1 Rank #66 / 234	-	68	A+	77 Facility 77 IA AVG 45 Rank #59 / 528	-	$7.9MFiscal year ending 12/2023 Facility $7.9MFiscal year ending 12/2023 IA AVG $7.0M Rank #77 / 239	$4.4MFiscal year ending 12/2023 Facility $4.4MFiscal year ending 12/2023 IA AVG $3.1M Rank #97 / 239	55.2%Fiscal year ending 12/2023 Facility 55.2%Fiscal year ending 12/2023 IA AVG 46.3% Rank #189 / 239	165447
North Crest Living Center		NH SNF	Council Bluffs	62 Facility 62 IA AVG 71 Rank #201 / 406	91.9% Facility 91.9% IA AVG 64.7 Rank #40 / 379	+42%	4.18 Facility 4.18 IA AVG 4.30 Rank #112 / 235				-32%	-3%	$0 Facility $0 IA AVG $53.4k Rank #1 / 241	34 Facility 34 IA AVG 21.7 Rank #186 / 234	5.7 Facility 5.7 IA AVG 4.1 Rank #182 / 234	-	57	-	77 Facility 77 IA AVG 45 Rank #59 / 528	Steven Chamley	$5.6MFiscal year ending 12/2023 Facility $5.6MFiscal year ending 12/2023 IA AVG $7.0M Rank #143 / 239	$3.2MFiscal year ending 12/2023 Facility $3.2MFiscal year ending 12/2023 IA AVG $3.1M Rank #130 / 239	56.8%Fiscal year ending 12/2023 Facility 56.8%Fiscal year ending 12/2023 IA AVG 46.3% Rank #86 / 239	165290
Bethany Lutheran Home		NH AL MC SNF	Seven Elliott Street	112 Facility 112 IA AVG 71 Rank #50 / 406	80.4% Facility 80.4% IA AVG 64.7 Rank #125 / 379	+24%	4.89 Facility 4.89 IA AVG 4.30 Rank #45 / 235				+28%	+14%	$46.9k Facility $46.9k IA AVG $53.4k Rank #206 / 241	51 Facility 51 IA AVG 21.7 Rank #209 / 234	5.1 Facility 5.1 IA AVG 4.1 Rank #168 / 234	6	90	-	77 Facility 77 IA AVG 45 Rank #59 / 528	Diana Roberts	$10.6MFiscal year ending 09/2023 Facility $10.6MFiscal year ending 09/2023 IA AVG $7.0M Rank #23 / 239	$6.4MFiscal year ending 09/2023 Facility $6.4MFiscal year ending 09/2023 IA AVG $3.1M Rank #12 / 239	60.5%Fiscal year ending 09/2023 Facility 60.5%Fiscal year ending 09/2023 IA AVG 46.3% Rank #38 / 239	165524
Prairie Gate	-	NH IL MC	Council Bluffs	36 Facility 36 IA AVG 71 Rank #360 / 406	94.4% Facility 94.4% IA AVG 64.7 Rank #24 / 379	+46%	-	-	-	-	-	-	-	-	-	-	34	-	6 Facility 6 IA AVG 45 Rank #486 / 528	Natasha Urinko	$1.9MFiscal year ending 05/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility $1.9MFiscal year ending 05/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. IA AVG $7.0M Rank #138 / 239	$3.1MFiscal year ending 05/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility $3.1MFiscal year ending 05/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. IA AVG $3.1M Rank #151 / 239	160%Fiscal year ending 05/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. Facility 160%Fiscal year ending 05/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. IA AVG 46.3% Rank #151 / 239	165789

Nursing Home Explorer

Elderly Waiver

Iowa Medicaid Elderly Waiver

Age 65+

General 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).

Rural focus; waitlists possible.

Benefits

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

Age Caregiver of someone 60+

General Iowa resident.

Income Limits No strict limit; prioritizes low-income.

Asset Limits Not applicable.

Limited slots; rural emphasis.

Benefits

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

Age 65+ or disabled

General 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).

Three tiers; no waitlist.

Benefits

Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

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

Iowa PACE

Age 55+

General 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).

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

Benefits

Personal care (5-7 hours/day) Medical care Meals Transportation Therapy Respite

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

Iowa VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse

General 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

High veteran demand in rural areas.

Benefits

Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Able Up Iowa

Age 65+ or disabled

General 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.

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

Benefits

Loans for wheelchairs Ramps Walk-in tubs (~$500-$10,000 avg.) Reducing reliance on paid care

Who is the owner of Midlands Living Center LLC?

Midlands Living Center LLC is legally operated by North Crest Living Center(Free Standing NF/SNF) | 780853, and administered by Jordan Tjaden.

Is Midlands Living Center LLC in a walkable area?

Midlands Living Center LLC has a walk score of 77. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of Midlands Living Center LLC?

According to IA state health department records, Midlands Living Center LLC's license number is 780508.

When does Midlands Living Center LLC's license expire?

According to IA state health department records, Midlands Living Center LLC's license expires on October 1, 2026.

What is the occupancy rate at Midlands Living Center LLC?

Midlands Living Center LLC's occupancy is 72%.

How long has Midlands Living Center LLC been in business?

Midlands Living Center LLC has been operating for approximately 22 years, based on available licensing and registration records.

Are pets allowed at Midlands Living Center LLC?

No, Midlands Living Center LLC has a no-pet policy.

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

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

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

Midlands Living Center LLC

Overview of Midlands Living Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Staffing

Leadership

Therapy & Rehabilitation

Staffing & Medical

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact Midlands Living Center LLC

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

36 Certified Nursing Assistant

13 Licensed Practical Nurse

8 Registered Nurse

5 Medication Aide/Technician

4 Clinical Nurse Specialist

2 Mental Health Service Worker

2 Other Dietary Services Staff

2 Nurse Practitioner

1 Dietitian

4 Physical Therapy Assistant

1 Administrator

2 Nurse Aide in Training

2 Speech Language Pathologist

2 Respiratory Therapy Technician

1 Qualified Social Worker

1 Occupational Therapy Aide

1 RN Director of Nursing

1 Physical Therapy Aide

1 Medical Director

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

Places of interest near Midlands Living Center LLC

Calculate Travel Distance to Midlands Living Center LLC

Compare Nursing Homes around Council Bluffs

Financial Assistance for Nursing Home in Iowa

Elderly Waiver

Iowa Family Caregiver Support

Medicare Savings Program (MSP)

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

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

Able Up Iowa

Financial Assistance for
Nursing Home in Iowa