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.
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.
Midlands Living Center LLC is administered by Jordan Tjaden.
Key information about the people who lead and staff this community.
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
Deficiencies
|
This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
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Total deficiencies
|
44 | 27 | This facility has 63% more total deficiencies than a typical Iowa nursing home (44 vs. IA avg 27).↑ 63% worse |
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Deficiencies per year
|
7.3 | 4.5 | This facility has 62% more deficiencies per year than a typical Iowa nursing home (7.3 vs. IA avg 4.5).↑ 62% worse |
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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
|
This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
|
23 | 15 | This facility has 53% more total inspections than a typical Iowa nursing home (23 vs. IA avg 15).↑ 53% worse |
Iowa average 4.9
Last Health inspection on Apr 2025
Iowa average 21.7
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).
Iowa average: 0.6
Iowa average: 0.9
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
1,286 contractor hours this quarter
| 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 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
48% of new residents, usually for short-term rehab.
30% of new residents, often for short stays.
22% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Historical financial and operational data for Midlands Living Center LLC from 2011–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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.
Coverage residents most often leave under.
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.
Add your location
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
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| Midlands Living Center LLC |
NH
HC
RC
|
Council Bluffs |
94
Facility
94
IA AVG
71
Rank
#77 / 407
|
72.3%
Facility
72.3%
IA AVG
75.4%
Rank
#175 / 407
| -4% |
4.51
Facility
4.51
IA AVG
4.30
Rank
#80 / 249
| -23% | +5% |
$0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 255
|
14
Facility
14
IA AVG
21.7
Rank
#105 / 250
|
2.8
Facility
2.8
IA AVG
4.1
Rank
#74 / 250
| - | 70 | A+ |
77
Facility
77
IA AVG
45
Rank
#59 / 528
| - |
$7.9M
Facility
$7.9M
IA AVG
$7.0M
Rank
#80 / 251
|
$4.4M
Facility
$4.4M
IA AVG
$3.1M
Rank
#100 / 251
|
55.2%
Facility
55.2%
IA AVG
46.3%
Rank
#194 / 251
| 165447 | ||||
| Bethany Lutheran Home |
NH
AL
MC
|
Seven Elliott Street |
112
Facility
112
IA AVG
71
Rank
#50 / 407
|
80.4%
Facility
80.4%
IA AVG
75.4%
Rank
#123 / 407
| +7% |
4.89
Facility
4.89
IA AVG
4.30
Rank
#52 / 249
| +28% | +14% |
$46.9k
Facility
$46.9k
IA AVG
$53.4k
Rank
#218 / 255
|
51
Facility
51
IA AVG
21.7
Rank
#224 / 250
|
5.1
Facility
5.1
IA AVG
4.1
Rank
#183 / 250
| 6 | 92 | - |
77
Facility
77
IA AVG
45
Rank
#59 / 528
| Diana Roberts |
$10.6M
Facility
$10.6M
IA AVG
$7.0M
Rank
#24 / 251
|
$6.4M
Facility
$6.4M
IA AVG
$3.1M
Rank
#13 / 251
|
60.5%
Facility
60.5%
IA AVG
46.3%
Rank
#42 / 251
| 165524 | ||||
| Risen Son Christian Village |
NH
AL
IL
MC
|
Council Bluffs (Risen Son Boulevard) |
102
Facility
102
IA AVG
71
Rank
#64 / 407
|
27.5%
Facility
27.5%
IA AVG
75.4%
Rank
#382 / 407
| -64% | 0.03 | -22% | -99% |
$132.6k
Facility
$132.6k
IA AVG
$53.4k
Rank
#241 / 255
|
38
Facility
38
IA AVG
21.7
Rank
#209 / 250
|
6.3
Facility
6.3
IA AVG
4.1
Rank
#218 / 250
| 2 | 24 | A+ |
8
Facility
8
IA AVG
45
Rank
#477 / 528
| Allen Burnett |
$7.8M
Facility
$7.8M
IA AVG
$7.0M
Rank
#84 / 251
|
$5.5M
Facility
$5.5M
IA AVG
$3.1M
Rank
#39 / 251
|
70.6%
Facility
70.6%
IA AVG
46.3%
Rank
#28 / 251
| 165466 | ||||
| Prairie Gate | - |
NH
IL
MC
|
Council Bluffs |
36
Facility
36
IA AVG
71
Rank
#361 / 407
|
94.4%
Facility
94.4%
IA AVG
75.4%
Rank
#31 / 407
| +25% | - | - | - | - | - | - | - | - | - | - | 34 | - |
6
Facility
6
IA AVG
45
Rank
#486 / 528
| Natasha Urinko |
$1.4M
Facility
$1.4M
IA AVG
$7.0M
Rank
#161 / 251
|
$2.0M
Facility
$2.0M
IA AVG
$3.1M
Rank
#231 / 251
|
137.1%
Facility
137.1%
IA AVG
46.3%
Rank
#238 / 251
| 165789 |
Midlands Living Center LLC is located in Council Bluffs, Iowa.
Here are the financial assistance programs available to residents in Iowa.
Midlands Living Center LLC is legally operated by North Crest Living Center(Free Standing NF/SNF) | 780853, and administered by Jordan Tjaden.
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.
According to IA state health department records, Midlands Living Center LLC's license number is 780508.
According to IA state health department records, Midlands Living Center LLC's license expires on October 1, 2026.
Midlands Living Center LLC's occupancy is 72%.
The team at Midlands Living Center LLC can be reached at jtjaden@midlandslivingcenter.com.
Midlands Living Center LLC is registered as a for-profit in IA.
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