Midlands Living Center LLC
Nursing Home, Hospice Care & Respite Care · Council Bluffs, IA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Midlands Living Center LLC

Nursing Home, Hospice Care & Respite Care · Council Bluffs, IA
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Midlands Living Center LLC accepts Medicare, Medicaid, and private pay.

Overview of Midlands Living Center LLC

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.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▲ 30.6% Above IA avg. ▲ 30.6% Above IA avg.IA average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▲ 5.2% Above IA avg. ▲ 5.2% Above IA avg.IA average: 2.9Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▲ 12.8% Above IA avg. ▲ 12.8% Above IA avg.IA average: 3.5Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▲ 52.7% Above IA avg. ▲ 52.7% Above IA avg.IA average: 3.3Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to Iowa state averages

Total nursing care / resident Info This home is ranked 80th out of 249 homes in Iowa for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 31m per day
Rank #80 / 249Nurse hours — State benchmarkedThis home is ranked 80th out of 249 homes in Iowa. Shows adjusted nurse hours per resident per day benchmarked to the Iowa average, with a ranking across 249 Iowa facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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) Info 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 Info 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 Info 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 Info 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 Info 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 Info 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

Avg. Length of Stay
235 days
Bed community size
94-bed community Rank #77 / 407Bed count — State benchmarkedThis home is ranked 77th out of 407 homes in Iowa. Shows this facility's certified or reported bed count compared to other Iowa facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
22 years in operation Rank #120 / 282Years in operation — State benchmarkedThis home is ranked 120th out of 282 homes in Iowa. Shows how long this facility has been in operation compared to other Iowa facilities. Longer operating histories may benefit residents, families, and staff.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 77 / 100 Rank #59 / 528Walk Score — State benchmarkedThis home is ranked 59th out of 528 homes in Iowa. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Iowa facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
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

About this community

Occupancy

Occupancy rate
72%
Rank #175 / 407Occupancy rate — State benchmarkedThis home is ranked 175th out of 407 homes in Iowa. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 407. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Similar to the Iowa average: 75.4%
Occupied beds
68 / 94
Average occupied beds in Iowa homes 51 beds

License Details

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility
StatusActive
ExpirationOctober 1, 2026
CountyPottawattamie
License Number780508
CMS Certification Number165447
Certification TypeFALSE

Ownership & Operating Entity

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.

Leadership

ContactSteven Chamley, Administrator

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

1 service
Doctor on Staff

Contact Information

Fax7123250289

Amenities & Lifestyle

Specific ProgramsRehabilitation - 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

Contact Midlands Living Center LLC

Inspection History

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.

Since 2020 · 6 years of data 44 deficiencies 23 inspections

Inspection Scorecard Info 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 4 Worse Metrics worse than Iowa average:
• Total deficiencies (63% above)
• Deficiencies per year (62% above)
• Deficiencies per inspection (6% above)
• Total inspections (53% above)
0 Better No metrics in this bucket.
Latest Inspection September 2, 2025

Deficiencies Info Deficiencies are formal regulatory issues recorded during state inspections.

This Facility IA Average vs. IA Avg
Total deficiencies Info 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 year Info Average deficiencies per year since 2020. 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
Deficiencies per inspection Info 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 Info State inspections evaluate whether the facility meets health and safety standards.

This Facility IA Average vs. IA Avg
Total inspections Info Combined count of all routine and focused inspections. Excludes complaint investigations. 23 15 This facility has 53% more total inspections than a typical Iowa nursing home (23 vs. IA avg 15).↑ 53% worse

Inspection Reports Summary Info 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.

Health Inspection History

Inspections since 2022
Total health inspections 5

Iowa average 4.9


Last Health inspection on Apr 2025

Total health citations
14 Rank #105 / 250Health citations — State benchmarkedThis home is ranked 105th out of 250 homes in Iowa. Shows this facility's total health deficiency citations benchmarked to the Iowa State average, with a ranking across all 250 IA facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Iowa average 21.7

Citations per inspection
2.8 Rank #74 / 250Citations per inspection — State benchmarkedThis home is ranked 74th out of 250 homes in Iowa. Shows average deficiency citations per CMS inspection for this facility versus the Iowa mean across 250 facilities with citation data. Lower is better.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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
0
100% better than Iowa average

Iowa average: 0.6


Serious health citations
0
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

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 89
Employees 77
Contractors 12
Staff to resident ratio 1.39 : 1
32% fewer staff per resident than Iowa average
Iowa average ratio: 2.05 : 1 Iowa average ratio: 2.05 : 1See full Iowa ranking
Avg staff/day 40
Average shift 7.8 hours
5% better than Iowa average
Iowa average: 7.4 hours Iowa average shift: 7.4 hoursSee full Iowa ranking
Total staff hours (quarter) 28,641

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 8 RN Staff are full-time employees. No contractors work on this role. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.2 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 13 LPN Staff are full-time employees. No contractors work on this role. 13
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 36 CNA Staff are full-time employees. No contractors work on this role. 36
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.1 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

4.5%

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

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
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%

Penalties and fines

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.

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 Info 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 average

Iowa average: 10.2

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 19.6
9% better than Iowa average

Iowa average: 21.6

Long-stay resident measures
Significantly above average Iowa avg: 3.3 Info 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 Info Percent of long-stay residents whose need for help with daily activities has increased 16.3%
14% better than Iowa average

Iowa average: 18.8%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 14.8%
25% better than Iowa average

Iowa average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 27.8%
6% worse than Iowa average

Iowa average: 26.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.9%
7% worse than Iowa average

Iowa average: 3.6%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.7%
15% better than Iowa average

Iowa average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.2%
12% better than Iowa average

Iowa average: 2.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.5%
9% worse than Iowa average

Iowa average: 5.0%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Iowa average

Iowa average: 3.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 11.8%
38% better than Iowa average

Iowa average: 19.0%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 94.9%
In line with Iowa average

Iowa average: 94.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
5% better than Iowa average

Iowa average: 95.3%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.26
15% better than Iowa average

Iowa average: 1.48

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 0.82
61% better than Iowa average

Iowa average: 2.09

Short-stay resident measures
Above average Iowa avg: 2.6 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 80.5%
5% worse than Iowa average

Iowa average: 85.1%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 1.4%
26% better than Iowa average

Iowa average: 1.8%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 73.1%
In line with Iowa average

Iowa average: 73.3%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 18.3%
14% better than Iowa average

Iowa average: 21.3%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 6.7%
49% better than Iowa average

Iowa average: 13.1%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than Iowa average

Iowa average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 54.9%
In line with Iowa average

Iowa average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 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

Facility Characteristics

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

Total residents 64
Medicare
12
18.8% of residents
Medicaid
29
45.3% of residents
Private pay or other
23
35.9% of residents

Finances and operations

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

For-profit
Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.9M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$1.5M
For-profit Operated by a single business entity.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.9M Rank #80 / 251Revenue — State benchmarkedThis home is ranked 80th out of 251 homes in Iowa. Shows this facility's annual revenue compared to the Iowa average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$1.5M
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$501.4K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #100 / 251Payroll — State benchmarkedThis home is ranked 100th out of 251 homes in Iowa. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$4.4M 55.2% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #194 / 251Payroll % — State benchmarkedThis home is ranked 194th out of 251 homes in Iowa. Shows payroll as a percentage of revenue versus the Iowa average. Well-run Iowa facilities typically land around 61–69% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.1M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$6.4M

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.

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

Admissions
116 total

Coverage residents most often arrive under.

Medicare 48%
Private pay 30%
Medicaid 22%
Discharges
114 total

Coverage residents most often leave under.

Medicare 42%
Private pay 32%
Medicaid 26%

Places of interest near Midlands Living Center LLC

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

Calculate Travel Distance to Midlands Living Center LLC

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Address

Compare Nursing Homes around Council Bluffs

The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.

4 facilities compared · CMS & IA Dept. of Health data

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

Financial Assistance for
Nursing Home in Iowa

Midlands Living Center LLC is located in Council Bluffs, Iowa.
Here are the financial assistance programs available to residents in Iowa.

Get Financial aid guidance

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).
IA

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.
IA

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).
IA

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).
IA

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
IA

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

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.
IA

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

Frequently Asked Questions about Midlands Living Center LLC

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%.

What is the best email address for Midlands Living Center LLC?

The team at Midlands Living Center LLC can be reached at jtjaden@midlandslivingcenter.com.

Does Midlands Living Center LLC operate as a for-profit or non-profit?

Midlands Living Center LLC is registered as a for-profit in IA.

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