We arrange tours, appointments, and even moving support so you don’t have to
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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.
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.
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.
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.
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.
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.
This home is ranked 80th out of 241 homes in Iowa. 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.
| 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.
| 42m per day | ▼ 5% 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.
| 48m per day | ▲ 41% 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 27m per day | ▼ 3% State avg: 2h 32m per day · National avg: 2h 21m 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 27m per day | ▲ 3% 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.
| 2m per day | ■ Avg 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.
| 29m per day | ▼ 3% State avg: 30m per day · National avg: 29m per day |
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.
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.
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Number of hospitalizations per 1,000 long-stay resident days.
1.26
15% better than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.82
61% better than Iowa averageIowa average: 2.09
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.3%
14% better than Iowa averageIowa average: 21.4%
Percentage of short-stay residents who had an outpatient emergency department visit.
6.7%
49% better than Iowa averageIowa average: 13.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Iowa averageIowa average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
54.9%
In line with Iowa averageIowa average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
55.2%
9% better than Iowa averageIowa average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Most residents typically stay for a few weeks or months before returning home or moving on.
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.
3.5 miles from city center
Estimated distance in miles from Council Bluffs's city center to Midlands Living Center's address, calculated via Google Maps.
— 7.62 miles to nearest hospital (Clarkson Heart Center at Doctors Building South)
Add your location
Midlands Living Center is located in Council Bluffs, Iowa.
Here are the financial assistance programs available to residents in Iowa.
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| Midlands Living Center LLC |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Council Bluffs | 94 | 72.3% | -4% | 4.51 | -23% | +5% | $0 | 14 | 2.8 | - | 68 | A+ | 77 | - | $9.3M | $4.4M | 47% | 165447 | ||||
| Prairie Gate |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Council Bluffs (Kane Township) | 36 | 94.4% | +25% | 5.87 | -9% | +37% | $27.6k | 23 | 3.3 | 2 | 34 | - | 0 | - | $2.8M | $1.1M | 40.1% | 165794 | ||||
| Risen Son Christian Village |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Council Bluffs (Risen Son Boulevard) | 138 | 13.8% | -82% | 0.03 | -22% | -99% | $0 | 38 | 6.3 | 2 | 19 | A+ | 8 | Allen Burnett | $9.1M | $6.2M | 68.6% | 165466 | ||||
| Bethany Lutheran Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Seven Elliott Street | 112 | 80.4% | +7% | 4.89 | +28% | +14% | $30.3k | 51 | 5.1 | 6 | 88 | A+ | 77 | Diana Roberts | $14.7M | $9.7M | 65.7% | 165524 |
Midlands Living Center has a walk score of 14. Car-dependent. Most errands require a car, with limited nearby walkable options.
Midlands Living Center's occupancy is 78.1%.
Yes — there are 15 photos of Midlands Living Center in the photo gallery on this page.
(712) 323-7135 will put you in contact with the team at Midlands Living Center.
Yes — Midlands Living Center is a CMS-certified provider of Medicare and Medicaid.
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
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
