Show Inspection Reports
Total health inspections
5
Iowa average 4.9
Last Health inspection on Apr 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home in Council Bluffs
CMS overall rating
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.
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.
Midlands Living Center
Nursing Home in Council Bluffs
CMS overall rating
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.
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.
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.
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
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
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.
Occupancy rate
72.3%
Residents per day (avg)
69
Occupancy rate
72.3%
Residents per day (avg)
69
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
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
Finances and operations
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$9.3M
Profit
$1.3M
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$9.3M
Profit
$1.3M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$7.3M
22 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score: 14 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
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
How BBB ratings work
About this community
CMS Certification Number165447
Staffing
Key information about the people who lead and staff this community.
ContactSteven Chamley, Administrator
Rehabilitation Services
Respite Care
Doctor on Staff
Skilled Nursing
Specific ProgramsSkilled nursing, Rehabilitation - 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.
Volunteer ProgramsYes
Food DescriptionMeals, snacks, and beverages provided.
Meals IncludedYes
Types of Care at Midlands Living Center
Respite Care
Nursing Home
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.
5 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Latest inspection
Date
April 24, 2025
Routine17 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Iowa average: 27 deficiencies
Inspection Report Summary for Midlands Living Center
The most recent inspection on April 24, 2025, identified a deficiency related to infection control practices during catheter care. Earlier inspections noted issues with care planning, medication administration, safe transfer techniques, and infection prevention, as well as a substantiated complaint involving disrespectful treatment of a resident with dementia. Deficiencies primarily involved infection control, care planning, and staff communication, with some concerns about supervision and resident safety in prior complaint investigations. Enforcement actions included suspension and termination of a staff member following the substantiated complaint, while fines or license actions were not listed in the available reports. The facility’s inspection history shows recurring issues in similar areas, with no clear pattern of improvement or worsening over time.
Health Inspection History
Inspections
Total health citations
14
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 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
0
0
100% better than Iowa averageIowa average: 0.9
0 critical citations
0 serious citations
14 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 24, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Apr 24, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jan 15, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jan 15, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jan 15, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jan 15, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jan 15, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jan 15, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Council Bluffs The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Filter by care type
Midlands Living Center
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
78.1%
+4%
4.51
+5%
0
14
2.8
0
69
A+
14
-
$8.8M
$3.8M
42.7%
165447
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
78.1%
+4%
4.51
+5%
0
14
2.8
0
69
A+
-
-
$8.8M
$3.8M
42.7%
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
60
49.8%
-34%
5.87
+37%
1
23
3.3
2
35
-
-
-
$0.7M
$0.9M
139.4%
165794
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
121
73.4%
-3%
4.89
+14%
2
51
5.1
6
88
A+
-
Roberts, Diana
$11.8M
$5.8M
48.7%
165524
North Crest Living Center
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
62
86.3%
+14%
4.18
-3%
0
34
5.7
0
57
-
-
Chamley, Steven
$6.2M
$2.6M
42.9%
165290
Places of interest near Midlands Living Center
3.5 miles from city center — 7.62 miles to nearest hospital (Clarkson Heart Center at Doctors Building South)
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
91
Employees
80
Contractors
11
Staff to resident ratio
1.42:1
29% worse than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
42
Average shift
7.8 hours
5% better than Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
29,730
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
14
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
41
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
5.2%
1,539 contractor hours this quarter
Physical Therapy Assistant: 3
Qualified Social Worker: 2
Physical Therapy Aide: 2
Respiratory Therapy Technician: 1
Medical Director: 1
Speech Language Pathologist: 1
Occupational Therapy Aide: 1
Staff by category
| Certified Nursing Assistant | 41 | 0 | 41 | 13,257 | 91 | 100% | 7.9 |
| Licensed Practical Nurse | 14 | 0 | 14 | 5,390 | 91 | 100% | 8.4 |
| Registered Nurse | 9 | 0 | 9 | 3,092 | 91 | 100% | 7.7 |
| Medication Aide/Technician | 3 | 0 | 3 | 1,510 | 90 | 99% | 9.9 |
| Mental Health Service Worker | 3 | 0 | 3 | 1,271 | 75 | 82% | 7.7 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 997 | 64 | 70% | 8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 833 | 69 | 76% | 7.9 |
| Dietitian | 1 | 0 | 1 | 538 | 63 | 69% | 8.5 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Physical Therapy Assistant | 0 | 3 | 3 | 491 | 67 | 74% | 6.7 |
| Speech Language Pathologist | 0 | 1 | 1 | 370 | 63 | 69% | 5.9 |
| Nurse Aide in Training | 3 | 0 | 3 | 281 | 31 | 34% | 7.4 |
| Qualified Social Worker | 0 | 2 | 2 | 197 | 64 | 70% | 3.1 |
| Physical Therapy Aide | 0 | 2 | 2 | 183 | 62 | 68% | 2.9 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 174 | 52 | 57% | 3.3 |
| Occupational Therapy Aide | 0 | 1 | 1 | 104 | 13 | 14% | 8 |
| Medical Director | 0 | 1 | 1 | 20 | 13 | 14% | 1.5 |
41 Certified Nursing Assistant
% of Days
100%
14 Licensed Practical Nurse
% of Days
100%
9 Registered Nurse
% of Days
100%
3 Medication Aide/Technician
% of Days
99%
3 Mental Health Service Worker
% of Days
82%
2 Clinical Nurse Specialist
% of Days
70%
2 Other Dietary Services Staff
% of Days
76%
1 Dietitian
% of Days
69%
1 Administrator
% of Days
70%
1 Nurse Practitioner
% of Days
70%
3 Physical Therapy Assistant
% of Days
74%
1 Speech Language Pathologist
% of Days
69%
3 Nurse Aide in Training
% of Days
34%
2 Qualified Social Worker
% of Days
70%
2 Physical Therapy Aide
% of Days
68%
1 Respiratory Therapy Technician
% of Days
57%
1 Occupational Therapy Aide
% of Days
14%
1 Medical Director
% of Days
14%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
64 residents
Residents by payment source
Medicare
12 residents (18.8%)
Medicaid
29 residents (45.3%)
Private pay or other
23 residents (35.9%)
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.8
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 averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.6
9% better than Iowa averageIowa average: 21.6
Long-stay resident measures
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
Percent of long-stay residents whose need for help with daily activities has increased
16.3%
Percent of long-stay residents whose need for help with daily activities has increased
16.3%
14% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
14.8%
Percent of long-stay residents whose ability to move independently worsened
14.8%
25% better than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
27.8%
6% worse than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
Percent of long-stay residents experiencing one or more falls with major injury
3.9%
7% worse than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.7%
Percent of long-stay high risk residents with pressure ulcers
3.7%
15% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.2%
Percent of long-stay residents with a urinary tract infection
2.2%
12% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.5%
Percent of long-stay residents who lose too much weight
5.5%
9% worse than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
11.8%
Percent of long-stay residents who received an antipsychotic medication
11.8%
38% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.9%
In line with Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Iowa averageIowa average: 95.3%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.26
Number of hospitalizations per 1,000 long-stay resident days.
1.26
15% better than Iowa averageIowa average: 1.48
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.82
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.82
61% better than Iowa averageIowa average: 2.09
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
80.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
80.5%
5% worse than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
Percent of short-stay residents who newly received an antipsychotic medication
1.4%
26% better than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
73.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
73.1%
In line with Iowa averageIowa average: 73.3%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.3%
14% better than Iowa averageIowa average: 21.4%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
6.7%
Percentage of short-stay residents who had an outpatient emergency department visit.
6.7%
49% better than Iowa averageIowa average: 13.1%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Iowa averageIowa average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
54.9%
Percentage of residents at or above expected ability to care for themselves at discharge.
54.9%
In line with Iowa averageIowa average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
55.2%
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.
Financial Trends
Historical financial and operational data for Midlands Living Center based on CMS SNF Cost Reports.
Occupancy Rate
78.1%
↑ 0.8pp vs 2022
Net Income
$1.3M
↑ ~$1.1M vs 2022
Total Payroll
$4.4M
↑ ~$138.0K vs 2022
Profit Margin
15.0%
↑ 12.0pp vs 2022
Loading trend charts...
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