Occupancy rate
92%
In line with Iowa averageMix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Nursing Home
North Crest Living Center
Northcrest Living Center is a locally owned and operated skilled nursing facility in Council Bluffs, IA. It offers a range of services including skilled nursing, rehabilitation, and various in-house amenities. The facility focuses on providing individualized care and has been rated above average in quality of resident care.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
62
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
91.9%
Residents per day (avg)
57
Occupancy rate
91.9%
Residents per day (avg)
57
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
36% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
57% of new residents, often for short stays.
Typical stay
5 - 6 months
Medicaid
6% of new residents, often for long-term daily care.
Typical stay
4 - 5 years
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$6.2M
Profit
$4.3K
Privately-owned community
Operated by a business corporation.
Home revenue
$6,185,295.00
Profit
$4,302.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.6M
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.
$3.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.7M
62-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
25 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
Occupancy
In line with Iowa averageOccupied beds
57 / 62
Average residents
51 per day
License details
Facility type
Free Standing Nf/snf
Status
Active
Issuance
November 1, 2000
County:
Pottawattamie
Additional licensing details
License number:
780853
CMS Certification Number:
165290
Certification type:
FALSE
Awards:
Telligen’s Blue Ribbon in COVID-19 Vigilance Award
Ownership & operating entity
North Crest Living Center is administrated by Kelley Seitz.
Owner name:
Midlands Living Center LLC(Free Standing NF/SNF) | 780508
Care Services
Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Short-Term Rehab
Contact Information
Email:
[email protected]
Fax:
7123232349
Amenities & Lifestyle
Programs & Activities
Specific Programs
In-house laundry service, In-house beauty and barber service, Furnishings for the room, Restorative exercise program, Meals, snacks and beverages, In-house trust account, Recreational and spiritual activities, Transportation to medical appointments, On-site, monthly visits from Podiatry, Optometry and Dentistry Professionals, Skilled nursing, Rehabilitation - physical, occupational, speech therapy
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.
23 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date:October 23, 2025
40 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for North Crest Living Center
The most recent inspection on October 23, 2025 found the facility in substantial compliance with no deficiencies cited. Earlier inspections showed a pattern of deficiencies related mainly to infection prevention and control, timely physician notification, and care planning, with some issues involving staffing and communication about resident coverage and services. Several complaint investigations were substantiated, including one in August 2025 involving failures in infection control and timely physician notification that led to hospitalization, and another in August 2024 concerning resident safety and call light response. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s record shows improvement over time, with recent inspections indicating resolution of prior deficiencies and sustained compliance.
Health Inspection History
Inspections
Total health inspections
6
Iowa average 4.9
Last Health inspection on Aug 2025
Total health citations
34
Citations per inspection
5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
22 of 34 citations resulted from standard inspections; 8 of 34 resulted from complaint investigations; and 4 of 34 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
34 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Aug 26, 2025
Corrected
Quality of Care moderate citation
Aug 26, 2025
Corrected
Resident Rights moderate citation
Aug 26, 2025
Corrected
Abuse/Neglect moderate citation
Jul 24, 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.
Midlands Living Center
-14%
+5%
+4%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Council Bluffs
94
A+
14
-
78.1%
$8,793,254.00
$3,751,116.00
42.7%
69
4.5131
-
14
-
-14%+5%+4%1 Bed
Midlands Living Center LLC
-14%
+5%
+4%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 515030434
94
A+
-
-
78.1%
$8,793,254.00
$3,751,116.00
42.7%
69.40
4.5131
-
14
-
-14%+5%+4%-
Prairie Gate
-27%
+37%
-34%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 51503
60
-
-
-
49.8%
$660,029.00
$920,015.00
139.4%
34.80
5.8747
1
23
2
-27%+37%-34%-
Bethany Lutheran Home
+10%
+14%
-3%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 515030297
121
A+
-
ROBERTS, DIANA
73.4%
$11,818,868.00
$5,757,065.00
48.7%
88
4.8874
2
51
6
+10%+14%-3%-
North Crest Living Center
-4%
-3%
+14%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 515031695
62
-
-
CHAMLEY, STEVEN
86.3%
$6,151,875.00
$2,641,607.00
42.9%
57.10
4.1772
-
34
-
-4%-3%+14%-
Midlands Living Center
Type of care:
SNF
AL
Community:
Council Bluffs
Bed Count:
94
CCN:
165447
Occupancy:
78.1%
Home Revenue:
$8,793,254.00
Payroll Costs:
$3,751,116.00
Payroll %:
42.7%
Avg Residents/Day:
69
Overall Rating:
Adj Nurse Hours:
4.5131
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
14
RN share vs State Avg:
-14%
-14%
Staffing vs State Avg:
+5%
+5%
Occupancy vs State Avg:
+4%
+4%
Bed Options:
1 Bed
Midlands Living Center LLC
Type of care:
SNF
AL
Community:
IA 515030434
Bed Count:
94
CCN:
165447
Occupancy:
78.1%
Home Revenue:
$8,793,254.00
Payroll Costs:
$3,751,116.00
Payroll %:
42.7%
Avg Residents/Day:
69.40
Overall Rating:
Adj Nurse Hours:
4.5131
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
14
RN share vs State Avg:
-14%
-14%
Staffing vs State Avg:
+5%
+5%
Occupancy vs State Avg:
+4%
+4%
Prairie Gate
Type of care:
SNF
AL
Community:
IA 51503
Bed Count:
60
CCN:
165794
Occupancy:
49.8%
Home Revenue:
$660,029.00
Payroll Costs:
$920,015.00
Payroll %:
139.4%
Avg Residents/Day:
34.80
Overall Rating:
Adj Nurse Hours:
5.8747
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
23
Severe Citations:
2
RN share vs State Avg:
-27%
-27%
Staffing vs State Avg:
+37%
+37%
Occupancy vs State Avg:
-34%
-34%
Bethany Lutheran Home
Type of care:
SNF
AL
Community:
IA 515030297
Bed Count:
121
Operator:
ROBERTS, DIANA
CCN:
165524
Occupancy:
73.4%
Home Revenue:
$11,818,868.00
Payroll Costs:
$5,757,065.00
Payroll %:
48.7%
Avg Residents/Day:
88
Overall Rating:
Adj Nurse Hours:
4.8874
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
51
Severe Citations:
6
RN share vs State Avg:
+10%
+10%
Staffing vs State Avg:
+14%
+14%
Occupancy vs State Avg:
-3%
-3%
North Crest Living Center
Type of care:
SNF
AL
Community:
IA 515031695
Bed Count:
62
Operator:
CHAMLEY, STEVEN
CCN:
165290
Occupancy:
86.3%
Home Revenue:
$6,151,875.00
Payroll Costs:
$2,641,607.00
Payroll %:
42.9%
Avg Residents/Day:
57.10
Overall Rating:
Adj Nurse Hours:
4.1772
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
34
RN share vs State Avg:
-4%
-4%
Staffing vs State Avg:
-3%
-3%
Occupancy vs State Avg:
+14%
+14%Places of interest near North Crest Living Center
0.0 miles from city center
Council Bluffs, IA 515031695
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
90
Total Staff
77
Employees
13
Contractors
21,990
Total Hours (Quarter)
34
Avg Staff/Day
7.1
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 10 | 8.1 | No |
| Licensed Practical Nurse | 9 | 8.4 | Yes |
| Certified Nursing Assistant | 49 | 7.3 | No |
Staff by Category
Administration ⓘ
2 staff
6.6hs shift avg
Nursing Staff ⓘ
71 staff
7.5hs shift avg
Physicians & Practitioners ⓘ
3 staff
7.8hs shift avg
Therapy Services ⓘ
9 staff
4.7hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
1 staff
1.7hs shift avg
Dietary Services ⓘ
2 staff
5.7hs shift avg
Other Services ⓘ
2 staff
6.7hs shift avg
Contractor Analysis
6.8%
of total hours from contractors
1,493 contractor hours this quarter
Respiratory Therapy Technician: 1
Qualified Social Worker: 1
Speech Language Pathologist: 2
Licensed Practical Nurse: 2
Physical Therapy Aide: 1
Physical Therapy Assistant: 4
Medical Director: 1
Occupational Therapy Aide: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 49 | 0 | 49 | 13,770 | 91 | 100% | 7.3 |
| Licensed Practical Nurse | 7 | 2 | 9 | 2,250 | 91 | 100% | 8.4 |
| Registered Nurse | 10 | 0 | 10 | 1,662 | 90 | 99% | 8.1 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 740 | 65 | 71% | 7.6 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Medication Aide/Technician | 3 | 0 | 3 | 437 | 47 | 52% | 8.1 |
| Speech Language Pathologist | 0 | 2 | 2 | 406 | 64 | 70% | 6.4 |
| Mental Health Service Worker | 1 | 0 | 1 | 402 | 53 | 58% | 7.6 |
| Dietitian | 2 | 0 | 2 | 366 | 63 | 69% | 5.7 |
| Physical Therapy Aide | 0 | 1 | 1 | 322 | 64 | 70% | 5 |
| Dental Services Staff | 1 | 0 | 1 | 176 | 33 | 36% | 5.3 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 120 | 42 | 46% | 2.9 |
| Physical Therapy Assistant | 0 | 4 | 4 | 112 | 40 | 44% | 2.8 |
| Qualified Social Worker | 0 | 1 | 1 | 104 | 60 | 66% | 1.7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 84 | 11 | 12% | 7.6 |
| Medical Director | 0 | 1 | 1 | 31 | 18 | 20% | 1.7 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
61 residents
Residents by payment source
Medicare
14 residents (23%)
Medicaid
25 residents (41%)
Private pay or other
22 residents (36.1%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
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.
12.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.2
19% worse than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.8
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.8
24% worse than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
17.3%
Percent of long-stay residents whose need for help with daily activities has increased
17.3%
8% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
29.4%
Percent of long-stay residents whose ability to move independently worsened
29.4%
49% worse 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
33.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.6%
28% worse than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.4%
Percent of long-stay residents experiencing one or more falls with major injury
6.4%
76% worse than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.4%
Percent of long-stay high risk residents with pressure ulcers
2.4%
45% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
6.4%
Percent of long-stay residents with a urinary tract infection
6.4%
157% worse 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%
10% worse than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
6.7%
Percent of long-stay residents who have depressive symptoms
6.7%
72% worse than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
11.7%
Percent of long-stay residents who received an antipsychotic medication
11.7%
38% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
82.5%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
82.5%
13% worse than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.4%
In line with Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
78.5%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
78.5%
8% worse than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
4.9%
Percent of short-stay residents who newly received an antipsychotic medication
4.9%
167% worse than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
72.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
72.0%
In line with Iowa averageIowa average: 73.3%
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 North Crest Living Center based on CMS SNF Cost Reports.
Occupancy Rate
86.3%
↑ 3.7pp vs 2022
Net Income
$4,302
↓ ~$27K vs 2022
Total Payroll
$3,646,506
↑ ~$830K vs 2022
Profit Margin
0.1%
↓ 0.5pp vs 2022
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