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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.
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 114th out of 224 homes in Iowa.| Staff type | Hours / day | 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.
| 36m per day | ▼ 18% 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.
| 23m per day | ▼ 32% 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 47m per day | ▲ 10% State avg: 2h 32m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
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.
| 2h 53m per day | ▼ 14% 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.
| 1m per day | ▼ 50% State avg: 2m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 26m per day | ▼ 13% State avg: 30m per day · National avg: 28m per day |
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
36% of new residents, usually for short-term rehab.
57% of new residents, often for short stays.
6% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #131 / 226Payroll — state benchmarkedThis home is ranked 131st out of 226 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the Iowa average: 75.4%North Crest Living Center is administrated by Kelley Seitz.
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.
The data displayed corresponds to the last 7 years.
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Iowa average: 27 deficiencies
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.
Iowa average 4.9
Last Health inspection on Aug 2025
Iowa average 21.7
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
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).
100% better than Iowa averageIowa average: 0.6
0
100% better than Iowa averageIowa average: 0.9
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Aug 26, 2025
Corrected
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Aug 26, 2025
Corrected
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Aug 26, 2025
Corrected
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
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.
North Crest Living Center is located in Council Bluffs, Iowa.
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0.0 miles from city center
Estimated distance in miles from Council Bluffs's city center to North Crest Living Center's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
26% worse than Iowa averageIowa average ratio: 2.00:1
0% compared with Iowa averageIowa average: 7.4 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursNo contractors work on this role.
Total hours from contractors
1,493 contractor hours this quarter
| 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 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
61Residents meet regularly to discuss policies, care quality, and activities
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
17.3%
8% better than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
29.4%
49% worse than Iowa averageIowa average: 19.7%
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%
Percent of long-stay residents experiencing one or more falls with major injury
6.4%
76% worse than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
2.4%
45% better than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
6.4%
157% worse than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
5.5%
10% worse than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
6.7%
72% worse than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
11.7%
38% better than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
82.5%
13% worse than Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.4%
In line with Iowa averageIowa average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
2.34
58% worse than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
0.83
60% 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.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
78.5%
8% worse than Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
4.9%
167% worse than Iowa averageIowa average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
72.0%
In line with Iowa averageIowa average: 73.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
27.0%
27% worse than Iowa averageIowa average: 21.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
18.4%
40% worse 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.
39.3%
27% worse than Iowa averageIowa average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
53.7%
6% 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.
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.
| 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 | -14% | +5% | 0 | 14 | 2.8 | - | 69 | A+ | 14 | - | $9.3M | $3.8M | 40.4% | 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 | -14% | +5% | 0 | 14 | 2.8 | - | 69 | A+ | 77 | - | $9.3M | $3.8M | 40.4% | 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 | 49.8% | -34% | 5.87 | -27% | +37% | 1 | 23 | 3.3 | 2 | 35 | - | 0 | - | $2.8M | $0.9M | 33.1% | 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 | 112 | 73.4% | -3% | 4.89 | +10% | +14% | 2 | 51 | 5.1 | 6 | 88 | A+ | 77 | Roberts, Diana | $14.7M | $5.8M | 39.1% | 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 | -4% | -3% | 0 | 34 | 5.7 | - | 57 | - | 77 | Chamley, Steven | $6.2M | $2.6M | 42.7% | 165290 |
Historical financial and operational data for North Crest Living Center based on CMS SNF Cost Reports.
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The legal owner and operator of North Crest Living Center is Midlands Living Center LLC(Free Standing NF/SNF) | 780508.
North Crest Living Center has a walk score of 77. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to IA state health department records, North Crest Living Center's license number is 780853.
The team at North Crest Living Center can be reached at [email protected].
Kelley Seitz is the administrator of North Crest Living Center.
North Crest Living Center has 62 beds.
Yes — there are 5 photos of North Crest Living Center in the photo gallery on this page.
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