nursing home in Council Bluffs, IA
Midlands Living Center L L C
2452 North Broadway, Council Bluffs, IA 51503 · (712) 323-7135
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★4
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Midlands Living Center L L C at a glance
Midlands Living Center L L C is a 94-bed for-profit nursing home in Council Bluffs, Iowa (Pottawattamie County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Iowa average of 3.1.
Residents receive about 3.8 hours of nursing care per day (0.6 of them from registered nurses), close to the state average of 3.8 hours.
Its most recent standard health inspection (January 8, 2026) found 5 health citations. The Iowa average is 6.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 40.8% per year (state average 44%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 94
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- October 22, 2001
- Resident/family council
- Resident
- County
- Pottawattamie County
- CMS Certification Number
- 165447
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 3.1 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.3 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 3.3 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.78 hrs | 3.82 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.65 hrs | 0.74 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.31 hrs | 2.52 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.27 hrs | 3.37 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 40.8% | 44% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 18.2% | 42.1% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 6 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 25 | 54.5 | 80.6 | Better |
Penalties
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $19,286 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 94 | 65 | 107 | |
| Average residents per day | 70 | 52 | 86 | |
| Occupancy | 74.9% | 81.5% | 80.9% |
Long-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 8.7% | 3.8% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 5.4% | 4.2% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 10.3% | 19.5% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.3% | 2.4% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.9% | 1.5% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 17.6% | 17.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 14.3% | 16.6% | 14.1% | Average |
| Long-stay residents who lose too much weight (lower is better) | 1.6% | 4.6% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 2.8% | 4.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 7.9% | 20.8% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 34.5% | 25.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 96.5% | 94% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.5% | 2.1% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 73.1% | 73.3% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 80.4% | 84% | 82% | Average |
Inspection citations
State inspectors cited this home for 16 health deficiencies and 0 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| January 8, 2026 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected January 22, 2026 |
| January 8, 2026 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected January 22, 2026 |
| January 8, 2026 Standard | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected January 22, 2026 |
| January 8, 2026 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected January 22, 2026 |
| January 8, 2026 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected January 22, 2026 |
| April 24, 2025 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 9, 2025 |
| January 15, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected January 16, 2025 |
| January 15, 2025 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected January 16, 2025 |
| January 15, 2025 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected January 16, 2025 |
| January 15, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected January 16, 2025 |
| January 15, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected January 16, 2025 |
| September 30, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected October 11, 2024 |
| December 21, 2023 Standard | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0943 | E Potential harm, pattern | Corrected January 8, 2024 |
| December 21, 2023 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected January 8, 2024 |
| December 21, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected January 8, 2024 |
| December 21, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected January 8, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| GORACKE, DOUGLAS Individual | 5% or greater direct ownership interest | 51% | 08/01/2003 |
| CHAMLEY, STEVEN Individual | adp of the snf | NOT APPLICABLE | 12/17/2024 |
| GORACKE, DOUGLAS Individual | adp of the snf | NOT APPLICABLE | 12/17/2024 |
| MCCOOL, JESSICA Individual | adp of the snf | NOT APPLICABLE | 12/17/2024 |
| TJADEN, JORDAN Individual | adp of the snf | NOT APPLICABLE | 12/17/2024 |
| MCCOOL, JESSICA Individual | contracted managing employee | NOT APPLICABLE | 04/01/2023 |
| GORACKE, DOUGLAS Individual | corporate director | NOT APPLICABLE | 09/23/2003 |
| CHAMLEY, STEVEN Individual | corporate officer | NOT APPLICABLE | 01/01/2019 |
| GORACKE, DOUGLAS Individual | corporate officer | NOT APPLICABLE | 09/23/2003 |
| CHAMLEY, STEVEN Individual | direct ownership interest | NOT APPLICABLE | 01/01/2021 |
| CHAMLEY, STEVEN Individual | general partnership interest | NOT APPLICABLE | 01/01/2019 |
| GORACKE, DOUGLAS Individual | general partnership interest | NOT APPLICABLE | 09/23/2003 |
| BUSSE, TRACY Individual | w-2 managing employee | NOT APPLICABLE | 09/01/2017 |
| TJADEN, JORDAN Individual | w-2 managing employee | NOT APPLICABLE | 10/01/2022 |
Other nursing homes near Midlands Living Center L L C
North Crest Living Center
34 Northcrest Drive, Council Bluffs, IA 51503 · under 1 mi
For-profit · 62 beds
★★★★★1Much below average- ★★★★★1Much below average
Prairie Gate
16 Valley View Drive, Council Bluffs, IA 51503 · 2.3 mi
Non-profit · 72 beds · Part of Presbyterian Homes & Services
★★★★★2Below averageChapters Living of Council Bluffs
3000 Risen Son Blvd, Council Bluffs, IA 51503 · 3.9 mi
For-profit · 102 beds
- Special Focus candidate
★★★★★1Much below averageSt. Joseph Villa Nursing Center
2305 South 10th Street, Omaha, NE 68108 · 5.7 mi
For-profit · 184 beds · Part of Delmar Gardens
★★★★★1Much below averageAmbassador Health of Omaha
1540 North 72Ndstreet, Omaha, NE 68114 · 6 mi
For-profit · 146 beds · Part of Ambassador Health
- CMS high performer
★★★★★5Much above average
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Frequently asked questions
What is Midlands Living Center L L C's rating?
Midlands Living Center L L C has 4 out of 5 stars on the CMS overall star rating. The average for Iowa nursing homes is 3.1 stars.
How many inspection citations did Midlands Living Center L L C receive?
Its most recent standard health inspection found 5 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Midlands Living Center L L C accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Midlands Living Center L L C?
It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.
Where is Midlands Living Center L L C and how do I contact it?
Midlands Living Center L L C is at 2452 North Broadway, Council Bluffs, IA 51503. Phone: (712) 323-7135.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.