Iowa › Pottawattamie County › Council Bluffs
Midlands Living Center L L C
2452 North Broadway, Council Bluffs, IA 51503
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 94 beds, Midlands Living Center L L C serves Council Bluffs in Pottawattamie County, Iowa and has taken Medicare and Medicaid residents since 2001.
CMS gives it 4 of 5 stars overall, above the Iowa median of 3; the health inspection rating is 3, staffing 4 and quality measures 5.
Inspectors recorded 16 health deficiencies across the three most recent survey cycles (5, 7, 4 by cycle, most recent first), none at the actual-harm level. That is 17.0 per 100 beds, fewer than the state median of 27.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.8 hours per resident per day (0.6 RN), close to the Iowa median of 3.7; nursing staff turnover is 40.8%.
Compared with county, state and nation
| Measure | This facility | Pottawattamie Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 16 | 43 | 16 | 28.7 |
| Citations per 100 beds | 17.0 | 54.8 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.8 | 3.9 | 3.7 | 3.9 |
| RN hours per resident day | 0.6 | 1.0 | 0.7 | 0.7 |
| Nursing staff turnover | 40.8% | 47.5% | 41.9% | 45.8% |
| Fines listed | $0 | $15,593 | $0 | — |
County and state figures are medians across facilities (7 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 8 Jan 2026, 15 Jan 2025.
Severity mix: D ×14 E ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 8 Jan 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 22 Jan 2026 |
| 8 Jan 2026 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 22 Jan 2026 |
| 8 Jan 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 22 Jan 2026 |
| 8 Jan 2026 | F0688 | 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. | D | Standard survey | 22 Jan 2026 |
| 8 Jan 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 22 Jan 2026 |
| 24 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 9 May 2025 |
| 15 Jan 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 16 Jan 2025 |
| 15 Jan 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 16 Jan 2025 |
| 15 Jan 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 16 Jan 2025 |
| 15 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 16 Jan 2025 |
| 15 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 16 Jan 2025 |
| 30 Sep 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 11 Oct 2024 |
| 21 Dec 2023 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | Standard survey | 8 Jan 2024 |
| 21 Dec 2023 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 8 Jan 2024 |
| 21 Dec 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 8 Jan 2024 |
| 21 Dec 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 8 Jan 2024 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 40.8%, RNs 18.2%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.6% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.9% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.3% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 8.7% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.5% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 14.3% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.4% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 10.3% | 18.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Midlands Living Center, L.L.P..
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Pottawattamie County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Prairie Gate | Council Bluffs | 72 | 2 | 2 | 4 | 23 | 31.9 | $28K | 9 Oct 2025 |
| Avoca Specialty Care | Avoca | 46 | 1 | 1 | 3 | 68 | 147.8 | — | 5 Mar 2026 |
| Bethany Lutheran Home | Council Bluffs | 112 | 1 | 1 | 4 | 43 | 38.4 | $47K | 21 May 2026 |
| Chapters Living of Council BluffsSFF Candidate | Council Bluffs | 102 | 1 | 1 | 4 | 68 | 66.7 | $164K | 30 Jan 2026 |
| North Crest Living Center | Council Bluffs | 62 | 1 | 1 | 4 | 34 | 54.8 | — | 26 Aug 2025 |
| Oakland Manorabuse icon | Oakland | 61 | 1 | 1 | 2 | 67 | 109.8 | $16K | 22 Apr 2026 |
All 7 facilities in Pottawattamie County
Questions and answers
How many deficiencies has Midlands Living Center L L C been cited for?
16 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Midlands Living Center L L C been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Midlands Living Center L L C compare?
Reported total nurse staffing is 3.8 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Midlands Living Center L L C?
Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Midlands Living Center L L C last inspected?
The most recent survey or investigation in the CMS record is dated 8 Jan 2026; the most recent standard health survey was 8 Jan 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.