Midlands Living Center L L C

Name: Midlands Living Center L L C
Address: 2452 North Broadway, Council Bluffs, IA, 51503, US
Telephone: 7123237135

2452 North Broadway, Council Bluffs, IA 51503 · Pottawattamie County · 94 certified beds · avg 70 residents/day · certified since Oct 22, 2001

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.30

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (16)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jan 8, 2026	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Jan 8, 2026	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Jan 8, 2026	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Jan 8, 2026	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Jan 8, 2026	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Apr 24, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Jan 15, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Jan 15, 2025	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jan 15, 2025	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Jan 15, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jan 15, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Sep 30, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Dec 21, 2023	E · Potential for harm, repeated	The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation.
Dec 21, 2023	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Dec 21, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Dec 21, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (5 → 5).

Year	Citations	Worst severity that year
2023	4	E
2024	1	D
2025	6	D
2026	5	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Iowa avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.30	4.37	3.95	top 48% in Iowa; top 29% in the U.S.
Registered Nurse hours	0.74	0.85	0.69	bottom 42% in Iowa; top 33% in the U.S.
Weekend total nurse staffing	3.72	3.86	3.50	bottom 48% in Iowa; top 32% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.35	0.51	0.48	bottom 26% in Iowa; bottom 42% in the U.S.
Total nursing staff turnover (%)	40.8	44.0	45.8	top 48% in Iowa; top 38% in the U.S.
RN turnover (%)	18.2	42.1	42.9	top 17% in Iowa; top 12% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.78, RN 0.65, weekend 3.27. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Chamley, Steven	Individual	Direct Ownership Interest	NOT APPLICABLE	01/01/2021
Goracke, Douglas	Individual	5% or Greater Direct Ownership Interest	51%	08/01/2003
Busse, Tracy	Individual	W-2 Managing Employee	NOT APPLICABLE	09/01/2017
Chamley, Steven	Individual	Corporate Officer	NOT APPLICABLE	01/01/2019
Chamley, Steven	Individual	General Partnership Interest	NOT APPLICABLE	01/01/2019
Chamley, Steven	Individual	ADP of the SNF	NOT APPLICABLE	12/17/2024
Goracke, Douglas	Individual	Corporate Director	NOT APPLICABLE	09/23/2003
Goracke, Douglas	Individual	Corporate Officer	NOT APPLICABLE	09/23/2003
Goracke, Douglas	Individual	General Partnership Interest	NOT APPLICABLE	09/23/2003
Goracke, Douglas	Individual	ADP of the SNF	NOT APPLICABLE	12/17/2024
McCool, Jessica	Individual	Contracted Managing Employee	NOT APPLICABLE	04/01/2023
McCool, Jessica	Individual	ADP of the SNF	NOT APPLICABLE	12/17/2024
Tjaden, Jordan	Individual	W-2 Managing Employee	NOT APPLICABLE	10/01/2022
Tjaden, Jordan	Individual	ADP of the SNF	NOT APPLICABLE	12/17/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you keep residents' medical records accurate, complete, and secure?"
"If my family member is able to manage their own medications, would you allow it, and how is that decided?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
North Crest Living Center	0.8 mi	Council Bluffs, IA	★☆☆☆☆	1/5
Bethany Lutheran Home	1.6 mi	Council Bluffs, IA	★☆☆☆☆	1/5
Prairie Gate	2.3 mi	Council Bluffs, IA	★★☆☆☆	2/5
Chapters Living of Council Bluffs	3.9 mi	Council Bluffs, IA	★☆☆☆☆	1/5	SFF
St. Joseph Villa Nursing Center	5.7 mi	Omaha, NE	★☆☆☆☆	1/5
Ambassador Health of Omaha	6.0 mi	Omaha, NE	★★★★★	4/5
Emerald Nursing & Rehab Legacy Pointe LLC	7.1 mi	Omaha, NE	★☆☆☆☆	1/5	SFF
Florence Home	7.2 mi	Omaha, NE	★★★★☆	3/5
The Cypress at Midtown	7.4 mi	Omaha, NE	★★★☆☆	3/5
Douglas County Health Center	7.6 mi	Omaha, NE	★★★☆☆	2/5
Life Care Center of Omaha	9.1 mi	Omaha, NE	★☆☆☆☆	1/5
Emerald Nursing & Rehab Omaha	9.3 mi	Omaha, NE	★☆☆☆☆	1/5	SFF

Compare this facility with the 3 closest →

All facilities in Council Bluffs →

Facility data as of CMS processing date 2026-08-01. CCN 165447.

The Care File

Visit checklist — Midlands Living Center L L C

2452 North Broadway, Council Bluffs, IA 51503 · 7123237135

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
☐ "What systems do you use to prevent medication errors, and what happens when one occurs?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 165447 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)