Iowa ›Council Bluffs

Midlands Living Center L L C

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2452 North Broadway, Council Bluffs, IA 51503 (opens Google Maps) · Pottawattamie County · (712) 323-7135· 94 certified beds · avg 70 residents/day · certified since Oct 22, 2001 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

3/5
Health inspection rating (on-site)
inspected Jan 8, 2026
0
Serious findings on record
$0
Fines, last 3 years
4.30
Nurse hours/resident/day (adjusted)

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

New to these records? How to read an inspection report →

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 16 inspection findings. Open the full record below to read every finding.

  1. E · Potential for more than minimal harm, pattern

    The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. F-0842

  2. D · Potential for more than minimal harm, isolated

    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. F-0554

  3. D · Potential for more than minimal harm, isolated

    The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. F-0658

View all 16 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Jan 8, 2026E · Potential for more than minimal harm, patternThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Jan 8, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0554
Jan 8, 2026D · Potential for more than minimal harm, isolatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Jan 8, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0688
Jan 8, 2026D · Potential for more than minimal harm, isolatedThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760
Apr 24, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0880
Jan 15, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0656
Jan 15, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0657
Jan 15, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0658
Jan 15, 2025D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Jan 15, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0880
Sep 30, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0550
Dec 21, 2023E · Potential for more than minimal harm, patternThe facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. · F-0943
Dec 21, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0644
Dec 21, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0657
Dec 21, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0880

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 4
Serious citations (G–L): 0
2024
All citations: 1
Serious citations (G–L): 0
2025
All citations: 6
Serious citations (G–L): 0
2026
All citations: 5
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202340E
202410D
202560D
202650E

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)

How to file a complaint about care →

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

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

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityIowa averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.30
Iowa average: 4.37
U.S. average: 3.95
Registered Nurse hours
This facility: 0.74
Iowa average: 0.85
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.72
Iowa average: 3.86
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityIowa avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.304.373.95top 48% in Iowa; top 29% in the U.S.
Registered Nurse hours0.740.850.69bottom 42% in Iowa; top 33% in the U.S.
Weekend total nurse staffing3.723.863.50bottom 48% in Iowa; top 32% in the U.S.
Weekend RN hours (not acuity-adjusted)0.350.510.48bottom 26% in Iowa; bottom 42% in the U.S.
Total nursing staff turnover (%)40.844.045.8top 48% in Iowa; top 38% in the U.S.
RN turnover (%)18.242.142.9top 17% in Iowa; top 12% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.78 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

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

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Midlands Living Center L L C. CMS inspection and staffing records do not tell us what this home will charge you.

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Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Owner / managerTypeRoleStakeSince
Chamley, StevenIndividualDirect Ownership InterestNOT APPLICABLE01/01/2021
Goracke, DouglasIndividual5% or Greater Direct Ownership Interest51%08/01/2003
Busse, TracyIndividualW-2 Managing EmployeeNOT APPLICABLE09/01/2017
Chamley, StevenIndividualCorporate OfficerNOT APPLICABLE01/01/2019
Chamley, StevenIndividualGeneral Partnership InterestNOT APPLICABLE01/01/2019
Chamley, StevenIndividualADP of the SNFNOT APPLICABLE12/17/2024
Goracke, DouglasIndividualCorporate DirectorNOT APPLICABLE09/23/2003
Goracke, DouglasIndividualCorporate OfficerNOT APPLICABLE09/23/2003
Goracke, DouglasIndividualGeneral Partnership InterestNOT APPLICABLE09/23/2003
Goracke, DouglasIndividualADP of the SNFNOT APPLICABLE12/17/2024
McCool, JessicaIndividualContracted Managing EmployeeNOT APPLICABLE04/01/2023
McCool, JessicaIndividualADP of the SNFNOT APPLICABLE12/17/2024
Tjaden, JordanIndividualW-2 Managing EmployeeNOT APPLICABLE10/01/2022
Tjaden, JordanIndividualADP of the SNFNOT APPLICABLE12/17/2024

All 14 owning or managing parties CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Iowa midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 41% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 14 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 32 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
North Crest Living Center0.8 miCouncil Bluffs, IA★☆☆☆☆1/5
Bethany Lutheran Home1.6 miCouncil Bluffs, IA★☆☆☆☆1/5
Prairie Gate2.3 miCouncil Bluffs, IA★★☆☆☆2/5
Chapters Living of Council Bluffs3.9 miCouncil Bluffs, IA★☆☆☆☆1/5SFF
St. Joseph Villa Nursing Center5.7 miOmaha, NE★☆☆☆☆1/5
Ambassador Health of Omaha6.0 miOmaha, NE★★★★★4/5
Emerald Nursing & Rehab Legacy Pointe LLC7.1 miOmaha, NE★☆☆☆☆1/5SFF
Florence Home7.2 miOmaha, NE★★★★☆3/5
The Cypress at Midtown7.4 miOmaha, NE★★★☆☆3/5
Douglas County Health Center7.6 miOmaha, NE★★★☆☆2/5
Life Care Center of Omaha9.1 miOmaha, NE★☆☆☆☆1/5
Emerald Nursing & Rehab Omaha9.3 miOmaha, NE★☆☆☆☆1/5SFF

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Pottawattamie, IA — 7 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Council Bluffs →

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

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