Midlands Living Center L L C

2452 North Broadway · Council Bluffs, IA · 51503 · 7123237135

94 certified beds For profit - Limited Liability company

  • No federal fines or payment denials in CMS’s 3-year window.

Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 70
Serious harm & abuse 20% 100
Staffing 20% 71
Federal penalties 15% 100
Trend 10% 65
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.823.48 min · 4.1 strong
RN hours / resident-day0.600.55–0.75
Weekend hours / resident-day3.32≈ weekday level
Nursing turnover / year44%median 45%
Fines (3-yr window)none

Inspection citations (16 in the current record)

  • Potential for harm · D January 8, 2026

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected January 22, 2026 · Resident Rights

  • Potential for harm · D January 8, 2026

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected January 22, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D January 8, 2026

    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.

    Corrected January 22, 2026 · Quality of Life and Care

  • Potential for harm · D January 8, 2026

    Ensure that residents are free from significant medication errors.

    Corrected January 22, 2026 · Pharmacy Service

  • Potential for harm · E January 8, 2026

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected January 22, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D April 24, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected May 9, 2025 · Infection Control

  • Potential for harm · D January 15, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected January 16, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 15, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected January 16, 2025 · Quality of Life and Care

  • Potential for harm · D January 15, 2025

    Provide and implement an infection prevention and control program.

    Corrected January 16, 2025 · Infection Control

  • Potential for harm · D January 15, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected January 16, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D January 15, 2025 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected January 16, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D September 30, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected October 11, 2024 · Resident Rights

  • Potential for harm · D December 21, 2023

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected January 8, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D December 21, 2023

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected January 8, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D December 21, 2023

    Provide and implement an infection prevention and control program.

    Corrected January 8, 2024 · Infection Control

  • Potential for harm · E December 21, 2023

    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Corrected January 8, 2024 · Freedom from Abuse, Neglect, and Exploitation

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165447 · certified since October 22, 2001. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.