Nursing homeActive
Midlands Living Center L L C
2452 North Broadway, Council Bluffs, IA 51503712323713594 certified beds · 70 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
5
since 2023
Deficiencies
16
● 0● 16● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-01-08
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 3
Staffing 4
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-01-08 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2025-04-24 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-01-15 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2024-09-30 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-12-21 | Standard | 040 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-22Record 165447-20260108-F554
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-22Record 165447-20260108-F658
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-22Record 165447-20260108-F688
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-01-22Record 165447-20260108-F760
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-22Record 165447-20260108-F842
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 165447-20250424-F880
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-16Record 165447-20250115-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-16Record 165447-20250115-F657
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-16Record 165447-20250115-F658
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-16Record 165447-20250115-F689
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-16Record 165447-20250115-F880
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 165447-20240930-F550
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-08Record 165447-20231221-F644
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-08Record 165447-20231221-F657
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-08Record 165447-20231221-F880
F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-01-08Record 165447-20231221-F943
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.65
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.78
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours3.27
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover41%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover18%
Facility
Iowa
National
Iowa 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 5.4% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 8.7% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 10.3% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.3% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 17.6% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 1.6% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 7.9% | 20.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Goracke, Douglas Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 51% | — | — |
| Busse, Tracy Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Chamley, Steven Individual | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Chamley, Steven Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Chamley, Steven Individual | GENERAL PARTNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Chamley, Steven Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Goracke, Douglas Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Goracke, Douglas Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Goracke, Douglas Individual | GENERAL PARTNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Goracke, Douglas Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mccool, Jessica Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mccool, Jessica Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Tjaden, Jordan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Tjaden, Jordan Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.
No county cost figures on file for Pottawattamie.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| North Crest Living Center Council Bluffs | 0.8 mi | 2025-08-26 | 0320 |
| Bethany Lutheran Home Council Bluffs | 1.6 mi | 2026-05-21 | 0254 |
| Prairie Gate Council Bluffs | 2.3 mi | 2025-10-09 | 0212 |
| Chapters Living of Council Bluffs Council Bluffs | 3.9 mi | 2026-01-30 | 0671 |
| St. Joseph Villa Nursing Center Omaha | 5.7 mi | 2026-06-10 | 1252 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |