Senior Home Review
Home›Browse›Iowa›Council Bluffs›Midlands Living Center L L C
Nursing homeFAID #4336

Midlands Living Center L L C

2452 NORTH BROADWAY, COUNCIL BLUFFS, IA, 51503
(712) 323-7135
94 licensed beds
★★★★★4/5CMS Five-Star overall3/5 health inspections4/5 staffing5/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
94
CMS facility ID
165447
Care type
Nursing home
County
Pottawattamie
Facility name
Midlands Living Center L L C
Street address
2452 NORTH BROADWAY
City / state / ZIP
Council Bluffs, IA 51503
Phone
(712) 323-7135

About this facility — Midlands Living Center L L C

Midlands Living Center L L C is a Medicare/Medicaid-certified skilled nursing facility in Council Bluffs, Iowa. It is licensed for 94 beds — well above the median for skilled nursing facilities in Iowa (57 beds).

It is one of 17 senior care facilities in Council Bluffs and 389 skilled nursing facilities across Iowa. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Midlands Living Center L L C 16 times across 9 inspections in the last three years; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type
For profit - Limited Liability company

Registered owners & officers

Goracke, Douglas
Direct owner · Director · Officer · Partner · Additional disclosable party — 51% stake — since 2003
Busse, Tracy
Managing employee — since 2017
Chamley, Steven
Direct owner · Officer · Partner · Additional disclosable party — since 2019
Mccool, Jessica
Managing employee · Additional disclosable party — since 2023
Tjaden, Jordan
Managing employee · Additional disclosable party — since 2022

Regulatory standing

Licensed / certified since
2001-10-22
CMS overall rating
4 of 5 stars
Health deficiencies
5 at the last standard inspection
Federal fines
None on record
Last standard inspection
2026-01-08
Nurse staffing
3.8 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$328 per day (≈ $9,970/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
51% Medicaid · 8% Medicare · 42% private/other
Occupancy
78% (fiscal year 2023)
Vs. state median
4% below the IA median of $342/day — full state cost breakdown

Services & coverage

Licensed beds
94
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.
2026-01-08Health inspection5 citations
F-0554
D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2026-01-22
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-01-22
F-0688
D · No harm found
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 2026-01-22
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2026-01-22
F-0842
E · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-01-22
2025-04-24Health inspectionComplaint-triggered1 citation
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-05-09
3 earlier / fire-safety inspections (10 citations)
2025-01-15Health inspectionComplaint-triggered5 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-01-16
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-01-16
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-01-16
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-16
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-01-16
2024-09-30Health inspectionComplaint-triggered1 citation
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-10-11
2023-12-21Health inspection4 citations
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-01-08
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-01-08
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-01-08
F-0943
E · No harm found
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2024-01-08
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 165447.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 16 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered