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.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
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-day | 3.82 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.60 | 0.55–0.75 |
| Weekend hours / resident-day | 3.32 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (16 in the current record)
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Potential for harm · D January 8, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected January 22, 2026 · Resident Rights
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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
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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
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Potential for harm · D January 8, 2026
Ensure that residents are free from significant medication errors.
Corrected January 22, 2026 · Pharmacy Service
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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
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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
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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
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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
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Potential for harm · D January 15, 2025
Provide and implement an infection prevention and control program.
Corrected January 16, 2025 · Infection Control
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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
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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
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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
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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
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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
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Potential for harm · D December 21, 2023
Provide and implement an infection prevention and control program.
Corrected January 8, 2024 · Infection Control
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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.