CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Iowa. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Midlands Living Center L L C is a 4-star Medicare and Medicaid certified nursing home in Council Bluffs, Iowa with 94 certified beds. It has been operating since 2001. Its overall CMS rating is 4 out of 5.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Allow residents to self-administer drugs if determined clinically appropriate.
Ensure services provided by the nursing facility meet professional standards of quality.
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure services provided by the nursing facility meet professional standards of quality.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| GORACKE, DOUGLAS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 51% | Aug 1, 2003 |
| CHAMLEY, STEVEN | DIRECT OWNERSHIP INTEREST | Individual | N/A | Jan 1, 2021 |
| MCCOOL, JESSICA | CONTRACTED MANAGING EMPLOYEE | Individual | N/A | Apr 1, 2023 |
| BUSSE, TRACY | W-2 MANAGING EMPLOYEE | Individual | N/A | Sep 1, 2017 |
| TJADEN, JORDAN | W-2 MANAGING EMPLOYEE | Individual | N/A | Oct 1, 2022 |
| GORACKE, DOUGLAS | CORPORATE DIRECTOR | Individual | N/A | Sep 23, 2003 |
| CHAMLEY, STEVEN | CORPORATE OFFICER | Individual | N/A | Jan 1, 2019 |
| GORACKE, DOUGLAS | CORPORATE OFFICER | Individual | N/A | Sep 23, 2003 |
| CHAMLEY, STEVEN | GENERAL PARTNERSHIP INTEREST | Individual | N/A | Jan 1, 2019 |
| GORACKE, DOUGLAS | GENERAL PARTNERSHIP INTEREST | Individual | N/A | Sep 23, 2003 |
| CHAMLEY, STEVEN | ADP OF THE SNF | Individual | N/A | Dec 17, 2024 |
| GORACKE, DOUGLAS | ADP OF THE SNF | Individual | N/A | Dec 17, 2024 |
| MCCOOL, JESSICA | ADP OF THE SNF | Individual | N/A | Dec 17, 2024 |
| TJADEN, JORDAN | ADP OF THE SNF | Individual | N/A | Dec 17, 2024 |
Compare CMS ratings and recorded fines for Midlands Living Center L L C and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.