Midlands Living Center L L C

In the surveyor’s words

From the most serious findings on record at Midlands Living Center L L C, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF842Jan 8, 2026

  Based on record review, family interview and staff interview, and policy review the facility failed to maintain medical records on each resident in accordance with accepted professional standards and practices that are complete and accurately documented for 6 of 19 residents (Residents #11, #1, #13, #5, #67 and #71) reviewed. The facility failed to completely fill out the Medication Administration Record (MAR) - Treatment Administration Record (TAR) - Medication Monitoring (Med Mon) for the residents. The facility failed to accurately reflect the timeframe of assessments by late documentation entry. The facility had a census of 66.Findings include:1. […]

• No harm, potential for more than minimal, patternF943Dec 21, 2023

  Based on personnel file review, facility policy review and staff interview the facility failed to provide dependent adult abuse training within 6 months of hire for 1 of 5 employees reviewed (Staff A). The facility identified a census of 69 residents. Findings include: Review of the Employee List revealed Staff A, Dietary Aide, had a hire date of 2/11/23 and termination date of 11/27/23. Review of Staff A, personal file revealed a Dependent Adult Abuse Mandatory Reporter Recertification Training certificate dated 9/1/23 for a total of 1 hour training hour and lacked the 2 hour Dependent Adult Abuse training. The facility reported they do not have a policy regarding Dependent Adult Abuse Training but the facility follows the regulations. […]

• No harm, potential for more than minimal, patternF880Oct 6, 2022

  Based on observations, interviews, facility document review, and review of publications from the Centers for Disease Control (CDC) and Iowa Healthcare Association (IHCA), it was determined that the facility failed to move 3 (Residents #15, #38, and #71) of 11 positive COVID-19 residents out of a semi-private room to a private room after testing positive for COVID-19. The three COVID-19 positive residents were left to cohort with their COVID-19 negative roommates (Residents #17, #31, and #36). Failing to isolate the COVID-19 positive residents in a private room had the potential to increase the chances of COVID-19 negative residents to convert to a positive status. […]

• No harm, potential for more than minimal, patternF584May 13, 2021

  Based on observation and resident and staff interviews, the facility failed to maintain resident rooms in a clean, comfortable, and homelike manner. The facility reported a census of 64 residents. Findings include: Observation in Resident # 9's room on 05/10/21 12:50 PM revealed popcorn on the floor under her bedside stand by her chair and broken wood on the inner side of the bathroom door that left a rough spot. In an interview at that time, Resident #9 stated she it upset her that the popcorn remained on the floor from last night and added she didn't like the torn-up bathroom door. Observation on 05/11/21 at 12:25 PM revealed 8 of 15 rooms reviewed required repairs as follows: a. The on the walls in Rooms 212 and 206 contained nicked and scratched areas in the paint. b. […]

• No harm, potential for more than minimal, isolatedF554Jan 8, 2026

  Based on direct observation, clinical record review, staff interview, and facility policy review, the facility failed to administer medication as prescribed and ordered by a physician when they allowed residents without an order to self-administer medication to do so (Resident #28, #34, #61). The facility reported a census of 66 residents. Findings include: 1. The quarterly Minimum Data Set (MDS) for Resident #28, dated 10/31/2025, documented the following relevant diagnoses: heart failure, hypertension (high blood pressure), renal insufficiency (kidney failure), Non-Alzheimer's Dementia, and anxiety. It documented she took antianxiety medication as well as diuretic medication (water pills). […]