At LTC Midwest, our approach is based on the following core values:
- We believe each resident should have the best quality of care.
- We believe each staff member should have a safe and quality work environment.
- We believe in providing our clients with the tools to succeed, provide the best quality of care, and have a safe working environment.
Get to know the team members of LTC Midwest!

Randy Kozeal
Owner & CEO
Mr. Kozeal founded LTC Midwest in 2009. He has over 30 years of experience in long-term healthcare, memory support and property development. Mr. Kozeal also has extensive knowledge in risk assessment, loss prevention and state survey preparation and post-survey plans-of-action.
Before establishing LTC Midwest, Mr. Kozeal spent over 10 years as an administrator of rural skilled nursing facilities in Nebraska. He also worked in retirement, independent and skilled nursing facility property development, risk assessment and loss prevention.Mr. Kozeal has built strong relationships with many national Long Term Care Associations, governing agencies and major stakeholders in the field of Long Term Care.
Mr. Kozeal has a B.A. in Theology and an M.A. in Philosophy. In his free time, he enjoys wood working, fishing, spending time with family, and being involved with the community.

Pam Kozeal
Life Enrichment Director
Mrs. Kozeal has over 30 years of experience in long-term care. She worked as an Activities Director, managing a team of people for over 20 years. She is also a licensed Assisted Living Facility Administrator. Mrs. Kozeal also has extensive experience in marketing skilled nursing and independent living facilities.
Mrs. Kozeal also brings a breadth of experience in caring for residents with dementia. She is knowledgeable about helping families cope with the effects of dementia in a loved one.
In her free time, Mrs. Kozeal enjoys scrapbooking, cooking and spending time with her grandchild. She is heavily involved in various community activities, and enjoys staying active.