nursing home in Council Bluffs, IA
Prairie Gate
16 Valley View Drive, Council Bluffs, IA 51503 · (712) 352-6600
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★4
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Prairie Gate at a glance
Prairie Gate is a 72-bed non-profit nursing home in Council Bluffs, Iowa (Pottawattamie County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Iowa average of 3.1.
Residents receive about 4.2 hours of nursing care per day (1.2 of them from registered nurses), better than the state average of 3.8 hours.
Its most recent standard health inspection (July 9, 2025) found 5 health citations. The Iowa average is 6.5.
Federal regulators fined it 1 time in the past three years, totaling $27,630.
Nursing staff turnover is 47.5% per year (state average 44%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 72
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Presbyterian Homes & Services
- Medicare-certified since
- October 30, 2020
- Continuing care retirement community
- Yes
- Resident/family council
- Resident
- County
- Pottawattamie County
- CMS Certification Number
- 165794
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3.1 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.3 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 2 / 5 | 3.3 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.21 hrs | 3.82 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 1.16 hrs | 0.74 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.78 hrs | 2.52 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.79 hrs | 3.37 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 47.5% | 44% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 58.3% | 42.1% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 6 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 4 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 57.8 | 54.5 | 80.6 | Better |
Penalties
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $27,630 | $19,286 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 72 | 65 | 107 | |
| Average residents per day | 35 | 52 | 86 | |
| Occupancy | 48.2% | 81.5% | 80.9% |
Long-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.2% | 3.8% | 3.2% | Average |
| Long-stay residents with pressure ulcers (lower is better) | 4.3% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 18.8% | 19.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 4.2% | 2.4% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.3% | 1.5% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 23.9% | 17.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 25.2% | 16.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 1.1% | 4.6% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 2.9% | 4.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 14% | 20.8% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 25.8% | 25.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 91.7% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 91.9% | 94% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 2.1% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 68% | 73.3% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 62% | 84% | 82% | Worse |
Inspection citations
State inspectors cited this home for 23 health deficiencies and 10 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| October 9, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected December 19, 2025 |
| October 9, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected December 19, 2025 |
| October 9, 2025 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected December 19, 2025 |
| July 9, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected July 31, 2025 |
| July 9, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected August 7, 2025 |
| July 9, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected June 26, 2025 |
| May 23, 2025 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected June 22, 2025 |
| May 23, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected December 18, 2024 |
| August 15, 2024 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected September 29, 2024 |
| August 15, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected September 29, 2024 |
| August 15, 2024 Fire safety | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Tag K0343 | D Potential harm, isolated | Corrected October 3, 2024 |
| August 15, 2024 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected September 29, 2024 |
| August 15, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | D Potential harm, isolated | Corrected September 29, 2024 |
| August 15, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected September 15, 2024 |
| August 15, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected September 15, 2024 |
| August 15, 2024 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | E Potential harm, pattern | Corrected September 15, 2024 |
| August 15, 2024 Complaint | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected September 15, 2024 |
| August 15, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected September 15, 2024 |
| August 15, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected September 15, 2024 |
| August 15, 2024 Standard | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected September 15, 2024 |
| August 15, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected September 15, 2024 |
| June 5, 2024 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | J Immediate jeopardy, isolated | Corrected June 26, 2024 |
| June 5, 2024 Complaint | Employ staff that are licensed, certified, or registered in accordance with state laws. Administration Deficiencies · Tag F0839 | E Potential harm, pattern | Corrected June 26, 2024 |
| June 5, 2024 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected June 26, 2024 |
| February 29, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected April 4, 2024 |
| February 29, 2024 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected April 4, 2024 |
| February 29, 2024 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected April 4, 2024 |
| February 29, 2024 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | E Potential harm, pattern | Corrected April 4, 2024 |
| February 29, 2024 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected March 27, 2024 |
| February 29, 2024 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected March 27, 2024 |
| February 29, 2024 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected March 27, 2024 |
| September 14, 2023 Complaint | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Tag F0813 | D Potential harm, isolated | Corrected September 22, 2023 |
| September 14, 2023 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected September 22, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $27,630 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| June 5, 2024 | Fine | $27,630 |
| February 29, 2024 | Payment Denial | 7 days from March 28, 2024 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| US BANK, N.A. Organization | 5% or greater mortgage interest | NOT APPLICABLE | 08/01/2018 |
| US BANK, N.A. Organization | 5% or greater security interest | NOT APPLICABLE | 08/01/2018 |
| EDDY, BENJAMIN Individual | adp of the snf | NOT APPLICABLE | 10/01/2023 |
| FLETCHER, JONATHAN Individual | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| KAKISH, EYAD Individual | adp of the snf | NOT APPLICABLE | 06/01/2023 |
| MEYER, MARK Individual | adp of the snf | NOT APPLICABLE | 01/05/2018 |
| PETERSON, HEIDI Individual | adp of the snf | NOT APPLICABLE | 01/01/2023 |
| PHS MANAGEMENT, LLC Organization | adp of the snf | NOT APPLICABLE | 10/29/2025 |
| FLETCHER, JONATHAN Individual | corporate director | NOT APPLICABLE | 02/01/2025 |
| PEDERSON, MARK Individual | corporate director | NOT APPLICABLE | 01/01/2023 |
| PETERSON, HEIDI Individual | corporate director | NOT APPLICABLE | 01/01/2023 |
| FLETCHER, JONATHAN Individual | corporate officer | NOT APPLICABLE | 02/01/2025 |
| EDDY, BENJAMIN Individual | operational/managerial control | NOT APPLICABLE | 10/01/2023 |
| FLETCHER, JONATHAN Individual | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| KAKISH, EYAD Individual | operational/managerial control | NOT APPLICABLE | 06/01/2023 |
| MEYER, MARK Individual | operational/managerial control | NOT APPLICABLE | 01/05/2018 |
| PETERSON, HEIDI Individual | operational/managerial control | NOT APPLICABLE | 01/01/2023 |
| PHS MANAGEMENT, LLC Organization | operational/managerial control | NOT APPLICABLE | 11/11/2019 |
| PRESBYTERIAN HOMES HOUSING AND ASSISTED LIVING, INC. Organization | operational/managerial control | NOT APPLICABLE | 01/05/2018 |
Other nursing homes near Prairie Gate
Bethany Lutheran Home
Seven Elliott Street, Council Bluffs, IA 51503 · under 1 mi
Non-profit · 112 beds
★★★★★1Much below average- ★★★★★1Much below average
Chapters Living of Council Bluffs
3000 Risen Son Blvd, Council Bluffs, IA 51503 · 1.6 mi
For-profit · 102 beds
- Special Focus candidate
★★★★★1Much below averageMidlands Living Center L L C
2452 North Broadway, Council Bluffs, IA 51503 · 2.3 mi
For-profit · 94 beds
★★★★★4Above averageSt. Joseph Villa Nursing Center
2305 South 10th Street, Omaha, NE 68108 · 6.2 mi
For-profit · 184 beds · Part of Delmar Gardens
★★★★★1Much below averageAmbassador Health of Omaha
1540 North 72Ndstreet, Omaha, NE 68114 · 7.5 mi
For-profit · 146 beds · Part of Ambassador Health
- CMS high performer
★★★★★5Much above average
All nursing homes in Council Bluffs, IA · Compare side by side
Frequently asked questions
What is Prairie Gate's rating?
Prairie Gate has 2 out of 5 stars on the CMS overall star rating. The average for Iowa nursing homes is 3.1 stars.
How many inspection citations did Prairie Gate receive?
Its most recent standard health inspection found 5 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Prairie Gate accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Prairie Gate?
It is non profit - corporation and part of Presbyterian Homes & Services. The ownership section on this page lists the owners and managers reported to CMS.
Where is Prairie Gate and how do I contact it?
Prairie Gate is at 16 Valley View Drive, Council Bluffs, IA 51503. Phone: (712) 352-6600.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.