Iowa › Pottawattamie County › Council Bluffs
Prairie Gate
16 Valley View Drive, Council Bluffs, IA 51503
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 72 beds, Prairie Gate serves Council Bluffs in Pottawattamie County, Iowa and has taken Medicare and Medicaid residents since 2020.
CMS gives it 2 of 5 stars overall, below the Iowa median of 3; the health inspection rating is 2, staffing 4 and quality measures 4.
Inspectors recorded 23 health deficiencies across the three most recent survey cycles (5, 10, 8 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 31.9 per 100 beds, about the same as the state median of 27.5.
CMS lists 2 penalties in the period covered: fines totalling $28K and 1 payment denial.
Reported nurse staffing is 4.2 hours per resident per day (1.2 RN), close to the Iowa median of 3.7; nursing staff turnover is 47.5%.
Compared with county, state and nation
| Measure | This facility | Pottawattamie Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 23 | 43 | 16 | 28.7 |
| Citations per 100 beds | 31.9 | 54.8 | 27.5 | 26.8 |
| Total nurse hours per resident day | 4.2 | 3.9 | 3.7 | 3.9 |
| RN hours per resident day | 1.2 | 1.0 | 0.7 | 0.7 |
| Nursing staff turnover | 47.5% | 47.5% | 41.9% | 45.8% |
| Fines listed | $27,630 | $15,593 | $0 | — |
County and state figures are medians across facilities (7 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 9 Jul 2025, 15 Aug 2024.
Severity mix: J ×1 G ×1 D ×15 E ×6
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 9 Oct 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 19 Dec 2025 |
| 9 Oct 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 19 Dec 2025 |
| 9 Oct 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 19 Dec 2025 |
| 9 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 26 Jun 2025 |
| 9 Jul 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 7 Aug 2025 |
| 23 May 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 22 Jun 2025 |
| 23 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 18 Dec 2024 |
| 15 Aug 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 15 Sep 2024 |
| 15 Aug 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 15 Sep 2024 |
| 15 Aug 2024 | F0732 | Post nurse staffing information every day. | E | Standard survey | 15 Sep 2024 |
| 15 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 15 Sep 2024 |
| 15 Aug 2024 | F0584 | 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. | D | Standard survey | 15 Sep 2024 |
| 15 Aug 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 15 Sep 2024 |
| 15 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 15 Sep 2024 |
| 15 Aug 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 15 Sep 2024 |
| 5 Jun 2024 | F0760 | Ensure that residents are free from significant medication errors. | J | Complaint investigation | 26 Jun 2024 |
| 5 Jun 2024 | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | E | Complaint investigation | 26 Jun 2024 |
| 5 Jun 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 26 Jun 2024 |
| 29 Feb 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 27 Mar 2024 |
| 29 Feb 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 27 Mar 2024 |
| 29 Feb 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 27 Mar 2024 |
| 14 Sep 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 22 Sep 2023 |
| 14 Sep 2023 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Complaint investigation | 22 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 5 Jun 2024 | Fine | $27,630 | |
| 29 Feb 2024 | Payment denial | — | 7 days |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 47.5%, RNs 58.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 23.9% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.3% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.2% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.2% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 25.2% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.3% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.8% | 18.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Phs Council Bluffs Inc. Chain: Presbyterian Homes & Services (21 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Us Bank National Association | 5% or greater mortgage interest | NOT APPLICABLE | 08/01/2018 |
| Us Bank National Association | 5% or greater security interest | NOT APPLICABLE | 08/01/2018 |
| Phs Management, LLC | Operational/managerial control | NOT APPLICABLE | 11/11/2019 |
| Presbyterian Homes Housing and Assisted Living, Inc. | Operational/managerial control | NOT APPLICABLE | 01/05/2018 |
| Phs Management, LLC | Adp of the snf | NOT APPLICABLE | 10/29/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Pottawattamie County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Midlands Living Center L L C | Council Bluffs | 94 | 4 | 3 | 4 | 16 | 17.0 | — | 8 Jan 2026 |
| Avoca Specialty Care | Avoca | 46 | 1 | 1 | 3 | 68 | 147.8 | — | 5 Mar 2026 |
| Bethany Lutheran Home | Council Bluffs | 112 | 1 | 1 | 4 | 43 | 38.4 | $47K | 21 May 2026 |
| Chapters Living of Council BluffsSFF Candidate | Council Bluffs | 102 | 1 | 1 | 4 | 68 | 66.7 | $164K | 30 Jan 2026 |
| North Crest Living Center | Council Bluffs | 62 | 1 | 1 | 4 | 34 | 54.8 | — | 26 Aug 2025 |
| Oakland Manorabuse icon | Oakland | 61 | 1 | 1 | 2 | 67 | 109.8 | $16K | 22 Apr 2026 |
All 7 facilities in Pottawattamie County
Questions and answers
How many deficiencies has Prairie Gate been cited for?
23 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Prairie Gate been fined?
Yes. CMS lists fines totalling $28K in the period covered, plus 1 payment denial.
How does staffing at Prairie Gate compare?
Reported total nurse staffing is 4.2 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Prairie Gate?
It is part of the Presbyterian Homes & Services chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Phs Management, LLC and Presbyterian Homes Housing and Assisted Living, Inc.. Individual owners and managers are not listed on this site.
When was Prairie Gate last inspected?
The most recent survey or investigation in the CMS record is dated 9 Oct 2025; the most recent standard health survey was 9 Jul 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.