Prairie Gate
16 Valley View Drive, Council Bluffs, IA 51503 · Pottawattamie County · 72 certified beds · avg 35 residents/day · certified since Oct 30, 2020
Part of chain: PRESBYTERIAN HOMES & SERVICES (21 facilities, chain avg rating 4.3★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Jun 5, 2024 · F-0760 · triggered by a complaint
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jun 26, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Feb 29, 2024 · F-0686 · triggered by a complaint
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Mar 27, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (23)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Oct 9, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Oct 9, 2025 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Oct 9, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Jul 9, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jul 9, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| May 23, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| May 23, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Aug 15, 2024 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Aug 15, 2024 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint |
| Aug 15, 2024 | E · Potential for harm, repeated | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Aug 15, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Aug 15, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Aug 15, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Aug 15, 2024 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Aug 15, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jun 5, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Jun 5, 2024 | E · Potential for harm, repeated | The facility employed staff who were not licensed, certified, or registered as required by state law. · from a complaint |
| Jun 5, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Feb 29, 2024 | ▲ G · Actual harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint |
| Feb 29, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Feb 29, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Sep 14, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Sep 14, 2023 | D · Potential for harm, one-off | The facility did not have a policy covering how food brought in by family and visitors is used and stored safely. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (8 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | D |
| 2024 | 14 | 2 | J ▲ |
| 2025 | 7 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $27,630, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Jun 5, 2024 | Fine | $27,630 |
| Feb 29, 2024 | Payment Denial | 7 days from Mar 28, 2024 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Iowa avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.81 | 4.37 | 3.95 | top 26% in Iowa; top 16% in the U.S. |
| Registered Nurse hours | 1.33 | 0.85 | 0.69 | top 7% in Iowa; top 7% in the U.S. |
| Weekend total nurse staffing | 4.32 | 3.86 | 3.50 | top 24% in Iowa; top 15% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.97 | 0.51 | 0.48 | top 5% in Iowa; top 7% in the U.S. |
| Total nursing staff turnover (%) | 47.5 | 44.0 | 45.8 | bottom 36% in Iowa; bottom 43% in the U.S. |
| RN turnover (%) | 58.3 | 42.1 | 42.9 | bottom 27% in Iowa; bottom 24% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.21, RN 1.16, weekend 3.79. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 2/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Eddy, Benjamin | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/01/2023 |
| Eddy, Benjamin | Individual | ADP of the SNF | NOT APPLICABLE | 10/01/2023 |
| Fletcher, Jonathan | Individual | Corporate Director | NOT APPLICABLE | 02/01/2025 |
| Fletcher, Jonathan | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2025 |
| Fletcher, Jonathan | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2025 |
| Fletcher, Jonathan | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2025 |
| Kakish, Eyad | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2023 |
| Kakish, Eyad | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2023 |
| Meyer, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/05/2018 |
| Meyer, Mark | Individual | ADP of the SNF | NOT APPLICABLE | 01/05/2018 |
| Pederson, Mark | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Peterson, Heidi | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Peterson, Heidi | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2023 |
| Peterson, Heidi | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2023 |
| PHS Management, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/11/2019 |
| PHS Management, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/29/2025 |
| Presbyterian Homes Housing and Assisted Living, INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/05/2018 |
| Us Bank National Association | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 08/01/2018 |
| Us Bank National Association | Organization | 5% or Greater Security Interest | NOT APPLICABLE | 08/01/2018 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Bethany Lutheran Home | 0.8 mi | Council Bluffs, IA | ★☆☆☆☆ | 1/5 | |
| North Crest Living Center | 1.6 mi | Council Bluffs, IA | ★☆☆☆☆ | 1/5 | |
| Chapters Living of Council Bluffs | 1.6 mi | Council Bluffs, IA | ★☆☆☆☆ | 1/5 | SFF |
| Midlands Living Center L L C | 2.3 mi | Council Bluffs, IA | ★★★★☆ | 3/5 | |
| St. Joseph Villa Nursing Center | 6.2 mi | Omaha, NE | ★☆☆☆☆ | 1/5 | |
| Ambassador Health of Omaha | 7.5 mi | Omaha, NE | ★★★★★ | 4/5 | |
| The Cypress at Midtown | 8.4 mi | Omaha, NE | ★★★☆☆ | 3/5 | |
| Douglas County Health Center | 8.5 mi | Omaha, NE | ★★★☆☆ | 2/5 | |
| Emerald Nursing & Rehab Legacy Pointe LLC | 9.2 mi | Omaha, NE | ★☆☆☆☆ | 1/5 | SFF |
| Florence Home | 9.4 mi | Omaha, NE | ★★★★☆ | 3/5 | |
| Hillcrest Health & Rehab | 9.6 mi | Bellevue, NE | ★★☆☆☆ | 2/5 | |
| Omaha Nursing and Rehabilitation Center | 9.7 mi | Omaha, NE | ★☆☆☆☆ | 1/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 165794.