Iowa ›Council Bluffs

Prairie Gate

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16 Valley View Drive, Council Bluffs, IA 51503 (opens Google Maps) · Pottawattamie County · (712) 352-6600· 72 certified beds · avg 35 residents/day · certified since Oct 30, 2020 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: PRESBYTERIAN HOMES & SERVICES (21 facilities, chain avg rating 4.3★)

2/5
Health inspection rating (on-site)
inspected Jul 9, 2025
2
Serious findings on record
most recent Jun 5, 2024
$27,630
Fines, last 3 years
4.81
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Jun 26, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Mar 27, 2024 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 23 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    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 F-0609

  2. D · Potential for more than minimal harm, isolated

    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 F-0610

  3. D · Potential for more than minimal harm, isolated

    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 F-0684

View all 23 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Oct 9, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0609
Oct 9, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0610
Oct 9, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0684
Jul 9, 2025D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Jul 9, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0880
May 23, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0550
May 23, 2025D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Aug 15, 2024E · Potential for more than minimal harm, patternThe 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 · F-0550
Aug 15, 2024E · Potential for more than minimal harm, patternThe 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 · F-0725
Aug 15, 2024E · Potential for more than minimal harm, patternThe 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. · F-0732
Aug 15, 2024E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Aug 15, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Aug 15, 2024D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Aug 15, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Aug 15, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0695
Jun 5, 2024▲ J · Immediate jeopardy, isolatedThe 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 · F-0760
Jun 5, 2024E · Potential for more than minimal harm, patternThe facility employed staff who were not licensed, certified, or registered as required by state law. · from a complaint · F-0839
Jun 5, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0658
Feb 29, 2024▲ G · Actual harm, isolatedThe 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 · F-0686
Feb 29, 2024E · Potential for more than minimal harm, patternThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804
Feb 29, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0657
Sep 14, 2023D · Potential for more than minimal harm, isolatedThe 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 · F-0684
Sep 14, 2023D · Potential for more than minimal harm, isolatedThe facility did not have a policy covering how food brought in by family and visitors is used and stored safely. · from a complaint · F-0813

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (8 → 2).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 2
Serious citations (G–L): 0
2024
All citations: 14
Serious citations (G–L): 2
2025
All citations: 7
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202320D
2024142J ▲
202570D

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)

How to file a complaint about care →

1 fine totaling $27,630, plus 1 Medicare payment denial period.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Jun 5, 2024Fine$27,630
Feb 29, 2024Payment Denial7 days from Mar 28, 2024

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityIowa averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.81
Iowa average: 4.37
U.S. average: 3.95
Registered Nurse hours
This facility: 1.33
Iowa average: 0.85
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.32
Iowa average: 3.86
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityIowa avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)4.814.373.95top 26% in Iowa; top 16% in the U.S.
Registered Nurse hours1.330.850.69top 7% in Iowa; top 7% in the U.S.
Weekend total nurse staffing4.323.863.50top 24% in Iowa; top 15% in the U.S.
Weekend RN hours (not acuity-adjusted)0.970.510.48top 5% in Iowa; top 7% in the U.S.
Total nursing staff turnover (%)47.544.045.8bottom 36% in Iowa; bottom 43% in the U.S.
RN turnover (%)58.342.142.9bottom 27% in Iowa; bottom 24% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.21 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 4/5 · long-stay residents: 2/5 · short-stay residents: 5/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Prairie Gate. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

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Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

  • Request the room type, effective date and itemized daily rate in writing.
  • Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
  • Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

Non profit - Corporation

Owner / managerTypeRoleStakeSince
Eddy, BenjaminIndividualOperational/Managerial ControlNOT APPLICABLE10/01/2023
Eddy, BenjaminIndividualADP of the SNFNOT APPLICABLE10/01/2023
Fletcher, JonathanIndividualCorporate DirectorNOT APPLICABLE02/01/2025
Fletcher, JonathanIndividualCorporate OfficerNOT APPLICABLE02/01/2025
Fletcher, JonathanIndividualOperational/Managerial ControlNOT APPLICABLE02/01/2025
Fletcher, JonathanIndividualADP of the SNFNOT APPLICABLE02/01/2025
Kakish, EyadIndividualOperational/Managerial ControlNOT APPLICABLE06/01/2023
Kakish, EyadIndividualADP of the SNFNOT APPLICABLE06/01/2023
Meyer, MarkIndividualOperational/Managerial ControlNOT APPLICABLE01/05/2018
Meyer, MarkIndividualADP of the SNFNOT APPLICABLE01/05/2018
Pederson, MarkIndividualCorporate DirectorNOT APPLICABLE01/01/2023
Peterson, HeidiIndividualCorporate DirectorNOT APPLICABLE01/01/2023
Peterson, HeidiIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2023
Peterson, HeidiIndividualADP of the SNFNOT APPLICABLE01/01/2023
PHS Management, LLCOrganizationOperational/Managerial ControlNOT APPLICABLE11/11/2019
PHS Management, LLCOrganizationADP of the SNFNOT APPLICABLE10/29/2025
Presbyterian Homes Housing and Assisted Living, INC.OrganizationOperational/Managerial ControlNOT APPLICABLE01/05/2018
Us Bank National AssociationOrganization5% or Greater Mortgage InterestNOT APPLICABLE08/01/2018
Us Bank National AssociationOrganization5% or Greater Security InterestNOT APPLICABLE08/01/2018

All 19 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Presbyterian Homes & Services — 21 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 20 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 48% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 19 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 31 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Bethany Lutheran Home0.8 miCouncil Bluffs, IA★☆☆☆☆1/5
North Crest Living Center1.6 miCouncil Bluffs, IA★☆☆☆☆1/5
Chapters Living of Council Bluffs1.6 miCouncil Bluffs, IA★☆☆☆☆1/5SFF
Midlands Living Center L L C2.3 miCouncil Bluffs, IA★★★★☆3/5
St. Joseph Villa Nursing Center6.2 miOmaha, NE★☆☆☆☆1/5
Ambassador Health of Omaha7.5 miOmaha, NE★★★★★4/5
The Cypress at Midtown8.4 miOmaha, NE★★★☆☆3/5
Douglas County Health Center8.5 miOmaha, NE★★★☆☆2/5
Emerald Nursing & Rehab Legacy Pointe LLC9.2 miOmaha, NE★☆☆☆☆1/5SFF
Florence Home9.4 miOmaha, NE★★★★☆3/5
Hillcrest Health & Rehab9.6 miBellevue, NE★★☆☆☆2/5
Omaha Nursing and Rehabilitation Center9.7 miOmaha, NE★☆☆☆☆1/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Pottawattamie, IA — 7 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Council Bluffs →

Facility data as of CMS processing date 2026-08-01. CCN 165794.

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