Prairie Ridge Care Center

Name: Prairie Ridge Care Center
Address: 1005 7th Street NE, Orange City, IA, 51041, US
Telephone: 7127076006

1005 7th Street NE, Orange City, IA 51041 · Sioux County · 95 certified beds · avg 81 residents/day · certified since Mar 1, 2004

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

5.02

Nurse hours/resident/day (adjusted)

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

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5

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.

All citations in the current public record (10)

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
Jun 18, 2026	D · Potential for harm, one-off	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function.
Jun 18, 2026	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.
Jun 18, 2026	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Apr 24, 2025	E · Potential for harm, repeated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Apr 24, 2025	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Apr 24, 2025	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.
Apr 24, 2025	E · Potential for harm, repeated	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.
Apr 24, 2025	D · Potential for harm, one-off	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Nov 26, 2024	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
May 2, 2024	F · Potential for harm, facility-wide	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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (5 → 3).

Year	Citations	Worst severity that year
2024	2	F
2025	5	E
2026	3	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)

No fines or payment denials in the published 3-year window.

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)	5.02	4.37	3.95	top 17% in Iowa; top 13% in the U.S.
Registered Nurse hours	1.08	0.85	0.69	top 20% in Iowa; top 13% in the U.S.
Weekend total nurse staffing	4.64	3.86	3.50	top 11% in Iowa; top 10% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.52	0.51	0.48	top 36% in Iowa; top 30% in the U.S.
Total nursing staff turnover (%)	34.0	44.0	45.8	top 26% in Iowa; top 22% in the U.S.
RN turnover (%)	0.0	42.1	42.9	top 1% in Iowa; top 1% 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 3.91, RN 0.84, weekend 3.60. Staffing rating: 5/5.

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: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5

Who owns this facility

Government - City/county

Owner / manager	Type	Role	Stake	Since
Orange City Municipal Hospital	Organization	5% or Greater Direct Ownership Interest	100%	03/01/2004
Adams, Russ	Individual	Corporate Director	NOT APPLICABLE	01/01/2006
Alons, Kathy	Individual	Corporate Director	NOT APPLICABLE	01/01/2016
Gotto, Robert	Individual	Operational/Managerial Control	NOT APPLICABLE	12/10/2024
Gotto, Robert	Individual	ADP of the SNF	NOT APPLICABLE	12/18/2024
Guthmiller, Martin	Individual	Operational/Managerial Control	NOT APPLICABLE	03/24/1994
Guthmiller, Martin	Individual	ADP of the SNF	NOT APPLICABLE	03/24/1994
Hanson, Harrison	Individual	Operational/Managerial Control	NOT APPLICABLE	01/02/2023
Hanson, Harrison	Individual	ADP of the SNF	NOT APPLICABLE	03/13/2025
Hofland, Wade	Individual	Corporate Director	NOT APPLICABLE	05/01/2020
Immeker, Chris	Individual	Corporate Director	NOT APPLICABLE	01/01/2013
Jungers, Amy	Individual	Corporate Director	NOT APPLICABLE	04/01/2024
Orange City Municipal Hospital	Organization	ADP of the SNF	NOT APPLICABLE	12/18/2024
Pluim, Dale	Individual	Corporate Director	NOT APPLICABLE	01/01/2022
Zeutenhorst, Timothy	Individual	Corporate Director	NOT APPLICABLE	12/22/2003

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 percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Could I join residents for a meal to see the food quality and temperature for myself?"
"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
Crown Pointe Estates Care Center	7.1 mi	Sioux Center, IA	★★★★☆	3/5
Pleasant Acres Care Center	13.1 mi	Hull, IA	★★★☆☆	3/5
Happy Siesta Health Care Center	14.6 mi	Remsen, IA	★★★★☆	4/5
Good Samaritan - Lemars	15.6 mi	Le Mars, IA	★★★★☆	4/5
Sanford Senior Care Sheldon	15.6 mi	Sheldon, IA	★☆☆☆☆	1/5
Accura Healthcare of Le Mars	16.9 mi	Le Mars, IA	★★★★☆	3/5
Hegg Memorial Health Center	18.0 mi	Rock Valley, IA	★★★★★	4/5
Heartland Care Center	18.0 mi	Marcus, IA	★★★★★	3/5

Compare this facility with the 3 closest →

All facilities in Orange City →

Facility data as of CMS processing date 2026-08-01. CCN 165538.

The Care File

Visit checklist — Prairie Ridge Care Center

1005 7th Street NE, Orange City, IA 51041 · 7127076006

Health inspection rating 4/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you identify and arrange specialized services for residents with mental health conditions or disabilities?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Could I join residents for a meal to see the food quality and temperature for myself?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 165538 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)