Prairie Ridge Care Center

1005 7th Street NE, Orange City, IA 51041 (opens Google Maps) · Sioux County · (712) 707-6006· 95 certified beds · avg 81 residents/day · certified since Mar 1, 2004 · 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 →

4/5

Health inspection rating (on-site)

inspected Jun 18, 2026

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)

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

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

Inspection findings in the public record

Showing the latest 3 of 10 inspection findings. Open the full record below to read every finding.

Jun 18, 2026D · Potential for more than minimal harm, isolated
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. F-0605
Jun 18, 2026D · Potential for more than minimal harm, isolated
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. F-0641
Jun 18, 2026D · Potential for more than minimal harm, isolated
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. F-0644

View all 10 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.

Date	Severity	What the facility was cited for
Jun 18, 2026	D · Potential for more than minimal harm, isolated	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. · F-0605
Jun 18, 2026	D · Potential for more than minimal harm, isolated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Jun 18, 2026	D · Potential for more than minimal harm, isolated	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. · F-0644
Apr 24, 2025	E · Potential for more than minimal harm, pattern	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. · F-0758
Apr 24, 2025	E · Potential for more than minimal harm, pattern	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. · F-0803
Apr 24, 2025	E · Potential for more than minimal harm, pattern	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. · F-0812
Apr 24, 2025	E · Potential for more than minimal harm, pattern	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. · F-0880
Apr 24, 2025	D · Potential for more than minimal harm, isolated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804
Nov 26, 2024	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
May 2, 2024	F · Potential for more than minimal harm, widespread	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. · F-0880

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2024

2025

2026

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

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)

How to file a complaint about care →

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

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)

5.02

4.37

3.95

Registered Nurse hours

1.08

0.85

0.69

Weekend total nurse staffing

4.64

3.86

3.50

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

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 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 3.91, RN 0.84, weekend 3.60.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.91 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.

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

Costs & payment

Price evidence · separate from quality

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

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

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 →

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

All 15 owning or managing parties CMS has on file are shown — none excluded.

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 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?"

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 34% total nursing staff turnover here — who on the care team has been with you longest?"
"The ownership record on file lists 15 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 (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 →

Other facilities in the same county

CMS records place this facility in Sioux, IA — 5 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Hillcrest Health Care Center — Hawarden, IA · overall 1/5abuse

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

All facilities in Orange City →

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

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Prairie Ridge Care Center

1005 7th Street NE, Orange City, IA 51041 · (712) 707-6006

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 plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 34% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "The ownership record on file lists 15 owning or managing parties — who makes the decisions about staffing levels?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

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)