Prairie Gate
16 Valley View Drive · Council Bluffs, IA · 51503 · 7123526600
72 certified beds Non profit - Corporation Chain: Presbyterian Homes & Services Part of a CCRC
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.22 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.09 | 0.55–0.75 |
| Weekend hours / resident-day | 4.02 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | 1 · $27,630 |
Inspection citations (23 in the current record)
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Potential for harm · D October 9, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 9, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 19, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 9, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected December 19, 2025 · Quality of Life and Care
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Potential for harm · D July 9, 2025
Provide and implement an infection prevention and control program.
Corrected August 7, 2025 · Infection Control
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Potential for harm · D July 9, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 26, 2025 · Quality of Life and Care
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Potential for harm · D May 23, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected June 22, 2025 · Resident Rights
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Potential for harm · D May 23, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 18, 2024 · Quality of Life and Care
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Potential for harm · D August 15, 2024
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.
Corrected September 15, 2024 · Resident Rights
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Potential for harm · D August 15, 2024
Ensure each resident receives an accurate assessment.
Corrected September 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 15, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected September 15, 2024 · Quality of Life and Care
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Potential for harm · E August 15, 2024
Post nurse staffing information every day.
Corrected September 15, 2024 · Nursing and Physician Services
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Potential for harm · E August 15, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 15, 2024 · Nutrition and Dietary
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Potential for harm · E August 15, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 15, 2024 · Resident Rights
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Potential for harm · D August 15, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 15, 2024 · Quality of Life and Care
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Potential for harm · E August 15, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected September 15, 2024 · Nursing and Physician Services
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Immediate jeopardy · J June 5, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected June 26, 2024 · Pharmacy Service
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Potential for harm · D June 5, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 26, 2024 · Resident Assessment and Care Planning
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Potential for harm · E June 5, 2024 · found via complaint
Employ staff that are licensed, certified, or registered in accordance with state laws.
Corrected June 26, 2024 · Administration
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Actual harm · G February 29, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected March 27, 2024 · Quality of Life and Care
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Potential for harm · D February 29, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected March 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · E February 29, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 27, 2024 · Nutrition and Dietary
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Potential for harm · D September 14, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 22, 2023 · Quality of Life and Care
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Potential for harm · D September 14, 2023 · found via complaint
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected September 22, 2023 · Nutrition and Dietary
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 5, 2024 | Fine | $27,630 |
| February 29, 2024 | Payment Denial | 7 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165794 · certified since October 30, 2020. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.