Nursing home
Prairie Gate
16 Valley View Drive, Council Bluffs, IA 51503 · Map
Non profit - Corporation · Part of Presbyterian Homes & Services (20 facilities) · 72 certified beds
Prairie Gate is a Medicare-certified nursing home in Council Bluffs, Iowa. CMS rates it 2 out of 5 stars overall (4/5 for staffing, 2/5 for health inspections). Nurse staffing is 4.83 hours per resident per day, above the Iowa average of 3.83. Its most recent inspection on Jul 9, 2025 cited 7 deficiencies.
- 1 fine totaling $27,630In CMS records: 2 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Prairie Gate compares
This facility vs. the Iowa and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Iowa avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.83 | 3.83 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.02 | 0.73 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 3.31 | 2.53 | 2.34 | above avg |
| Nursing staff turnover | —% | 43.9% | 46.4% | — |
| Deficiencies cited, last inspection | 7.0 | 6.2 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the October 9, 2025 inspection was corrected by December 19, 2025
Penalties in CMS records: 1 fine totaling $27,630, 2 total penalties, 1 Medicare payment denial.
What inspectors found at Prairie Gate
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Oct 9, 2025 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Oct 9, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Oct 9, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jul 9, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jul 9, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · May 23, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · May 23, 2025 · Full report (PDF) - Potential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Aug 15, 2024 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Aug 15, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Aug 15, 2024 · Full report (PDF) - Potential for harm
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Aug 15, 2024 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Aug 15, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 16 Valley View Drive
Council Bluffs, IA 51503 - CMS certification #
- 165794
- Ownership
- Non profit - Corporation
- Certified beds
- 72
- Avg residents/day
- 34.5
- Provider type
- Medicare and Medicaid
- First certified
- 2020-10-30
- Chain
- Presbyterian Homes & Services (20 facilities)
- Setting
- Urban
Part of Presbyterian Homes & Services
Presbyterian Homes & Services operates 20 nursing facilities across the United States. View all Presbyterian Homes & Services facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Prairie Gate using Google Maps.
Other public records
- Website says Nurse 24 hours a day, 3 meals a day
- Emergency In FEMA's high-risk flood area (Zone AE)
Full public records, with dates and sources
Care and services
From the community’s website
What Prairie Gate says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
24-hour nursing care provided with dignity and compassion.
(page, checked Oct 12, 2026) - 3 meals a day.
3 daily meals + snacks
(page, checked Oct 15, 2026) - Apartment types named: studio, semi-private room.
Choose a spacious private or semi-private studio apartment including an accessible bathroom with step-in shower.
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Methodist Jennie Edmundson, Council Bluffs. 1.6 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Bethany Lutheran Home, Council Bluffs. 0.8 miles away, straight line.
- Nearest home health agency office
- Angels Care Home Health Of Iowa, Council Bluffs. 0.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Hy-Vee Pharmacy. 1.0 mile away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 51503 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Council Bluffs Dialysis Center, Council Bluffs, 2.0 miles away, straight line (CMS rating 2 of 5 stars)
Dialysis Clinics, Inc - Omaha, Omaha, 7.8 miles away, straight line (CMS rating 1 of 5 stars)
Davita Omaha South Dialysis, Omaha, 8.5 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 16 Medicare hospices tell CMS they serve ZIP code 51503.
St Croix Hospice, office in Co Bluffs, 1.1 miles away, straight line (CMS family survey rating 3 of 5 stars)
Hillcrest Hospice, office in Council Bluffs, 3.1 miles away, straight line (CMS family survey rating 3 of 5 stars)
Aseracare Hospice, office in Council Bluffs, 5.5 miles away, straight line - Nearest geriatric medicine practice
- Unmc Physicians, Omaha. 8.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Zone AE: 1% annual chance flood area (high risk); base flood elevation set; inside the regulatory floodway. This is inside FEMA's Special Flood Hazard Area, where flood insurance is required for federally backed mortgages. (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively moderate, wildfire relatively low, tornado very high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Prairie Gate a good nursing home?
CMS gives Prairie Gate an overall rating of 2 out of 5 stars, including 4/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Prairie Gate staffed?
Prairie Gate reports 4.83 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has Prairie Gate had inspection problems?
Its most recent CMS inspection cited 7 deficiencies.
How many beds does Prairie Gate have?
Prairie Gate is certified for 72 beds.