All states › Iowa › Council Bluffs › Prairie Gate
16 Valley View Drive Council Bluffs, IA 51503 · Pottawattamie County
All 5 nursing homes in Council Bluffs, IA (5 take Medicaid)
CMS certification number 165794 · See this home on Medicare Care Compare
Is Prairie Gate a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Prairie Gate as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Iowa average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.38 hours per resident per day at Prairie Gate, above the Iowa median of 3.76 (US median: 3.72). About 1.18 of those hours are from registered nurses. On weekends it falls to 3.91 hours, 11% below its all-week average. 49.1% of nursing staff left within a year (Iowa median 41.7%).
About this nursing home
Paying for care at Prairie Gate: Medicare and Medicaid
Prairie Gate is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Iowa's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on July 9, 2025 and found 1 deficiency, plus 5 from complaint inspections in the same period. In total, inspectors issued 22 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 22 citations at Prairie Gate across 7 inspection dates, 14 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on June 5, 2024 (complaint inspection). The most common areas cited were quality of life and care (6) and resident rights (4). The most serious was cited under the CMS rule to "ensure that residents are free from significant medication errors" (tag F0760, level J, June 5, 2024). 2 citations were under CMS's abuse, neglect and exploitation rules.
August 27, 2026 · 1 citation · includes complaint inspection
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
October 9, 2025 · 3 citations · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
July 9, 2025 · 2 citations · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide and implement an infection prevention and control program.
May 23, 2025 · 2 citations · includes complaint inspection
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
August 15, 2024 · 8 citations · includes complaint inspection
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
EPost nurse staffing information every day.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor 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.
DEnsure each resident receives an accurate assessment.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide safe and appropriate respiratory care for a resident when needed.
June 5, 2024 · 3 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that residents are free from significant medication errors.
EEmploy staff that are licensed, certified, or registered in accordance with state laws.
DEnsure services provided by the nursing facility meet professional standards of quality.
February 29, 2024 · 3 citations, includes actual harm · includes complaint inspection
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Questions to ask on a tour of Prairie Gate
- Inspectors cited the home at the immediate-jeopardy level on June 5, 2024 under the rule on pharmacy service. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on October 9, 2025. How are staff trained, and how are concerns reported?
- The home averages about 47% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $27,630 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jun 5, 2024 | Fine | $27,630 |
| Feb 29, 2024 | Payment Denial | 7 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 2/5 | 5/5 | 2/5 |
| August 2026 | 2/5 | 2/5 | 4/5 | 4/5 |
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Location
Hospitals near Prairie Gate
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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1.6 mi
Jennie Edmundson Hospital Council BluffsEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 30m for patients treated and sent home
-
1.8 mi
Alegent Health Mercy Hospital Council BluffsEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 2h 51m for patients treated and sent home
- 7.6 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Prairie Gate › All nursing homes in Council Bluffs ›
Compare Prairie Gate with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Midlands Living Center · Council Bluffs · 5 stars · 2.3 mi
Other Presbyterian Homes & Services nursing homes in Iowa
- Walnut Ridge · Clive · 5 stars
- Mount Carmel Bluffs · Dubuque · 5 stars
- Mill-Pond · Ankeny · 5 stars
- Highland Ridge Care Center · Williamsburg · 3 stars
- Hallmar Village · Cedar Rapids · 2 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 21 Presbyterian Homes & Services nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.