Quick answers
- Where is Prairie Gate?
- 16 Valley View Drive, Council Bluffs, IA 51503, in Pottawattamie County, Iowa.
- What is the phone number of Prairie Gate?
- (712) 352-6600, as listed by Medicare (CMS).
- What is the Medicare star rating of Prairie Gate?
- Medicare overall rating: 3 out of 5 stars (CMS data updated 2026-10-01).
- Has Prairie Gate been fined?
- Medicare lists 1 fine totaling $27,630 and 1 payment denial.
- What did inspectors find at Prairie Gate?
- In its last three inspection cycles (February 29, 2024 to August 27, 2026), Medicare lists 22 health citations; the most serious was level J. 2 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (February 29, 2024 to August 27, 2026), Prairie Gate had 22 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 2 of them were level G or higher (actual harm or immediate jeopardy). It was fined $27,630 in total (1 fine, the latest on June 5, 2024) and had 1 Medicare payment denial. Nurse staffing is 4.38 hours per resident per day; the Iowa average is 3.86 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: July 9, 2025 — 6 health citations
Inspections in this cycle: July 9, 2025 (standard health inspection); October 9, 2025 (complaint investigation); August 27, 2026 (complaint investigation).
Show 6 citations (levels A to F, no actual harm)
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0610 Level D
“Respond appropriately to all alleged violations.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Previous cycle: August 15, 2024 — 10 health citations
Inspections in this cycle: August 15, 2024 (standard health inspection); May 23, 2025 (complaint investigation); July 9, 2025 (complaint investigation).
Show 10 citations (levels A to F, no actual harm)
F0550 Level E
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0725 Level E
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0732 Level E
“Post nurse staffing information every day.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0584 Level D
“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.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
Earlier cycle: February 29, 2024 — 6 health citations
Inspections in this cycle: February 29, 2024 (complaint investigation); February 29, 2024 (standard health inspection); June 5, 2024 (complaint investigation); August 15, 2024 (complaint investigation).
F0760 Level J
“Ensure that residents are free from significant medication errors.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Pharmacy Service Deficiencies
F0686 Level G
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 4 less serious citations (levels A to F)
F0839 Level E
“Employ staff that are licensed, certified, or registered in accordance with state laws.”
F0804 Level E
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (10)
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0343 Level D
“Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.”
K0351 Level D
“Install an approved automatic sprinkler system.”
K0511 Level D
“Have properly installed electrical wiring and gas equipment.”
K0923 Level D
“Have proper medical gas storage and administration areas.”
E0004 Level F
“Develop and maintain an Emergency Preparedness Program (EP).”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0921 Level F
“Ensure that testing and maintenance of electrical equipment is performed.”
K0761 Level E
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
Fines and payment denials
Total fines over about the last three years: $27,630 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| June 5, 2024 | Fine | $27,630 |
| February 29, 2024 | Payment denial | from March 28, 2024, 7 days |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Iowa | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 1.18 | 0.74 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.27 | 0.56 | 0.86 |
| Nurse aide hours per resident per day | 2.93 | 2.56 | 2.35 |
| Total nurse staff hours per resident per day | 4.38 | 3.86 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.91 | 3.38 | 3.43 |
| RN hours per resident per day on the weekend | 0.99 | 0.51 | 0.48 |
| Nursing staff turnover (per year) | 49.1% | 44.1% | 45.3% |
| RN turnover (per year) | 40.0% | 42.1% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.4 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 21 nursing homes: Presbyterian Homes & Services.
Legal business name: PHS Council Bluffs Inc.
Owners and managers Medicare lists (2)
| Name | Role | Share | Since |
|---|---|---|---|
| PHS Management, LLC | Management company (operational or managerial control) | NOT APPLICABLE | November 11, 2019 |
| Presbyterian Homes Housing and Assisted Living, Inc. | Management company (operational or managerial control) | NOT APPLICABLE | January 5, 2018 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 72 |
| Average residents per day | 33.8 |
| Takes part in | Medicare and Medicaid |
| Ownership | Non-profit – corporation |
| Group or chain (affiliated entity) | Presbyterian Homes & Services |
| Legal business name | PHS Council Bluffs Inc |
| First approved by Medicare/Medicaid | 2020-10-30 |
| Part of a continuing care retirement community | Yes |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 16 Valley View Drive, Council Bluffs, IA 51503 |
| County | Pottawattamie County |
| State | Iowa |
| Phone | (712) 352‑6600 |
| CMS Certification Number | 165794 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Bethany Lutheran Home0.8 mi · Council Bluffs, IA · 1 of 5 stars
- North Crest Living Center1.6 mi · Council Bluffs, IA · 1 of 5 stars
- Chapters Living of Council Bluffs1.6 mi · Council Bluffs, IA · 1 of 5 stars
- Midlands Living Center L L C2.3 mi · Council Bluffs, IA · 5 of 5 stars
- St. Joseph Villa Nursing Center6.2 mi · Omaha, NE · 1 of 5 stars
Nearest hospital emergency rooms
- Methodist Jennie Edmundson1.6 mi · Council Bluffs, IA · Acute Care Hospital
- CHI Health Mercy Council Bluffs1.8 mi · Council Bluffs, IA · Acute Care Hospital
- Omaha VA Medical Center (VA Nebraska Western Iowa Healthcare System)8.5 mi · Omaha, NE · Federal/VA Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13