Prairie Gate
Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Council Bluffs, IA

Prairie Gate

Nursing Home, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Council Bluffs, IA
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Prairie Gate accepts Medicare, Medicaid, and private pay.

Overview of Prairie Gate

Prairie Gate is a 36-bed nursing home, independent living, and memory care community in Council Bluffs, Iowa, offering independent living, memory care, enriched living, long-term care, and transitional care. The facility opened in September 2020 and is operated by Benjamin Eddy under nonprofit ownership. It accepts Medicare, Medicaid, and private pay.

Since opening, Prairie Gate has undergone 19 inspections and recorded 36 deficiencies — roughly 33% above the Iowa average of 27 — with no federal fines or license actions in that period. Two complaint investigations in 2025 were substantiated, both involving allegations of physical abuse or rough handling of residents, and a third substantiated a failure to report suspected abuse within required timeframes. Earlier inspections cited recurring deficiencies in accident prevention, dignity of care, infection control, and food safety. The facility has accepted multiple plans of correction, and the most recent annual survey in July 2025 cited two deficiencies — a resident fall during a wheelchair transfer and an infection-control lapse.

On staffing, registered nurse hours average 1 hour and 1 minute per resident per day, about 39% above the Iowa average, and certified nursing aide hours are similarly elevated at 3 hours and 18 minutes per resident per day. That staffing investment stands alongside some weak short-stay outcome measures: the rate of falls causing major injury among short-stay residents is 6.1%, compared with an Iowa average of 0.8%, and only 34.6% of residents met expected self-care ability at discharge, compared with a state benchmark of 53.7%.

The facility’s occupancy rate is 94% — well above Iowa’s 75% average — with 34 of 36 beds filled, reflecting strong local demand for the facility’s capacity. The payer mix is Medicare-dominant, accounting for 84% of new admissions, with an average stay of 5 days.

Prairie Gate’s care model and payer structure are best suited for residents seeking short-term post-acute rehabilitation stays in the Council Bluffs area, with care types also available for memory care and independent living residents. However, families should review the facility’s findings on abuse-related complaints and short-stay measures before making a placement decision.

Staffing hours Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day vs Iowa averages

Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
1h 20m
+81% State avg: 44m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
19m
−45% State avg: 34m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
3h 10m
+25% State avg: 2h 32m per day · National avg: 2h 20m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
4h 19m
+29% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
1m
−28% State avg: 2m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
58m
+93% State avg: 30m per day · National avg: 28m per day

2 of 6 metrics below state avg

By The Numbers

Community insights.

Bed count Info A moderately sized community that may balance personal attention with shared amenities and social activities. 36 Rank #359 / 403Bed count — State benchmarkedThis home is ranked 359th out of 403 homes we track in Iowa for bed count. Shows this facility's certified or reported bed count compared to other Iowa facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Smaller home · May offer a more intimate, personalized care environment.

Years of operating Info An established community with some operational experience and growing routines. Rank #233 / 286Years in operation — State benchmarkedThis home is ranked 233rd out of 286 homes we track in Iowa for years in operation. Shows how long this facility has been in operation compared to other Iowa facilities. Longer operating histories may benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
5 years
Walk Score Info Car-dependent. Most errands require a car, with limited nearby walkable options. Rank #484 / 504Walk Score — State benchmarkedThis home is ranked 484th out of 504 homes we track in Iowa for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Iowa facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
6 / 100
Occupancy rate Info Occupancy between 85% and 95% suggests balanced demand. Rank #24 / 362Occupancy rate — State benchmarkedThis home is ranked 24th out of 362 homes we track in Iowa for occupancy. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 362. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Iowa that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
94% This home usually has limited availability
Higher than the Iowa average: 75.4%
Occupied beds
34 / 36
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
305 days

About this community

License Details

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility
StatusActive
IssuanceSeptember 1, 2020
ExpirationSeptember 1, 2026 Expires in 16 days
CountyPottawattamie
License Number788056
Year Opened09/01/2020
CMS Certification Number165794

Ownership & Operating Entity

Prairie Gate is administered by Benjamin Eddy.

Contact Information

Fax7123526666

Contact Prairie Gate

Inspection History

In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.

Inspection Scorecard Info This scorecard compares key inspection, violation, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Overall vs. IA average 3 Worse Metrics worse than Iowa average:
• Violations (63% above)
• Federal violations (19% above)
• Violations per inspection (31% above)
1 At Avg Metrics at Iowa average:
• State violations (at IA avg)
0 Better No metrics in this bucket.

Violations Info Violations are formal regulatory issues recorded during state inspections.

This FacilityIA Averagevs. IA Avg
Violations Info Total violations cited across all inspections on record. Iowa reports these as a federal and a state component, shown below; the two add up to this total. 4427 This facility has 63% more violations than a typical Iowa nursing home (44 vs. IA avg 27).↑ 63% worse
Federal violations Info Part of the Violations total above — the share cited under federal nursing-home requirements, which apply to Medicare/Medicaid-certified facilities. Federal + state add up to the total. 3731 This facility has 19% more federal violations than a typical Iowa nursing home (37 vs. IA avg 31).↑ 19% worse
State violations Info Part of the Violations total above — the share cited under Iowa state licensing requirements. Federal + state add up to the total. 77 This facility has state violations in line with the Iowa average (7 vs. IA avg 7).— At avg
Violations per inspection Info Average violations per inspection. 2.31.76 This facility has 31% more violations per inspection than a typical Iowa nursing home (2.3 vs. IA avg 1.76).↑ 31% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityIA Averagevs. IA Avg
Total inspections Info Combined count of all inspections conducted at this facility. 1913 This facility has had 46% more total inspections than the Iowa average (19 vs. IA avg 13). More inspections can mean more regulatory scrutiny rather than worse care.↑ 46% more

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

Long-stay resident measures
Below average Iowa avg: 3.3 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.39
6% better than Iowa average

Iowa average: 1.48

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.40
33% better than Iowa average

Iowa average: 2.09

Short-stay resident measures
Significantly above average Iowa avg: 2.6 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 23.7%
11% worse than Iowa average

Iowa average: 21.3%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 4.1%
69% better than Iowa average

Iowa average: 13.1%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 6.1%
687% worse than Iowa average

Iowa average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 34.6%
36% worse than Iowa average

Iowa average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 45.6%
10% worse than Iowa average

Iowa average: 50.6%

Breakdown by payment type

Medicare

84% of new residents, usually for short-term rehab.

Typical stay 5 days

Private pay

8% of new residents, often for short stays.

Typical stay 5 - 6 years

Medicaid

8% of new residents, often for long-term daily care.

Typical stay 6 - 7 months

Finances and operations

Based on the home's most recent complete CMS SNF Cost Report — fiscal year ending in 05/2022. This is an older period than most facilities report, so compare with that in mind.

Nonprofit
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$1.9M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$6.8M
Nonprofit
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$1.9M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$6.8M
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
$3.1M 160% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$5.6M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$8.7M

What does this home offer?

Minimum age icon
Minimum age icon

Minimum Age: 60 Years Old

Pets allowed icon
Pets allowed icon

No pets allowed

Housing options icon
Housing options icon

Housing Options: Studio / 1 Bed / 2 Bed / Private / Companions Suite

Building type icon
Building type icon

Building Type: 2-story

Beauty services icon
Beauty services icon

Beauty Services

Social and recreational activities icon
Social and recreational activities icon

Social and Recreational Activities

Exercise program icon
Exercise program icon

Exercise Programs

Parking Available icon

Parking Available

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (84% of admissions), and a typical Medicare stay runs around 5 days.

Admissions
37 total

Coverage residents most often arrive under.

Medicare 84%
Private pay 8%
Medicaid 8%
Discharges
21 total

Coverage residents most often leave under.

Medicare 19%
Private pay 76%
Medicaid 5%

Places of interest near Prairie Gate

Address 3.1 miles from city center Info Estimated distance in miles from Council Bluffs's city center to Prairie Gate's address, calculated via Google Maps.

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Compare Nursing Homes around Council Bluffs

Info below is compiled from CMS reports & the IA Dept. of Inspections, Appeals & Licensing (DIAL), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Iowa average is: 60.3% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Midlands Living Center LLC
NH
HOS
RC
SNF
Council Bluffs
94
Facility 94
IA AVG 72
Rank #77 / 403
72.3%
Facility 72.3%
IA AVG 67%
Rank #178 / 362
+8%
4.30
Facility 4.30
IA AVG 4.30
Rank #116 / 231
-23%0%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
14
Facility 14
IA AVG 21.7
Rank #95 / 232
2.8
Facility 2.8
IA AVG 4.1
Rank #66 / 232
-68A+
77
Facility 77
IA AVG 47
Rank #59 / 504
-
$7.9MFiscal year ending 12/2023
Facility $7.9MFiscal year ending 12/2023
IA AVG $6.9M
Rank #69 / 224
$4.4MFiscal year ending 12/2023
Facility $4.4MFiscal year ending 12/2023
IA AVG $4.2M
Rank #79 / 224
55.2%Fiscal year ending 12/2023
Facility 55.2%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #142 / 224
165447
Bethany Lutheran Home
NH
AL
MC
SNF
Council Bluffs
112
Facility 112
IA AVG 72
Rank #50 / 403
80.4%
Facility 80.4%
IA AVG 67%
Rank #125 / 362
+20%
4.68
Facility 4.68
IA AVG 4.30
Rank #70 / 231
+28%+9%
$46.9k
Facility $46.9k
IA AVG $53.4k
Rank #204 / 239
51
Facility 51
IA AVG 21.7
Rank #207 / 232
5.1
Facility 5.1
IA AVG 4.1
Rank #166 / 232
690-
77
Facility 77
IA AVG 47
Rank #59 / 504
Diana Roberts
$10.6MFiscal year ending 09/2023
Facility $10.6MFiscal year ending 09/2023
IA AVG $6.9M
Rank #29 / 224
$6.4MFiscal year ending 09/2023
Facility $6.4MFiscal year ending 09/2023
IA AVG $4.2M
Rank #31 / 224
60.5%Fiscal year ending 09/2023
Facility 60.5%Fiscal year ending 09/2023
IA AVG 60.3%
Rank #96 / 224
165524
North Crest Living Center
NH
SNF
Council Bluffs
62
Facility 62
IA AVG 72
Rank #201 / 403
91.9%
Facility 91.9%
IA AVG 67%
Rank #38 / 362
+37%
4.74
Facility 4.74
IA AVG 4.30
Rank #70 / 231
-32%+10%
$0
Facility $0
IA AVG $53.4k
Rank #1 / 239
34
Facility 34
IA AVG 21.7
Rank #184 / 232
5.7
Facility 5.7
IA AVG 4.1
Rank #180 / 232
-57-
77
Facility 77
IA AVG 47
Rank #59 / 504
Steven Chamley
$5.6MFiscal year ending 12/2023
Facility $5.6MFiscal year ending 12/2023
IA AVG $6.9M
Rank #125 / 224
$3.2MFiscal year ending 12/2023
Facility $3.2MFiscal year ending 12/2023
IA AVG $4.2M
Rank #125 / 224
56.8%Fiscal year ending 12/2023
Facility 56.8%Fiscal year ending 12/2023
IA AVG 60.3%
Rank #126 / 224
165290
Prairie Gate -
NH
AL
IL
MC
SNF
Council Bluffs
36
Facility 36
IA AVG 72
Rank #359 / 403
94.4%
Facility 94.4%
IA AVG 67%
Rank #24 / 362
+41%----------34-
6
Facility 6
IA AVG 47
Rank #484 / 504
Natasha Urinko$1.9M*Fiscal year ending 05/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.$3.1M*Fiscal year ending 05/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.160%*Fiscal year ending 05/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind.165789

Financial Assistance for
Nursing Home in Iowa

Prairie Gate is located in Council Bluffs, Iowa.
Here are the financial assistance programs available to residents in Iowa.

Get Financial aid guidance

Elderly Waiver

Iowa Medicaid Elderly Waiver

Age 65+
General Iowa resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
IA

Rural focus; waitlists possible.

Benefits
In-home care (5-7 hours/day) Meals ($6/meal) Respite (240 hours/year) Adult day care ($60/day)

Iowa Family Caregiver Support

IA NFCSP

Age Caregiver of someone 60+
General Iowa resident.
Income Limits No strict limit; prioritizes low-income.
Asset Limits Not applicable.
IA

Limited slots; rural emphasis.

Benefits
In-home respite (4-6 hours/day) Adult day care (~$60/day) Short-term facility care (up to 5 days)

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

Age 65+ or disabled
General Iowa resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
IA

Three tiers; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Program of All-Inclusive Care for the Elderly (PACE)

Iowa PACE

Age 55+
General Iowa resident, nursing home-level care need, safe with PACE support.
Income Limits (2025) ~$2,829/month 300% FBR, Medicaid-eligible
Asset Limits $2,000 (individual), $3,000 (couple).
IA

Limited to western Iowa (e.g., Council Bluffs); expanding slowly.

Benefits
Personal care (5-7 hours/day) Medical care Meals Transportation Therapy Respite

VA Aid and Attendance (A&A) and Housebound Benefits

Iowa VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General Iowa resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
IA

High veteran demand in rural areas.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Able Up Iowa

Able Up Iowa

Age 65+ or disabled
General Iowa resident, ability to repay loan, need for assistive tech or mods.
Income Limits (2025) No strict limit; must demonstrate repayment capacity.
Asset Limits Not specified; credit-based.
IA

Loans up to $25,000; statewide via Easterseals partnership.

Benefits
Loans for wheelchairs Ramps Walk-in tubs (~$500-$10,000 avg.) Reducing reliance on paid care

Frequently Asked Questions about Prairie Gate

Is Prairie Gate in a walkable area?

Prairie Gate has a walk score of 6. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Prairie Gate?

According to IA state health department records, Prairie Gate's license number is 788056.

When does Prairie Gate's license expire?

According to IA state health department records, Prairie Gate's license expires on September 1, 2026.

What is the occupancy rate at Prairie Gate?

Prairie Gate's occupancy is 94%.

How long has Prairie Gate been in business?

Prairie Gate has been operating for approximately 5 years, based on available licensing and registration records.

Are pets allowed at Prairie Gate?

No, Prairie Gate has a no-pet policy.

What is the best email address for Prairie Gate?

The team at Prairie Gate can be reached at beddy@preshomes.org.

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