Occupancy rate
53%
In line with Iowa averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home
Prairie Gate
Prairie Gate is a senior living community in Council Bluffs, Iowa. It offers independent living, long-term care, memory care, and transitional care. Residents can enjoy various activities and events while living in a supportive environment.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
36
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
52.8%
Residents per day
19
Occupancy rate
52.8%
Residents per day
19
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
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
Voluntary non-profit community
Home revenue
$2.8M
Operating deficit
-$175.8K
Voluntary non-profit community
Home revenue
$2,778,934.00
Operating deficit
$-175,804.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$920.0K
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$3.0M
36-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
2 years in operation
A newer community that may feature more recent facilities and programs.
About this community
Occupancy
In line with Iowa averageOccupied beds
19 / 36
Average residents
51 per day
License details
Facility type
Residential Care Facilities
Status
Active
Issuance
October 18, 2023
County:
Pottawattamie
Additional licensing details
License number:
786013
CMS Certification Number:
165794
Ownership & operating entity
Prairie Gate is administrated by Benjamin Eddy.
Safety & Compliance
Care Services
Rehabilitation Services
Respite Care
Memory Care
Independent Living
Licensed Nurses/CNAs
Short-Term Rehab
All Levels of Care
Contact Information
Email:
[email protected]
Additional Policies & Features
Pets Allowed
Amenities & Lifestyle
Programs & Activities
Activities
Activities & Events available.
Specific Programs
Independent Living, Long Term Care, Memory Care, Transitional Care/Short Term Rehab, Activities & Events
Religious Services
Yes
Volunteer Programs
Yes
Pricing & Financial Information
Studio$1,105
1-bedroom$1,515
1-bedroom+$3,025
2-bedroom$2,375
2-bedroom+$4,630
Dining & Nutrition
Food Description
Dining services include continental breakfast and additional dining options.
Meals Included
Yes
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.
2 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date:April 3, 2025
5 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for Prairie Gate
The most recent inspection on April 3, 2025, involved a complaint investigation and found no deficiencies. Prior inspections, including one on June 26, 2024, cited several deficiencies related to medication management policies, tuberculosis screening, food service policies, and resident service plans and activities. No enforcement actions, fines, or license suspensions were listed in the available reports. The complaint investigation in April 2025 was unsubstantiated. This suggests some improvement following earlier cited issues.
Health Inspection History
Inspections
Total health inspections
7
Iowa average 4.9
Last Health inspection on Oct 2025
Total health citations
23
Iowa average 21.7
Citations per inspection
3.29
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
8 of 23 citations resulted from standard inspections; 10 of 23 resulted from complaint investigations; and 5 of 23 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
67% worse than Iowa averageIowa average: 0.6
Serious Health citations
1
1
11% worse than Iowa averageIowa average: 0.9
1 critical citation
1 serious citation
21 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Oct 09, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Oct 09, 2025
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Oct 09, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Oct 09, 2025
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 09, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Oct 09, 2025
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jul 09, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Jul 09, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Council Bluffs The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Midlands Living Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Council Bluffs
94
78.1%
+4%
4.51
+5%
0
14
0
69
A+
14
-
$8,8M
$3,8M
42.7%
165447
1 Bed
Midlands Living Center LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Council Bluffs
94
78.1%
+4%
4.51
+5%
0
14
0
69
A+
-
-
$8,8M
$3,8M
42.7%
165447
-
Prairie Gate
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Council Bluffs
60
49.8%
-34%
5.87
+37%
1
23
2
35
-
-
-
$0,7M
$0,9M
139.4%
165794
-
Bethany Lutheran Home
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Council Bluffs
121
73.4%
-3%
4.89
+14%
2
51
6
88
A+
-
Roberts, Diana
$11,8M
$5,8M
48.7%
165524
-
North Crest Living Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Council Bluffs
62
86.3%
+14%
4.18
-3%
0
34
0
57
-
-
Chamley, Steven
$6,2M
$2,6M
42.9%
165290
-
Living Spaces & Floor Plans
Independent Living Brochure
Download PDFPlaces of interest near Prairie Gate
4.6 miles from city center
Council Bluffs, IA 51503
Calculate Travel Distance to Prairie Gate
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
119
Employees
78
Contractors
41
Staff to resident ratio
3.61:1
81% better than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
28
Average shift
7.3 hours
0% compared with Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
18,557
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.6 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
5
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
68
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
13.3%
2,459 contractor hours this quarter
Certified Nursing Assistant: 19
Registered Nurse: 3
Physical Therapy Aide: 3
Respiratory Therapy Technician: 3
Physical Therapy Assistant: 2
Speech Language Pathologist: 2
Qualified Social Worker: 2
Occupational Therapy Aide: 2
Occupational Therapy Assistant: 2
Licensed Practical Nurse: 2
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 49 | 19 | 68 | 8,437 | 91 | 100% | 7.3 |
| Registered Nurse | 7 | 3 | 10 | 2,642 | 91 | 100% | 10.6 |
| Medication Aide/Technician | 11 | 0 | 11 | 2,489 | 91 | 100% | 8.5 |
| Licensed Practical Nurse | 3 | 2 | 5 | 1,280 | 77 | 85% | 10 |
| Other Dietary Services Staff | 2 | 0 | 2 | 542 | 79 | 87% | 4.6 |
| Dietitian | 1 | 0 | 1 | 510 | 63 | 69% | 8.1 |
| Dental Services Staff | 1 | 0 | 1 | 508 | 65 | 71% | 7.8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 504 | 63 | 69% | 8 |
| Administrator | 1 | 0 | 1 | 456 | 57 | 63% | 8 |
| Physical Therapy Aide | 0 | 3 | 3 | 336 | 65 | 71% | 3.2 |
| Speech Language Pathologist | 0 | 2 | 2 | 290 | 63 | 69% | 4.5 |
| Nurse Practitioner | 1 | 0 | 1 | 255 | 49 | 54% | 5.2 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 98 | 50 | 55% | 1.8 |
| Physical Therapy Assistant | 0 | 2 | 2 | 60 | 27 | 30% | 2.2 |
| Occupational Therapy Aide | 0 | 2 | 2 | 58 | 12 | 13% | 4.9 |
| Medical Director | 0 | 1 | 1 | 44 | 13 | 14% | 3.4 |
| Qualified Social Worker | 0 | 2 | 2 | 33 | 14 | 15% | 2.4 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 16 | 5 | 5% | 3.1 |
68 Certified Nursing Assistant
% of Days
100%
10 Registered Nurse
% of Days
100%
11 Medication Aide/Technician
% of Days
100%
5 Licensed Practical Nurse
% of Days
85%
2 Other Dietary Services Staff
% of Days
87%
1 Dietitian
% of Days
69%
1 Dental Services Staff
% of Days
71%
2 Clinical Nurse Specialist
% of Days
69%
1 Administrator
% of Days
63%
3 Physical Therapy Aide
% of Days
71%
2 Speech Language Pathologist
% of Days
69%
1 Nurse Practitioner
% of Days
54%
3 Respiratory Therapy Technician
% of Days
55%
2 Physical Therapy Assistant
% of Days
30%
2 Occupational Therapy Aide
% of Days
13%
1 Medical Director
% of Days
14%
2 Qualified Social Worker
% of Days
15%
2 Occupational Therapy Assistant
% of Days
5%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
33 residents
Residents by payment source
Medicare
4 residents (12.1%)
Medicaid
7 residents (21.2%)
Private pay or other
22 residents (66.7%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.5
22% worse than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.9
11% worse than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
24.0%
Percent of long-stay residents whose need for help with daily activities has increased
24.0%
27% worse than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
22.2%
Percent of long-stay residents whose ability to move independently worsened
22.2%
13% worse than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.5%
In line with Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.8%
Percent of long-stay residents experiencing one or more falls with major injury
4.8%
33% worse than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
7.5%
Percent of long-stay high risk residents with pressure ulcers
7.5%
72% worse than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
4.9%
Percent of long-stay residents with a urinary tract infection
4.9%
98% worse than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.3%
Percent of long-stay residents who lose too much weight
4.3%
15% better than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
3.4%
Percent of long-stay residents who have depressive symptoms
3.4%
12% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
12.1%
Percent of long-stay residents who received an antipsychotic medication
12.1%
36% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.2%
In line with Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
91.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
91.7%
In line with Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
71.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
71.3%
16% worse than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
68.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
68.0%
7% worse than Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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 (Data as of Jan 2026)
Total fines amount
$28K
42% lower than Iowa averageIowa average: $48K
Number of fines
1
41% fewer fines than Iowa averageIowa average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
88% more payment denials than Iowa averageIowa average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$28K
Iowa average
$48K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 5, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 5, 2024
$28K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Feb 29, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Feb 29, 2024
7 days
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Prairie Gate based on CMS SNF Cost Reports.
Occupancy Rate
87.4%
Net Income
-$175,804
Total Payroll
$1,114,783
Profit Margin
-26.6%
Loading trend charts...
Guides for Better Senior Living
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The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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