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
Prairie Gate accepts Medicare, Medicaid, and private pay.
Prairie Gate accepts Medicare, Medicaid, and private pay.

Overview of Prairie Gate

Prairie Gate is a nursing home offering assisted living, independent living, memory care, nursing care, and skilled nursing in Council Bluffs, IA. Assisted living provides help with daily tasks such as dressing, bathing, and medication while a resident keeps a private apartment, while independent living offers private living with community services and no daily care. Memory care provides a secured setting with supervision for someone at risk of wandering, and skilled nursing provides licensed nursing care on site around the clock.

Prairie Gate has 36 beds, making it a smaller community where staff and residents can get to know each other. Housing options include studios, one-bedroom layouts, two-bedroom layouts, private accommodations, and companion suites; a two-bedroom or companion suite can suit a couple or someone moving with a companion. Several care levels may suit a resident whose needs grow over time and who can remain in the community as care needs change.

Payment options are Medicare, Medicaid, and private pay, giving families those three ways to cover care. Benjamin Eddy serves as the administrator.

Staffing Info Nursing care per resident per day and state rankings: CMS Provider Information.

Daily care time per resident, by role

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 22m ↑ 87% · IA 44mThis facility: 1h 22m per resident per day, 87% above the Iowa average of 44m (among Iowa facilities reporting a recent figure).
US average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
US 41m
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% · IA 34mThis facility: 19m per resident per day, 45% below the Iowa average of 34m (among Iowa facilities reporting a recent figure).
US average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
US 52m
Certified nursing assistant 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 25m ↑ 35% · IA 2h 32mThis facility: 3h 25m per resident per day, 35% above the Iowa average of 2h 32m (among Iowa facilities reporting a recent figure).
US average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
US 2h 20m
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.
2m ↑ 11% · IA 2mThis facility: 2m per resident per day, 11% above the Iowa average of 2m (among Iowa facilities reporting a recent figure).
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
US 4m
Total nursing, weekends 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. RN + LPN + aide · Sat–Sun
4h 33m ↑ 36% · IA 3h 21mThis facility: 4h 33m per resident per day, 36% above the Iowa average of 3h 21m (among Iowa facilities reporting a recent figure).
US average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
US 3h 26m
RN, weekends 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. Sat–Sun
59m ↑ 98% · IA 30mThis facility: 59m per resident per day, 98% above the Iowa average of 30m (among Iowa facilities reporting a recent figure).
US average: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
US 28m
By The Numbers

Community insights.

Bed count Info A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions. 36 Rank #217 / 235Bed count — State benchmarked This nursing home is ranked 217th out of 235 nursing 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 compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.

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

Years of operating Info An established community with some operational experience and growing routines. This is the number of years in operation under current management. Rank #93 / 116Years in operation — State benchmarked This nursing home is ranked 93rd out of 116 nursing 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 compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
6 years
Walk Score Info Car-dependent. Most errands require a car, with limited nearby walkable options. Rank #241 / 249Walk Score — State benchmarked This nursing home is ranked 241st out of 249 nursing 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 compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
6 / 100
Occupancy rate Info Occupancy between 85% and 95% suggests balanced demand. Rank #27 / 226Occupancy rate — State benchmarked This nursing home is ranked 27th out of 226 nursing homes we track in Iowa for occupancy. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 226. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
94.4% This home usually has limited availability

Based on 34 residents and 36 beds. Source: state inspection report (Oct 2025)

Higher than the Iowa average: 79.1%
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
IssuanceSeptember 1, 2020
CountyPottawattamie
License Number788056
Year Opened09/01/2020
CMS Certification Number165794

Ownership & Operating Entity

Prairie Gate is administered by Benjamin Eddy.

Profit StatusNonprofit

Additional Services

2 services
TransportationListed as: Scheduled transportation
Beauty Services

Contact Information

Fax7123526666

Additional Policies & Features

Pets not allowed
Minimum Age60 Years Old

Amenities & Lifestyle

Fitness Center
Walking Paths
Chapel
Activities
Outings
Educational and Enrichment Classes
Arts and Crafts
Games
Bingo
Wellness Classes

Faith & Spiritual Life

Chapel Services and Bible Study
Religious AffiliationPresbyterian

Room Accommodations

Building Type2-story
Room Types
Studio 1 Bed 2 Bed Private Companions Suite

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 4 Worse Metrics worse than Iowa average:
• Violations (88% above)
• Federal violations (19% above)
• State violations (1% above)
• Violations per inspection (44% above)
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. 4423.4 This facility has 88% more violations than a typical Iowa nursing home (44 vs. IA avg 23.4).↑ 88% 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. 3731.2 This facility has 19% more federal violations than a typical Iowa nursing home (37 vs. IA avg 31.2).↑ 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. 76.9 This facility has 1% more state violations than a typical Iowa nursing home (7 vs. IA avg 6.9).↑ 1% worse
Violations per inspection Info Average violations per inspection. 2.31.6 This facility has 44% more violations per inspection than a typical Iowa nursing home (2.3 vs. IA avg 1.6).↑ 44% 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. 1912.7 This facility has had 50% more total inspections than the Iowa average (19 vs. IA avg 12.7). More inspections can mean more regulatory scrutiny rather than worse care.↑ 50% more
Enforcement

Penalties and fines About 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 Aug 2026

No penalties in the past 3 years

No civil money penalties or payment denials on record since Aug 2023.

Clean record
Total fines
$0 IA avg $48KIowa average: $47,684. Average among the 157 Iowa facilities with a penalty on record.US avg $67KUS average: $67,417, among the 6,775 US facilities with a penalty on record.
Number of fines
0 IA avg 1.42Iowa average: 1.42. Average among the 157 Iowa facilities with a penalty on record.US avg 1.96US average: 1.96, among the 6,775 US facilities with a penalty on record.
Payment denials What is a payment denial? Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0 IA avg 0.47Iowa average: 0.47. Average among the 157 Iowa facilities with a penalty on record.US avg 0.36US average: 0.36, among the 6,775 US facilities with a penalty on record.
Health Outcomes

Quality of care over time

How residents at this home fare on health outcomes and preventive care, compared with the Iowa average.

CMS Care Compare

Long-stay quality rating Info CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best. 1 / 5 Significantly below average ↓ 69% · IA 3.3This facility: 1.0, 69% below the IA average of 3.3 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Short-stay quality rating Info CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best. 3 / 5 Average ↑ 17% · IA 2.6This facility: 3.0, 17% above the IA average of 2.6 (among IA facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.

2 long-stay measures: 2 better

5 short-stay measures: 1 better, 1 worse, 2 compared with US only, 1 without a benchmark

Financials

Money and staffing.

Prairie Gate’s finances from its CMS cost report for the fiscal year ending 2022. Includes all financial data for this property, which could include management/ownership changes.

FY 2022

Latest cost report is for the fiscal year ending 2022, older than most Iowa homes. Rankings are not shown because peers report different years.

Is it financially stable?

Losing money on care, and more than last year

−353.9% operating margin

— vs prior year

An operating loss in 1 of the last 1 reported years. Watch for cost-cutting that reaches staffing.

Does it invest in staff?

Spends more on payroll than most Iowa homes

160.0% payroll share of revenue

IA average 60.9%

Check hours per resident in the staffing section to confirm it reaches the floor.

Who this home usually serves

Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2023
Arriving
37 admissions · FY2023 Residents admitted during the year.
Medicare 31 · 84%
Medicaid 3 · 8%
Private pay & other 3 · 8%
Shows care patterns over time; not used to rate this facility.

Mostly short-term rehab stays

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

Typical stay

Medicare 5 days Medicaid 6 - 7 months Private pay & other 5 years

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.

Calculate Travel Distance to Prairie Gate

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Address

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-ranked to lowest-ranked based on our 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: 60.9% 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 66
Rank #28 / 235
70.2%
Facility 70.2%
IA AVG 79.1%
Rank #179 / 226
-11%
4.85
Facility 4.85
IA AVG 4.49
Rank #110 / 225
★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ ★ ★ ★ ★ ★ -23%+8%
$0
Facility $0
IA AVG $53.2k
Rank #1 / 230
16
Facility 16
IA AVG 20.7
Rank #109 / 226
3.2
Facility 3.2
IA AVG 3.8
Rank #95 / 226
-66A+
77
Facility 77
IA AVG 50
Rank #37 / 249
North Crest Living Center(Free Standing Nf/Snf) | 780853
$8.0MFiscal year ending 12/2024
Facility $8.0MFiscal year ending 12/2024
IA AVG $7.4M
Rank #74 / 223
$4.7MFiscal year ending 12/2024
Facility $4.7MFiscal year ending 12/2024
IA AVG $4.5M
Rank #76 / 223
58.2%Fiscal year ending 12/2024
Facility 58.2%Fiscal year ending 12/2024
IA AVG 60.9%
Rank #123 / 223
165447
North Crest Living Center ★ ☆ ☆ ☆ ☆
NH
SNF
Council Bluffs
62
Facility 62
IA AVG 66
Rank #100 / 235
91.0%
Facility 91.0%
IA AVG 79.1%
Rank #40 / 226
+15%
4.91
Facility 4.91
IA AVG 4.49
Rank #66 / 225
★ ☆ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ☆ ☆ -32%+9%
$0
Facility $0
IA AVG $53.2k
Rank #1 / 230
34
Facility 34
IA AVG 20.7
Rank #180 / 226
5.7
Facility 5.7
IA AVG 3.8
Rank #183 / 226
-56-
77
Facility 77
IA AVG 50
Rank #37 / 249
Midlands Living Center LLC(Free Standing Nf/Snf) | 780508
$6.1MFiscal year ending 12/2024
Facility $6.1MFiscal year ending 12/2024
IA AVG $7.4M
Rank #118 / 223
$2.8MFiscal year ending 12/2024
Facility $2.8MFiscal year ending 12/2024
IA AVG $4.5M
Rank #158 / 223
46.8%Fiscal year ending 12/2024
Facility 46.8%Fiscal year ending 12/2024
IA AVG 60.9%
Rank #210 / 223
165290
Bethany Lutheran Home ★ ☆ ☆ ☆ ☆
NH
AL
MC
SNF
Council Bluffs
112
Facility 112
IA AVG 66
Rank #14 / 235
81.1%
Facility 81.1%
IA AVG 79.1%
Rank #126 / 226
+3%
4.65
Facility 4.65
IA AVG 4.49
Rank #66 / 225
★ ☆ ☆ ☆ ☆ ★ ★ ★ ☆ ☆ ★ ★ ☆ ☆ ☆ +28%+4%
$46.9k
Facility $46.9k
IA AVG $53.2k
Rank #196 / 230
43
Facility 43
IA AVG 20.7
Rank #196 / 226
4.8
Facility 4.8
IA AVG 3.8
Rank #160 / 226
591-
77
Facility 77
IA AVG 50
Rank #37 / 249
Diana Roberts
$11.2MFiscal year ending 09/2024
Facility $11.2MFiscal year ending 09/2024
IA AVG $7.4M
Rank #26 / 223
$7.1MFiscal year ending 09/2024
Facility $7.1MFiscal year ending 09/2024
IA AVG $4.5M
Rank #28 / 223
63.5%Fiscal year ending 09/2024
Facility 63.5%Fiscal year ending 09/2024
IA AVG 60.9%
Rank #63 / 223
165524
Prairie Gate -
NH
AL
IL
MC
SNF
Council Bluffs
36
Facility 36
IA AVG 66
Rank #217 / 235
94.4%
Facility 94.4%
IA AVG 79.1%
Rank #27 / 226
+19%----------34-
6
Facility 6
IA AVG 50
Rank #241 / 249
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

Rank badges are statewide and care-type specific: each nursing home is ranked against every other IA nursing home we track that reports that metric, not just the 4 on this page. See how we rank facilities

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
Know before you visit

Frequently Asked Questions about Prairie Gate

Quick answers from public records and the community's own listing.
01 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.
02 What is the license number of Prairie Gate?
According to IA state health department records, Prairie Gate's license number is 788056.
03 What is the occupancy rate at Prairie Gate?
Prairie Gate's occupancy is 94.4%.
04 How long has Prairie Gate been in business?
Prairie Gate has been operating for approximately 6 years, based on available licensing and registration records.
05 Are pets allowed at Prairie Gate?
No, Prairie Gate has a no-pet policy.
06 What is the best email address for Prairie Gate?
The team at Prairie Gate can be reached at beddy@preshomes.org.
07 Does Prairie Gate operate as a for-profit or non-profit?
Prairie Gate is registered as a non-profit in IA.