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Prairie Gate
Nursing Home, Independent Living & Memory Care · Council Bluffs, IA
The exterior of Prairie Gate facility with landscaped gardens Front view of Prairie Gate with landscaping and parking Interior view of a bright common area in Prairie Gate Well-equipped therapy room with exercise machines Bright interior of a facility salon area with chairs and decor Interior dining area with seating and food display Bright interior of a common area with chairs arranged

Prairie Gate

Nursing Home, Independent Living & Memory Care · Council Bluffs, IA
16 Valley View Dr, Council Bluffs, IA 51503 View map Calculator: See prices in your area
Prairie Gate accepts Medicare, Medicaid, and private pay.
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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.

Facility Direct Line (712) 352-6600
Facility Direct Line (712) 352-6600

Staffing hours breakdown

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 — compared to Iowa state averages

Staff typeHours / Day / Residentvs 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 1m per day ▲ 39% 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. 30m per day ▼ 12% 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 18m per day ▲ 30% 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 18m per day ▲ 28% 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. 2m per day ■ Avg 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. 44m per day ▲ 47% State avg: 30m per day · National avg: 28m per day

Capacity and availability

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
Bed community size
36-bed community Rank #360 / 406Bed count — State benchmarkedThis home is ranked 360th out of 406 homes 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
5 years in operation Rank #233 / 286Years in operation — State benchmarkedThis home is ranked 233rd out of 286 homes 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
An established community with some operational experience and growing routines.
Walk Score
Walk Score: 6 / 100 Rank #486 / 528Walk Score — State benchmarkedThis home is ranked 486th out of 528 homes 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.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
94%
Rank #24 / 379Occupancy rate — State benchmarkedThis home is ranked 24th out of 379 homes in Iowa for occupancy. Shows this facility's occupancy rate versus the Iowa average, with its Statewide rank out of 379. Higher occupancy signals strong local demand and financial stability.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the Iowa average: 75.4%
Occupied beds
34 / 36
Average occupied beds in Iowa homes 51 beds

License Details

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

Ownership & Operating Entity

Prairie Gate is administered by Benjamin Eddy.

Contact Information

Email beddy@preshomes.org
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.

Since 2020 · 6 years of data 36 deficiencies 19 inspections

Inspection Scorecard Info This scorecard compares key inspection, deficiency, 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.

Since 2020 vs. Iowa state average
Overall vs. IA average 2 Worse Metrics worse than Iowa average:
• Total deficiencies (33% above)
• Deficiencies per inspection (6% above) 0 Better No metrics in this bucket.

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

This FacilityIA Averagevs. IA Avg
Total deficiencies Info Formal regulatory issues recorded by inspectors across all inspection types. 3627 This facility has 33% more total deficiencies than a typical Iowa nursing home (36 vs. IA avg 27).↑ 33% worse
Deficiencies per inspection Info Average deficiencies per inspection. 1.91.8 This facility has 6% more deficiencies per inspection than a typical Iowa nursing home (1.9 vs. IA avg 1.8).↑ 6% 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. 1915 This facility has had 27% more total inspections than the Iowa average (19 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↑ 27% more
Inspection breakdown
10renewal/recertification inspections
4complaint investigations
4follow-up inspections
1incident investigation

Inspection Reports Summary Info An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

  • October 9, 2025 complaint investigation substantiated four deficiencies for failure to report and investigate alleged resident abuse and incomplete bruising assessment.
  • July 9, 2025 annual inspection found two deficiencies involving resident fall due to inadequate supervision and infection control failures in catheter care.
  • December 29, 2025 plan of correction accepted with one deficiency, certifying the facility in compliance effective December 19, 2025.
Show Inspection Reports

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
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%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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 Rank #138 / 239Revenue — State benchmarkedThis home is ranked 138th out of 239 homes in Iowa for revenue. Shows this facility's annual revenue compared to the Iowa average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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. Rank #151 / 239Payroll — State benchmarkedThis home is ranked 151st out of 239 homes in Iowa for payroll. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$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. Rank #151 / 239Payroll % — State benchmarkedThis home is ranked 151st out of 239 homes in Iowa for payroll %. Shows payroll as a percentage of revenue versus the Iowa average. Well-run Iowa facilities typically land around 61–69% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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
How we calculate these figures

This home is administered by Benjamin Eddy.

This home is owned by Natasha Urinko

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 165789

Show certification details

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%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

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

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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.

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Prairie Gate -
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Facility $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.
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Facility 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.
IA AVG 46.3%
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165789
Nursing Home Explorer

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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