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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.
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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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
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
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
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
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
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 |
Higher than the Iowa average: 75.4%Prairie Gate is administrated by Benjamin Eddy.
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.
This scorecard compares key inspection, citation, 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.
Deficiencies
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 36 | 27 | This facility has 33% more total deficiencies than a typical Iowa nursing home (36 vs. IA avg 27).↑ 33% worse |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 6 | 4.5 | This facility has 33% more deficiencies per year than a typical Iowa nursing home (6 vs. IA avg 4.5).↑ 33% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.9 | 1.8 | This facility has 6% more deficiencies per inspection than a typical Iowa nursing home (1.9 vs. IA avg 1.8).↑ 6% worse |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 19 | 15 | This facility has 27% more total inspections than a typical Iowa nursing home (19 vs. IA avg 15).↑ 27% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Number of hospitalizations per 1,000 long-stay resident days.
1.39
6% better than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.40
33% better than Iowa averageIowa average: 2.09
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.7%
11% worse than Iowa averageIowa average: 21.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
4.1%
69% better than Iowa averageIowa average: 13.1%
Percentage of SNF residents who experience falls with major injury during their stay.
6.1%
687% worse than Iowa averageIowa average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
34.6%
36% worse than Iowa averageIowa average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
45.6%
10% worse than Iowa averageIowa average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
84% of new residents, usually for short-term rehab.
8% of new residents, often for short stays.
8% of new residents, often for long-term daily care.
Historical financial and operational data for Prairie Gate from 2021–2023, based on CMS SNF Cost Reports.
Based on the 2023 CMS SNF Cost Report.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #222 / 242Payroll — State benchmarkedThis home is ranked 222nd out of 242 homes in Iowa. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Minimum Age: 60 Years Old
Housing Options: Studio / 1 Bed / 2 Bed / Private / Companions Suite
Building Type: 2-story
Beauty Services
Social and Recreational Activities
Exercise Programs
Parking Available
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.
Coverage residents most often arrive under.
Coverage residents most often leave under.
4.7 miles from city center
Estimated distance in miles from Council Bluffs's city center to Prairie Gate's address, calculated via Google Maps.
Add your location
Prairie Gate is located in Council Bluffs, Iowa.
Here are the financial assistance programs available to residents in Iowa.
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| 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).
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Council Bluffs | 94
Facility
94
IA AVG
71
Rank
#77 / 407 |
72.3%
Facility
72.3%
IA AVG
75.4%
Rank
#172 / 401 | -4% | 4.51
Facility
4.51
IA AVG
4.30
Rank
#80 / 241 | -23% | +5% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 246 | 14
Facility
14
IA AVG
21.7
Rank
#105 / 241 | 2.8
Facility
2.8
IA AVG
4.1
Rank
#74 / 241 | - | 70 | A+ |
77
Facility
77
IA AVG
45
Rank
#59 / 528 | - | $9.3M
Facility
$9.3M
IA AVG
$7.0M
Rank
#78 / 242 | $4.4M
Facility
$4.4M
IA AVG
$3.1M
Rank
#96 / 242 | 47%
Facility
47%
IA AVG
46.3%
Rank
#189 / 242 | 165447 | ||||
| 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.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Seven Elliott Street | 112
Facility
112
IA AVG
71
Rank
#50 / 407 |
80.4%
Facility
80.4%
IA AVG
75.4%
Rank
#120 / 401 | +7% | 4.89
Facility
4.89
IA AVG
4.30
Rank
#52 / 241 | +28% | +14% | $46.9k
Facility
$46.9k
IA AVG
$53.4k
Rank
#194 / 246 | 51
Facility
51
IA AVG
21.7
Rank
#219 / 241 | 5.1
Facility
5.1
IA AVG
4.1
Rank
#179 / 241 | 6 | 92 | - |
77
Facility
77
IA AVG
45
Rank
#59 / 528 | Diana Roberts | $14.7M
Facility
$14.7M
IA AVG
$7.0M
Rank
#24 / 242 | $9.7M
Facility
$9.7M
IA AVG
$3.1M
Rank
#13 / 242 | 65.7%
Facility
65.7%
IA AVG
46.3%
Rank
#41 / 242 | 165524 | ||||
| Risen Son Christian Village |
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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Council Bluffs (Risen Son Boulevard) | 102
Facility
102
IA AVG
71
Rank
#64 / 407 |
27.5%
Facility
27.5%
IA AVG
75.4%
Rank
#387 / 401 | -64% | 0.03 | -22% | -99% | $132.6k
Facility
$132.6k
IA AVG
$53.4k
Rank
#1 / 246 | 38
Facility
38
IA AVG
21.7
Rank
#205 / 241 | 6.3
Facility
6.3
IA AVG
4.1
Rank
#211 / 241 | 2 | 24 | A+ |
8
Facility
8
IA AVG
45
Rank
#477 / 528 | Allen Burnett | $9.1M
Facility
$9.1M
IA AVG
$7.0M
Rank
#82 / 242 | $6.2M
Facility
$6.2M
IA AVG
$3.1M
Rank
#39 / 242 | 68.6%
Facility
68.6%
IA AVG
46.3%
Rank
#28 / 242 | 165466 | ||||
| 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).
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Council Bluffs | 36
Facility
36
IA AVG
71
Rank
#361 / 407 |
94.4%
Facility
94.4%
IA AVG
75.4%
Rank
#31 / 401 | +25% | - | - | - | - | - | - | - | - | - | - | 34 | - |
6
Facility
6
IA AVG
45
Rank
#486 / 528 | Natasha Urinko | $5.6M
Facility
$5.6M
IA AVG
$7.0M
Rank
#153 / 242 | $2.0M
Facility
$2.0M
IA AVG
$3.1M
Rank
#222 / 242 | 36%
Facility
36%
IA AVG
46.3%
Rank
#229 / 242 | 165789 |
Prairie Gate has a walk score of 6. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to IA state health department records, Prairie Gate's license number is 788056.
According to IA state health department records, Prairie Gate's license expires on September 1, 2026.
Prairie Gate's occupancy is 94%.
The team at Prairie Gate can be reached at [email protected].
Benjamin Eddy is the administrator of Prairie Gate.
Prairie Gate has 36 beds.
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