The nursing home failed to ensure residents were free from significant medication errors. Cited June 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
Nursing home report
Prairie Gate
Council Bluffs, IA · Medicare-certified · 72 beds
In good standing
Non-profitChain member
Data as of July 1, 2026
2 of 5 overall
Prairie Gate in Council Bluffs has an overall rating of 2 out of 5 stars, with 2-star health inspections but stronger 4-star staffing and quality measures. Reported nurse staffing is 4.21 hours per resident day, slightly above the federal benchmark of 4.1, and there were no fines in the last 24 months; recent inspection issues included medication errors, pressure ulcer care, and resident rights.
Facility ratings
Health inspections
Staffing
4.2117 hrs/resident/day
Quality measures
Last inspection: October 9, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.2117.
Staffing detail
- Registered nurses
- 1.16
- Licensed practical nurses
- 0.27
- Nurse aides
- 2.78
- Weekend nursing
- 3.79
Hours per resident per day.
Total staff turnover: 48%
Registered nurse turnover: 58%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—18.8%—
Residents with a fall causing major injury
3.2%3.2%No change
Residents with pressure ulcers (bedsores)
11.4%0%Improving
Residents with a urinary tract infection
0%3.3%Worsening
Residents who lost too much weight
0%4.5%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
20.8%27.3%Worsening
Residents whose ability to walk got worse
—25.2%—
Long-stay residents on antianxiety or sleep medication
12.5%13%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
20.5%48.4%Worsening
Residents with depressive symptoms
3.2%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—91.7%—
Long-stay residents given the pneumonia vaccine
93.5%87.1%Worsening
Short-stay residents given the seasonal flu vaccine
—68%—
Short-stay residents given the pneumonia vaccine
57.7%66.7%Improving
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: E
The nursing home failed to post its nurse staffing information every day, so families could not easily see daily staffing levels. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 732 — 42 CFR §483.35(i) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $27,630 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $27,630 in total fines · 1 payment denial.
- $27,630
Federal fine
Jun 5, 2024
- 7 days
Medicare/Medicaid payment denial
Feb 29, 2024
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of PRESBYTERIAN HOMES & SERVICES · 21 homes · 4.3 stars avg
- Occupancy
- 34.7 residents on an average day (48% of 72 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 5 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.