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
Needs attention
Non-profitChain member
2 of 5 overall
2 out of 5 stars overall. Prairie Gate has a 2-star health inspection rating, a 4-star staffing rating with reported nurse staffing of 4.22 hours per resident per day versus the 4.1-hour federal benchmark, 3-star quality measures, and $27,630 in fines in the last 24 months, including a recent federal penalty.
Facility ratings
Health inspections
Staffing
4.222 hrs/resident/day
Quality measures
Last inspection: October 9, 2025Penalties, last 24 months: $27,630recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.222.
Staffing detail
- Registered nurses
- 1.09
- Licensed practical nurses
- 0.47
- Nurse aides
- 2.67
- Weekend nursing
- 4.02
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 64%
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
—16.4%—
Residents with a fall causing major injury
3%3.1%No change
Residents with pressure ulcers (bedsores)
6.2%2.4%Improving
Residents with a urinary tract infection
3.1%12.9%Worsening
Residents who lost too much weight
8.3%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
29.2%21.7%Improving
Residents whose ability to walk got worse
—25.7%—
Long-stay residents on antianxiety or sleep medication
16%13%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
5.3%5.1%No change
Residents with new or worsening incontinence
37.5%23.2%Improving
Residents with depressive symptoms
3.6%7.4%Worsening
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
97%90.6%Worsening
Short-stay residents given the seasonal flu vaccine
—68%—
Short-stay residents given the pneumonia vaccine
72%61.3%Worsening
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 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
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(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
- 35 residents on an average day (49% 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.