Nursing homeActive
Prairie Ridge Care Center
1005 7th Street NE, Orange City, IA 51041712707600695 certified beds · 81 residentsGovernment - City/countyMedicare and Medicaid
Surveys on file
4
since 2024
Deficiencies
10
● 0● 10● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-06-18
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 5
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-06-18 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2025-04-24 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2024-11-26 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-05-02 | Standard | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-25Record 165538-20260618-F605
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-25Record 165538-20260618-F641
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-25Record 165538-20260618-F644
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 165538-20250424-F758
F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 165538-20250424-F803
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 165538-20250424-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 165538-20250424-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 165538-20250424-F880
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-18Record 165538-20241126-F609
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-05-28Record 165538-20240502-F880
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.84
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.91
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours3.60
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover34%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover0%
Facility
Iowa
National
Iowa 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 10.8% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 7.8% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 21.0% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 3.8% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 14.2% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.3% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 18.8% | 20.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Orange City Municipal Hospital Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Gotto, Robert Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Guthmiller, Martin Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hanson, Harrison Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Adams, Russ Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Alons, Kathy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Gotto, Robert Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Guthmiller, Martin Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hanson, Harrison Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hofland, Wade Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Immeker, Chris Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Jungers, Amy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Orange City Municipal Hospital Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Pluim, Dale Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Zeutenhorst, Timothy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.
No county cost figures on file for Sioux.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Crown Pointe Estates Care Center Sioux Center | 7.1 mi | 2025-06-26 | 0120 |
| Pleasant Acres Care Center Hull | 13.1 mi | 2026-02-19 | 0230 |
| Happy Siesta Health Care Center Remsen | 14.6 mi | 2025-06-12 | 041 |
| Good Samaritan - Lemars Le Mars | 15.6 mi | 2026-05-14 | 060 |
| Accura Healthcare of Le Mars Le Mars | 16.9 mi | 2025-05-29 | 0132 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |