Nursing homeActive
Prairie Gate
16 Valley View Drive, Council Bluffs, IA 51503712352660072 certified beds · 35 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
7
since 2023
Deficiencies
23
● 0● 21● 2
Penalties · 3 yrs
$27,630
1 fine · 1 action
Last survey
2025-10-09
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 4
Quality 4
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 |
|---|---|---|---|---|
| 2025-10-09 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2025-07-09 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2025-05-23 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-08-15 | Standard | 080 | CMS-2567 (Care Compare) | — |
| 2024-06-05 | Complaint | 021 | CMS-2567 (Care Compare) | — |
| 2024-02-29 | Standard | 021 | CMS-2567 (Care Compare) | — |
| 2023-09-14 | Complaint | 020 | 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.
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 2025-12-19Record 165794-20251009-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-19Record 165794-20251009-F610
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-19Record 165794-20251009-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-26Record 165794-20250709-F689
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-07Record 165794-20250709-F880
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-06-22Record 165794-20250523-F550
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-18Record 165794-20250523-F689
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-15Record 165794-20240815-F550
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-15Record 165794-20240815-F584
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-15Record 165794-20240815-F641
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-15Record 165794-20240815-F689
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-15Record 165794-20240815-F695
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-15Record 165794-20240815-F725
F732Post nurse staffing information every day.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-15Record 165794-20240815-F732
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 2024-09-15Record 165794-20240815-F812
F760Ensure that residents are free from significant medication errors.Scope/severity JHarm
Medication
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-06-26Record 165794-20240605-F760
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-26Record 165794-20240605-F658
F839Employ staff that are licensed, certified, or registered in accordance with state laws.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-26Record 165794-20240605-F839
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-03-27Record 165794-20240229-F686
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-27Record 165794-20240229-F657
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-27Record 165794-20240229-F804
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-22Record 165794-20230914-F684
F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-22Record 165794-20230914-F813
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-06-05 | Civil money penalty | $27,630 | CMS · Penalties |
| 2024-02-29 | Denial of payment for new admissions Payment denial for 7 days, from 2024-03-28 | — | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.16
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day4.21
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours3.79
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover48%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover58%
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 | 4.3% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.2% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 18.8% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 4.2% | 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 | 23.9% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 1.1% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 14.0% | 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 |
|---|---|---|---|---|
| Eddy, Benjamin Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Fletcher, Jonathan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kakish, Eyad Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Meyer, Mark Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Peterson, Heidi Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Phs Management, LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Presbyterian Homes Housing And Assisted Living, Inc. Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Eddy, Benjamin Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fletcher, Jonathan Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Fletcher, Jonathan Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Fletcher, Jonathan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kakish, Eyad Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Meyer, Mark Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Pederson, Mark Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Peterson, Heidi Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Peterson, Heidi Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Phs Management, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Us Bank National Association Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Us Bank National Association Organization | 5% OR GREATER SECURITY INTEREST | NOT APPLICABLE | — | — |
Part of a chain
Presbyterian Homes & Services — 21 facilities
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 Pottawattamie.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Bethany Lutheran Home Council Bluffs | 0.8 mi | 2026-05-21 | 0254 |
| Chapters Living of Council Bluffs Council Bluffs | 1.6 mi | 2026-01-30 | 0671 |
| North Crest Living Center Council Bluffs | 1.6 mi | 2025-08-26 | 0320 |
| Midlands Living Center L L C Council Bluffs | 2.3 mi | 2026-01-08 | 0160 |
| St. Joseph Villa Nursing Center Omaha | 6.2 mi | 2026-06-10 | 1252 |
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 |