Prairie Gate
Council Bluffs, Pottawattamie County, Iowa · CCN 165794 · Non-profit (Corporation) · part of Presbyterian Homes & Services (21 facilities, chain average 4.3 stars)
CMS rates Prairie Gate 2 of 5 overall as of August 2026. 72 certified beds, 35 residents a day on average. 23 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $27,630 and 1 payment denial.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 2 / 5 of 5 |
Staffing
| Total nurse staffing | 4.21171 hours per resident per day |
|---|---|
| Registered nurses | 1.16223 hours per resident per day |
| Weekend total | 3.78631 hours per resident per day |
| Nursing staff turnover | 47.5% (registered nurses 58.3%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-10-09 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-19 |
| 2025-10-09 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-19 |
| 2025-10-09 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-19 |
| 2025-07-09 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2025-06-26 |
| 2025-07-09 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-07 |
| 2025-05-23 complaint survey |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-06-22 |
| 2025-05-23 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2024-12-18 |
| 2024-08-15 complaint survey |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-15 |
| 2024-08-15 complaint survey |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-15 |
| 2024-08-15 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-15 |
| 2024-08-15 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-15 |
| 2024-08-15 | Honor 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. Resident Rights Deficiencies · tag F0584 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-15 |
| 2024-08-15 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-15 |
| 2024-08-15 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-15 |
| 2024-08-15 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-15 |
| 2024-06-05 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-06-26 |
| 2024-06-05 complaint survey |
Employ staff that are licensed, certified, or registered in accordance with state laws. Administration Deficiencies · tag F0839 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-06-26 |
| 2024-06-05 complaint survey |
Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-26 |
| 2024-02-29 complaint survey |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-03-27 |
| 2024-02-29 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-03-27 |
| 2024-02-29 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-03-27 |
| 2023-09-14 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-22 |
| 2023-09-14 complaint survey |
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · tag F0813 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-22 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-06-05 | Fine | $27,630 |
| 2024-02-29 | Payment denial for 7 days from 2024-03-28 | — |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| US Bank National Association Organization | 5% or greater mortgage interest | — | 2018-08-01 |
| US Bank National Association Organization | 5% or greater security interest | — | 2018-08-01 |
| Phs Management, LLC Organization | adp of the snf | — | 2025-10-29 |
| Phs Management, LLC Organization | operational/managerial control | — | 2019-11-11 |
| Presbyterian Homes Housing And Assisted Living, Inc. Organization | operational/managerial control | — | 2018-01-05 |
| Eddy, Benjamin Individual | adp of the snf | — | 2023-10-01 |
| Fletcher, Jonathan Individual | adp of the snf | — | 2025-02-01 |
| Kakish, Eyad Individual | adp of the snf | — | 2023-06-01 |
| Meyer, Mark Individual | adp of the snf | — | 2018-01-05 |
| Peterson, Heidi Individual | adp of the snf | — | 2023-01-01 |
| Fletcher, Jonathan Individual | corporate director | — | 2025-02-01 |
| Pederson, Mark Individual | corporate director | — | 2023-01-01 |
| Peterson, Heidi Individual | corporate director | — | 2023-01-01 |
| Fletcher, Jonathan Individual | corporate officer | — | 2025-02-01 |
| Eddy, Benjamin Individual | operational/managerial control | — | 2023-10-01 |
| Fletcher, Jonathan Individual | operational/managerial control | — | 2025-02-01 |
| Kakish, Eyad Individual | operational/managerial control | — | 2023-06-01 |
| Meyer, Mark Individual | operational/managerial control | — | 2018-01-05 |
| Peterson, Heidi Individual | operational/managerial control | — | 2023-01-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Prairie Gate.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Pottawattamie County.