D

Prairie Gate

16 Valley View Drive, Council Bluffs, IA 51503
Score: 44 / 100

CMS data shows Prairie Gate earning a D grade with a score of 44/100, placing it below most facilities in Iowa. Prospective residents and families should carefully review the specific areas of concern detailed below.

Staffing levels at Prairie Gate exceed national averages, with 4.83 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.02 hours per resident per day also exceeds the national average of 0.7 hours.

Recent CMS inspections identified 23 deficiencies at Prairie Gate, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities..

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.83 3.8 Above Average
Registered Nurses (RN) 1.02 0.7 Above Average
Licensed Practical Nurses (LPN) 0.50 0.7 Below Average
Certified Nursing Assistants (CNA) 3.31 2.4 Above Average
Weekend Total Nursing 4.30 3.8 Above Average
Weekend RN Hours 0.73 0.7 Average

🔍 Inspection & Deficiency History

23
Total Deficiencies
Oct 8, 2025
Most Recent Inspection
🟠 22 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0609 Severity D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Oct 8, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0610 Severity D
    Respond appropriately to all alleged violations.
    Oct 8, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0684 Severity D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Oct 8, 2025 · Quality of Life and Care Deficiencies
  • Tag 0880 Severity D
    Provide and implement an infection prevention and control program.
    Jul 8, 2025 · Infection Control Deficiencies
  • Tag 0689 Severity D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Jul 8, 2025 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 5.3% 4.5% Worse
Falls with major injury 3.2% 3.0% Average
On antipsychotic medication 13.7% 14.5% Average
Urinary tract infections 3.3% 2.5% Worse
ADL decline (daily activities) 26.0% 14.0% Worse
Excessive weight loss 4.3% 7.5% Better
New/worsened incontinence 22.0% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $27,630

How This Grade Was Calculated

This facility's grade of D is based on a score of 44 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -2 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
72
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Jul 8, 2025
Deficiencies (Cycle 1)
7

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