Prairie Gate: Staffing, Turnover, and Inspection Record
Prairie Gate is a 72-bed nonprofit nursing home in Council Bluffs, Iowa, part of Presbyterian Homes & Services. In the CMS August 2026 release it reported 2.78 nurse aide hours per resident per day, 11% above the Iowa average of 2.51, and 47.5% nursing staff turnover (Iowa average 44.0%).
Prairie Gate
16 Valley View DriveCouncil Bluffs, IA 51503
Pottawattamie County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Prairie Gate, nurse aides logged 2.78 hours per resident per day, 11% above the Iowa average. With about 35 residents a day, that works out to roughly 96 aide hours a day, or about 12 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 10% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.78 | 2.51 | 2.32 |
| Licensed practical nurses | 0.27 | 0.56 | 0.86 |
| Registered nurses | 1.16 | 0.74 | 0.69 |
| All nursing staff | 4.21 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.79 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
47.5% of nursing staff at Prairie Gate left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 58.3%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jul 9, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 5 health deficiencies (Iowa average 6.5). CMS lists 1 fine totaling $27,630 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jun 5, 2024 | Fine | $27,630 |
| Feb 29, 2024 | Payment Denial | 7 days from Mar 28, 2024 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Prairie Gate holds 2 of 5 overall; the Iowa average is 3.1.
About Prairie Gate
- Ownership: Non profit - Corporation
- Chain: Presbyterian Homes & Services, 21 homes
- Legal name: PHS Council Bluffs Inc
- Medicare and Medicaid certified since: Oct 30, 2020
- Part of a continuing care retirement community
- Councils: resident council
- Area: urban
Nursing homes near Prairie Gate
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Bethany Lutheran Home Council Bluffs | 0.8 | 112 | 2.67 | 3.99 | 30.4% | 1 | $46,914 |
| North Crest Living Center Council Bluffs | 1.6 | 62 | 2.95 | 3.91 | 54.5% | 1 | None |
| Chapters Living of Council Bluffs Council Bluffs · SFF candidate | 1.6 | 102 | 2.84 | 4.88 | — | 1 | $163,800 |
| Midlands Living Center L L C Council Bluffs | 2.3 | 94 | 2.31 | 3.78 | 40.8% | 4 | None |
| St. Joseph Villa Nursing Center Omaha | 6.2 | 184 | 2.95 | 3.86 | 35.8% | 1 | $12,048 |
| Ambassador Health of Omaha Omaha | 7.5 | 146 | 1.72 | 6.66 | 28.3% | 5 | None |
| The Cypress at Midtown Omaha | 8.4 | 61 | 3.17 | 4.76 | 58.5% | 3 | None |
| Douglas County Health Center Omaha | 8.5 | 254 | 3.26 | 4.78 | 14.9% | 3 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.