Prairie Gate is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2020-10-30. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (712) 352-6600 or your local Medicaid office to verify current eligibility.

Prairie Gate holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (4★), and Quality of Resident Care (3★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 76.0/100, placing it #5429 of 14703 facilities nationally and #136 of 390 in Iowa. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Prairie Gate receives a reported average of 4 hours 50 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 1 hour 1 minute; Licensed Practical Nurse (LPN) — 30 minutes; Nurse Aide — 3 hours 18 minutes. On weekends, total nurse staffing is 4 hours 18 minutes per resident per day. The CMS Staffing Rating for this facility is 4 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $27,630. 10 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 1 Medicare payment denial(s) in the current period. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $27,630, and 1 Medicare payment denial(s). Total penalties: 2. The Total Weighted Health Survey Score is 61.75 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Prairie Gate ranks 5429th out of 14,703 facilities (composite score: 76.0/100), placing it in the above average nationwide. Within IA, it ranks 136th out of 390 nursing homes. In Council Bluffs, it ranks 2nd out of 5 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 5. For 2026 staffing: total nurse hours rank #1,529 nationally and RN hours rank #1,915 nationally (#44 in IA). Our composite quality score of 76.0/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Council Bluffs, visit: https://nursinghomesnearme.org/iowa/council-bluffs/