16 Valley View Drive, Council Bluffs, IA 51503 · Pottawattamie County · (712) 352-6600
72 certified beds, about 35 residents a day · Non profit - Corporation · Medicare and Medicaid since 2020
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165794 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on July 9, 2025, inspectors cited 2 health deficiencies (the Iowa average is 6.5, the national average 9.2).
Of 23 health citations since September 2023, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $27,630 in the last three years; the largest was $27,630, and the latest is dated June 5, 2024.
Nurses and nurse aides worked 4.21 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 1.16 of those hours.
47.5% of nursing staff left within the year CMS measured (Iowa average 44.0%).
CMS links it to Presbyterian Homes & Services, an affiliated group of 21 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 23 health citations on file.
Inspectors wroteBased on Electronic Health Record (EHR) review, policy review, family interview and staff interviews the facility failed to report an incident of possible physical abuse to the appropriate entity for 1 of 3 residents reviewed (Resident #1). The facility reported a census of 34 residents.
Inspectors wroteBased on Electronic Health Record (EHR) review, policy review, family interview and staff interviews, the facility failed to investigate an allegation of abuse to the State Agency for 1 of 1 residents reviewed (Resident #1). The facility reported a census of 34 residents.
Inspectors wroteBased on Electronic Health Record (EHR) review, policy review, family interview and staff interviews the facility failed to complete an assessment when a resident reported bruising related to a staff being rough during care for 1 of 1 residents (Resident #1) reviewed. The facility reported a Census of 34 residents.
Inspectors wroteBased on clinical record review, document review and staff interview the facility failed to protect residents from accidents and injuries for 1 of 3 residents (Resident #135) reviewed. The facility reported a census of 33 residents.
Inspectors wroteBased on observation, policy review, and staff interview the facility failed to provide appropriate infection prevention practices when providing care to a resident with a catheter, that was on Enhanced Barrier Precautions (EBP) for 1 of 3 reviewed (Resident #24). The facility reported a census of 33 residents.
Inspectors wroteBased on record review, staff, resident and family interviews, and facility policy review the facility failed to treat the resident with respect and dignity for 1 of 3 residents (Resident #4) with dignity and respect during personal cares. The facility reported a census of 35 residents.
Inspectors wroteBased on observation, record review, staff interview and facility policy review the facility failed to properly check an alarmed door after a resident (Resident #1) exited the care center. The facility reported a census of 35 residents.
Inspectors wroteBased on observations, resident interviews, staff interviews, facility investigation review, personnel file review and clinical record review the facility failed to ensure care was provided in a dignified manner for 3 of 14 residents (Resident #21, #11, and #6) reviewed for dignity. The facility also failed to ensure residents can exercise their rights by refusing cares for 1 of 3 residents (Resident #17) reviewed for resident rights. The facility reported a census of 32 residents.
Inspectors wroteBased on electronic health records (EHR), document review, resident interviews, and staff interviews the facility failed to provide nursing staff to assure residents safety by not responding to call lights in a timely manner for 4 of 4 residents reviewed (Resident #6, #8, #9, and #12). The facility reported a census of 32 residents.
Inspectors wroteBased on observation, staff interview and policy review the facility failed to post daily nursing census in a prominent area, accessible to visitors and residents. The facility reported a census of 32 residents.
Inspectors wroteBased on observation, interview and policy review the facility failed to ensure that food was stored according to safe practices. An initial tour of the kitchen revealed that there were many undated, open containers in the refrigerator and dry storage. The facility reported a census of 32 residents.
Inspectors wroteBased on observation, clinical record review, resident interview, and staff interview, the facility failed to maintain a safe, and comfortable environment by not changing the bed linen on 1 of 4 residents beds (Resident #9). The facility reported a census of 32 residents.
Inspectors wroteBased on clinical record review, policy review, resident interview and staff interviews the facility failed to complete an accurate assessment that reflected the resident's status during the observation period of the MDS for 1 of 1 residents reviewed (Resident #1). The facility reported a census of 32 residents.
Inspectors wroteBased on clinical record review, personnel file review, resident interview, staff interviews and policy review the facility failed to ensure that staff used safe transferring techniques for 1 of 3 residents reviewed. Resident #21 required the assistance of 2 with transfers and Staff A, Certified Nurse Aide (CNA), transferred her alone and without a gait belt. The facility reported a census of 32 residents.
Inspectors wroteBased on clinical record review, observations, resident interviews and staff interviews the facility failed to provide respiratory care and services in accordance with professional standards of practice for 1 of 2 residents reviewed (Resident #29) requiring the use of oxygen. The facility reported a census of 32 residents.
Inspectors wroteBased on clinical record review, Pharmacy Drug Book review, clinical staff interview, provider interview, staff interviews, and facility policy review the facility failed to follow physician's orders resulting in a significant medication error for 1 of 3 residents (Resident #1) reviewed. On 3/7/24 the Cardiologist ordered Bumetanide 2 mg BID x 3 days then 2 mg once a day. The facility failed to initiate the once a day order. The resident was without her Bumetanide from 3/10/24-3/15/24. On 3/15/24 at 8:00 PM through 5/23/24 the resident received Bumetanide 2 mg BID when it was ordered for her to receive 2 mg once a day. On 3/27/24 the facility initiated an order for Bumex 1 mg at noon, with the 2 mg order in place. The resident received 5 mg of Bumetanide a day for roughly 58 days when 3 mg was ordered. [...]
Inspectors wroteBased on employee file review, staff interviews, position description and employee handbook review the facility failed to ensure 1 of 3 employed nurses had either a multistate license or a single state license for the State of Iowa. The facility reported a census of 32 residents.
Inspectors wroteBased on clinical record review, staff interviews, medical clinic personnel interviews and facility policy review the facility failed to clarify a discrepancy in orders timely and failed to transcribe physician orders as directed for 1 of 3 residents (Resident #1) reviewed. The facility reported a census of 32 residents.
Inspectors wroteBased on observation, staff interviews, provider interview, clinical record review and facility policy review the facility failed to implement interventions to prevent worsening of a pressure sore for 1 of 3 residents reviewed. On 2/21/24 Resident #1 presented with a pressure sore on his heel. Staff failed to obtain and implement physician treatment orders until 2/27/24. The facility reported a census of 29 residents.
Inspectors wroteBased on observations, clinical record review, resident interviews, staff interviews, and policy review the facility failed to provide food at an appetizing temperature to 5 of 18 residents reviewed (Resident #6, #7, #13, #22, and #23) The facility reported a census of 29 residents.
Inspectors wroteBased on clinical record review, staff interviews, and facility policy review the facility failed to review and revise the care plan to reflect the resident's current status for 1 of 5 residents reviewed (Resident #22). The facility reported a census of 29 residents.
Inspectors wroteBased on clinical record review, and staff interviews the facility failed to complete a comprehensive assessment prior to hospitalization and upon return from the hospital for 1 of 3 residents reviewed (Resident #4). The facility reported a census of 22 residents.
Inspectors wroteBased on observations, clinical record review, staff and resident interviews, and facility policy review the facility failed to ensure resident's personal refrigerator was looked at daily to ensure items were safe for consumption and safe to be stored there for 1 of 3 resident's reviewed (Resident #2) . The facility reported a census of 22 residents.
10 fire safety citations on file: 1 on July 9, 2025, 5 on August 15, 2024, 4 on February 29, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| June 5, 2024 | Fine | $27,630 |
| February 29, 2024 | Payment Denial | 7 days from March 28, 2024 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.21 | 3.82 | 3.86 |
| Registered nurses | 1.16 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.79 | 3.37 | 3.42 |
| Nurse aides | 2.78 | ||
| Licensed practical nurses | 0.27 | ||
| Nursing staff turnover (share who left in a year) | 47.5% | 44.0% | 45.8% |
| Registered nurse turnover | 58.3% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.36 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.38 on weekdays and 3.79 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.93 in April to June 2025 to 4.21 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.21 | 1.16 | 4.38 | 3.79 | 4.0% | 0 of 90 | 35 |
| Oct to Dec 2025 | 4.22 | 1.09 | 4.30 | 4.02 | 3.7% | 0 of 92 | 35 |
| Jul to Sep 2025 | 4.83 | 1.02 | 5.04 | 4.30 | 0.0% | 0 of 92 | 35 |
| Apr to Jun 2025 | 4.93 | 1.08 | 4.99 | 4.78 | 9.8% | 0 of 91 | 35 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Iowa, all employers | |||
| CNAs (nursing assistants) | $18.92 | $17.96 to $21.95 | 22,670 |
| LPNs and LVNs | $30.11 | $27.12 to $34.06 | 5,510 |
| Registered nurses | $37.80 | $32.83 to $41.32 | 34,420 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 23.9 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.3 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.2 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.2 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 25.2 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.3 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 18.8 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 16.9 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.1 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Prairie Gate's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (45.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
45.6% this home
No different from the national rate
US median of homes 51.5% · Iowa: 28 better, 21 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 34 eligible stays.
10.0% this home
No different from the national rate
US median of homes 10.7% · Iowa: 1 better, 1 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 38 eligible stays.
7.9% this home
No different from the national rate
US median of homes 7.1% · Iowa: 0 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 45 eligible stays.
54.5% this home
Median of homes: Iowa56.7% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 33 residents counted.
0.0% this home
Median of homes: Iowa0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 38 residents counted.
2.6% this home
Median of homes: Iowa1.8% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 38 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Iowa100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 17 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: PHS COUNCIL BLUFFS INC. CMS links this home to Presbyterian Homes & Services, a group of 21 nursing homes averaging 4.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Us Bank, N.a. | 5% or greater mortgage interest | Organization | 08/01/2018 | |
| Us Bank, N.a. | 5% or greater security interest | Organization | 08/01/2018 | |
| Fletcher, Jonathan | Corporate director | Individual | 02/01/2025 | |
| Pederson, Mark | Corporate director | Individual | 01/01/2023 | |
| Peterson, Heidi | Corporate director | Individual | 01/01/2023 | |
| Fletcher, Jonathan | Corporate officer | Individual | 02/01/2025 | |
| Phs Management, LLC | Operational/managerial control | Organization | 11/11/2019 | |
| Presbyterian Homes Housing and Assisted Living, Inc. | Operational/managerial control | Organization | 01/05/2018 | |
| Eddy, Benjamin | Operational/managerial control | Individual | 10/01/2023 | |
| Fletcher, Jonathan | Operational/managerial control | Individual | 02/01/2025 | |
| Kakish, Eyad | Operational/managerial control | Individual | 06/01/2023 | |
| Meyer, Mark | Operational/managerial control | Individual | 01/05/2018 | |
| Peterson, Heidi | Operational/managerial control | Individual | 01/01/2023 | |
| Phs Management, LLC | Adp of the SNF | Organization | 10/29/2025 | |
| Eddy, Benjamin | Adp of the SNF | Individual | 10/01/2023 | |
| Fletcher, Jonathan | Adp of the SNF | Individual | 02/01/2025 | |
| Kakish, Eyad | Adp of the SNF | Individual | 06/01/2023 | |
| Meyer, Mark | Adp of the SNF | Individual | 01/05/2018 | |
| Peterson, Heidi | Adp of the SNF | Individual | 01/01/2023 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.