Prairie Ridge Care Center
1005 7th Street Ne, Orange City, IA 51041 · Sioux County · (712) 707-6006
95 certified beds, about 81 residents a day · Government - City/county · Medicare and Medicaid since 2004
Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165538 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 18, 2026, inspectors cited 3 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 10 health citations since May 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.91 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.84 of those hours.
34.0% of nursing staff left within the year CMS measured (Iowa average 44.0%).
Health inspections
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.
105/24
111/24
504/25
306/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
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 10 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
5D
4E
1F
Potential for minimal harm
0A
0B
0C
June 18, 2026Standard inspection · 3 citations
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on clinical record review, policy review and staff interview, the facility failed to document non-pharmacological interventions prior to administering anti-anxiety medication for anxiety and/or agitation for 1 of 1 resident sampled (Resident #60). The facility identified a census of 80 residents.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review, staff interview, and policy review the facility failed to represent an accurate picture of the resident's status during the observation period of the Minimum Data Set (MDS) for 2 of 3 residents (Resident #2, and #7) reviewed. The facility reported a census of 80 residents.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on clinical record review and staff interview, the facility failed to refer resident with a negative Level I result for the Preadmission Screening and Resident Review (PASARR), who was later identified with newly evident or possible serious mental disorder, intellectual disability, or other related condition, to the appropriate state-designated authority for Level II PASARR evaluation and determination for 1 out of 1 residents (Resident #10) reviewed for PASARR requirements. The facility reported a census of 80 residents.
April 24, 2025Standard inspection · 5 citations
- E Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on clinical record review and staff interview the facility failed to identify non-pharmacological interventions, targeted behaviors and side effects related to high risk medications in 5 out of 18 sampled residents reviewed (Resident #13, #21, #25, #32 and #44). The facility reported a census of 83 residents.
- E Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on observation, policy review, document review and staff interview the facility failed to follow the menu and prepare food to meet the nutritional needs for 25 of 83 residents reviewed. The facility reported a census of 83 residents.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview, and policy review the facility failed to prepare food in accordance with professional standards by not completing appropriate hand hygiene during meal preparation. The facility reported a census of 83 residents.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, policy review, and staff interview the facility failed to provide appropriate infection prevention practices when providing personal care to a resident and when providing care to a residents on enhanced barrier precautions (EBH) for 4 of 12 residents reviewed (Resident #15, #27, #33 and #45). The facility reported a census of 83 residents.
- D Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, resident interview, staff interview, resident council notes, and policy review the facility failed to provide food at an appetizing temperature to 1 of 20 residents reviewed (Resident #17). The facility reported a census of 83 residents.
November 26, 2024Complaint inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on clinical record review, facility record review, staff interviews and facility policy review the facility failed to report an allegation of abuse to the Iowa Department of Inspections & Appeals and Licensing (DIAL) within 2 hours of an allegation of abuse for 1 of 1 residents reviewed for abuse (Resident #1). The facility reported a census of 83 residents.
May 2, 2024Standard inspection · 1 citation
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, infection control policy, clinical record review and staff interview, the facility failed to use universal infection control measures and Enhanced Barrier Precautions (EBP) during a drainage of a Foley bag, wound care, and during a peg tube feeding for 3 out of 6 residents reviewed for infection control (Resident #4, #30 and #83). The facility reported a census of 81 residents. Findings Included: 1. Observation on 5/1/24 at 1:14 PM for Resident #4 showed Staff A, Certified Nurse Assistant (CNA), sanitized hands, donned gloves, placed the urine colander with the barrier on the floor, then placed an alcohol wipe packet directly on the floor. Staff A opened the Foley bag drainage valve, sanitized the valve with an alcohol wipe, partially drained the urine, reused the same alcohol wipe to sanitize the drainage valve then placed the valve back into the holder. [...]
Fire safety inspections
11 fire safety citations on file: 3 on June 18, 2026, 3 on April 24, 2025, 5 on May 2, 2024.
Every fire safety citation11 citations
- F Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Ensure proper usage of power strips and extension cords.
- F Conduct testing and exercise requirements.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Provide a written emergency evacuation plan.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Inspect, test, and maintain automatic sprinkler systems.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure that testing and maintenance of electrical equipment is performed.
- D Install smoke barrier doors that can resist smoke for at least 20 minutes.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
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) | 3.91 | 3.82 | 3.86 |
| Registered nurses | 0.84 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.60 | 3.37 | 3.42 |
| Nurse aides | 2.66 | ||
| Licensed practical nurses | 0.41 | ||
| Nursing staff turnover (share who left in a year) | 34.0% | 44.0% | 45.8% |
| Registered nurse turnover | 0.0% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 2.98 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
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 4.03 on weekdays and 3.60 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 22.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.82 in April to June 2025 to 3.91 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 | 3.91 | 0.84 | 4.03 | 3.60 | 22.8% | 0 of 90 | 81 |
| Oct to Dec 2025 | 3.71 | 0.86 | 3.82 | 3.42 | 26.3% | 0 of 92 | 82 |
| Jul to Sep 2025 | 3.74 | 0.75 | 3.85 | 3.46 | 21.9% | 0 of 92 | 83 |
| Apr to Jun 2025 | 3.82 | 0.79 | 3.92 | 3.55 | 25.0% | 0 of 91 | 81 |
| 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.
Quality measures
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 | 14.2 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.5 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.8 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.8 | 3.8 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.9 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 10.8 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 21.0 | 19.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 2.1 | 1.8 |
Owners and operators
Legal business name: ORANGE CITY MUNICIPAL HOSPITAL.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Orange City Municipal Hospital | 5% or greater direct ownership interest | Organization | 100% | 03/01/2004 |
| Adams, Russ | Corporate director | Individual | 01/01/2006 | |
| Alons, Kathy | Corporate director | Individual | 01/01/2016 | |
| Hofland, Wade | Corporate director | Individual | 05/01/2020 | |
| Immeker, Chris | Corporate director | Individual | 01/01/2013 | |
| Jungers, Amy | Corporate director | Individual | 04/01/2024 | |
| Pluim, Dale | Corporate director | Individual | 01/01/2022 | |
| Zeutenhorst, Timothy | Corporate director | Individual | 12/22/2003 | |
| Gotto, Robert | Operational/managerial control | Individual | 12/10/2024 | |
| Guthmiller, Martin | Operational/managerial control | Individual | 03/24/1994 | |
| Hanson, Harrison | Operational/managerial control | Individual | 01/02/2023 | |
| Orange City Municipal Hospital | Adp of the SNF | Organization | 12/18/2024 | |
| Gotto, Robert | Adp of the SNF | Individual | 12/18/2024 | |
| Guthmiller, Martin | Adp of the SNF | Individual | 03/24/1994 | |
| Hanson, Harrison | Adp of the SNF | Individual | 03/13/2025 |
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.
Questions to ask on a visit
Chosen from this home's own inspection record.
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on April 24, 2025: "Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on June 18, 2026: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on June 18, 2026: "Ensure each resident receives an accurate assessment."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on April 24, 2025: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Crown Pointe Estates Care Center Sioux Center, 7.1 mi · 4 of 5 stars · 18 citations
- Pleasant Acres Care Center Hull, 13.1 mi · 3 of 5 stars · 23 citations
- Happy Siesta Health Care Center Remsen, 14.6 mi · 4 of 5 stars · 5 citations
- Good Samaritan - Lemars Le Mars, 15.6 mi · 4 of 5 stars · 6 citations
- Sanford Senior Care Sheldon Sheldon, 15.6 mi · 1 of 5 stars · 21 citations
- Accura Healthcare of Le Mars Le Mars, 16.9 mi · 3 of 5 stars · 22 citations
- Hegg Memorial Health Center Rock Valley, 18 mi · 5 of 5 stars · 11 citations
- Heartland Care Center Marcus, 18 mi · 5 of 5 stars · 18 citations
Iowa contacts for a concern about a nursing home
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.
Common questions
- What is Prairie Ridge Care Center's Medicare star rating?
- CMS rates Prairie Ridge Care Center 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Prairie Ridge Care Center get at its last inspection?
- 3 health deficiencies at the standard inspection on June 18, 2026. The Iowa average is 6.5.
- Has Prairie Ridge Care Center been fined?
- CMS lists no fines in the last three years.
- Does Prairie Ridge Care Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Prairie Ridge Care Center?
- CMS lists 15 owners and managers. Legal business name: ORANGE CITY MUNICIPAL HOSPITAL.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.