Prairie Gate
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 11 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Above-median deficiencies (7 vs median 5)
Below average in IA · Meets national RN staffing standard · Above recommended total nurse staffing · Worst in PRESBYTERIAN HOMES & SERVICES chain · $27,630 in fines
What this means for your family
Prairie Gate is highly regarded for its beautiful campus and the quality of care provided to long-term residents. However, families should be prepared for potential inconsistencies in the admissions office; if you encounter dismissive behavior, do not hesitate to ask to speak with a different administrator to ensure your questions are fully addressed.
Google Reviews
Google Reviews
11 reviews on Google“Prairie Gate is frequently praised for its beautiful, well-maintained campus and friendly, attentive staff who support residents through both independent living and rehabilitation transitions. However, some families have reported negative experiences during the admissions process, specifically citing dismissive or unhelpful communication from staff members when inquiring about care options.”
Quality Themes
Tap a score for detailsStrengths
- Beautiful, well-maintained property
- Friendly and attentive staff
- Seamless transition between rehab and independent living
- Welcoming environment for family gatherings
Concerns
- Unprofessional or dismissive communication during admissions inquiries (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 11 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1We noticed how much care goes into maintaining the property and the beautiful grounds; could you tell us more about how the outdoor spaces are used for resident activities?
- 2The transition from rehab to independent living is something we are interested in; how do you help a resident navigate that change in care levels?
- 3We've seen that the management is very responsive to feedback; how does the leadership team typically communicate important updates or changes to families?
- 4During the admissions process, what is the best way for us to stay in close, consistent contact with your team to ensure all our questions are answered?
- 5With the recent health inspections, what specific steps is the facility taking to address past deficiencies and improve care standards?
- 6In the event of a medical emergency during the night, what is the protocol for notifying the family and what level of clinical oversight is available?
Personalized based on this facility's data
Key Review Excerpts
“She recently needed rehab and it was nice to have the ability to have her leave the hospital right to Prairie Gate for her rehabilitation and then just walk over to her apartment when it was completed.”
“Megan was exceptional in answering questions, and explaining the details. My grandmother lived at Prairie Gate for almost two years, and they did a fantastic job caring for her.”
“Megan was very abrupt, disinterested in helping, and unkind. Finding care for someone you love whom is on hospice is difficult, but to call a facility and have the admissions person state that they 'do not have time to answer questions because they were working on a project' was very disheartening.”
Staffing
Staffing Hours
per resident/day · Medicare 2026This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
4
measures
6
measures
7
measures
Residents whose walking got worse
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Prairie Gate has faced significant challenges with families filing 15 complaint-triggered deficiencies across multiple surveys, indicating ongoing resident and family concerns. The facility has struggled most with resident safety and accident prevention, care quality issues, and resident rights violations, with safety problems recurring across multiple surveys. While the facility has corrected most deficiencies when cited, the pattern of repeated complaints suggests persistent quality of care issues that families should carefully consider.
Oct 9, 2025Complaint3
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jul 9, 2025Routine2
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Jul 9, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 23, 2025Complaint2
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Aug 15, 2024Routine10
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Aug 15, 2024Complaint3
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal Penalties
Fine
Jun 5, 2024
$27,630
Payment Denial
Feb 29, 2024
7-day denial
State Inspection History
State Inspections
Source: Iowa Dept. of Inspections, Appeals & Licensing
Dec 29, 2025ComplaintClean
Fed violations: 0, State violations: 0
Oct 9, 2025ComplaintClean
Fed violations: 3, State violations: 1
Aug 11, 2025InspectionClean
Fed violations: 0, State violations: 0
Jul 9, 2025InspectionClean
Fed violations: 2, State violations: 0
Jun 22, 2025OtherClean
Fed violations: 0, State violations: 0
May 23, 2025OtherClean
Fed violations: 2, State violations: 0
Sep 15, 2024InspectionClean
Fed violations: 0, State violations: 0
Aug 15, 2024InspectionClean
Fed violations: 8, State violations: 0
Ownership & Operations
Who Operates This Facility
Prairie Gate
nonprofit
Chain Affiliation
Presbyterian Homes & Services
21 facilities nationwide
Chain avg rating: 4.3/5 · Rank 19 of 20 (Worst)
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
11 reviews from families & visitors
Official Website
Visit preshomes.org
Medicare data downloads
Original nursing home datasets
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