Prairie Meadows is a Racino located in Altoona, Iowa, United States, it runs both Thoroughbreds and Quarter Horses at its meet from May to September.

[1] On May 17, 1994, Polk County voters approved a referendum allowing the installation of slot machines at Prairie Meadows.

[2] On December 14, 2004, Prairie Meadows added casino game tables after receiving state approval to do so.

As a result of the high demand for these tables, the Iowa Racing and Gaming Commission approved Prairie Meadows' plans to expand its facility on January 25, 2005.

[5] On January 16, 2019, Prairie Meadows announced a partnership with bookmaker William Hill in preparation for the proposed legalization of sports betting in Iowa.