nursing home in Hull, IA
Pleasant Acres Care Center
309 Railroad Street, Hull, IA 51239 · (712) 439-2758
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★4
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Pleasant Acres Care Center at a glance
Pleasant Acres Care Center is a 46-bed for-profit nursing home in Hull, Iowa (Sioux County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Iowa average of 3.1.
Residents receive about 3 hours of nursing care per day (0.8 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (February 19, 2026) found 7 health citations. The Iowa average is 6.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 31% per year (state average 44%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 46
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Campbell Street Services
- Medicare-certified since
- January 1, 1995
- Resident/family council
- Resident
- County
- Sioux County
- CMS Certification Number
- 165248
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3.1 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 3.3 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.02 hrs | 3.82 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.80 hrs | 0.74 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 1.28 hrs | 2.52 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.61 hrs | 3.37 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 31% | 44% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 25% | 42.1% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 7 | 6 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 1 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 33 | 54.5 | 80.6 | Better |
Penalties
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $19,286 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 46 | 65 | 107 | |
| Average residents per day | 36 | 52 | 86 | |
| Occupancy | 77.6% | 81.5% | 80.9% |
Long-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.4% | 3.8% | 3.2% | Average |
| Long-stay residents with pressure ulcers (lower is better) | 0% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 26.2% | 19.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1.7% | 2.4% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 2.4% | 1.5% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 17.1% | 17.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 22% | 16.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 3.7% | 4.6% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 2.9% | 4.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 21.1% | 20.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 29.4% | 25.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 92.9% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.3% | 94% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 6.9% | 2.1% | 1.6% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 80% | 84% | 82% | Average |
Inspection citations
State inspectors cited this home for 23 health deficiencies and 24 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| February 19, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected March 3, 2026 |
| February 19, 2026 Fire safety | Meet other general requirements. Construction Deficiencies · Tag K0100 | F Potential harm, widespread | Corrected February 20, 2026 |
| February 19, 2026 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected February 25, 2026 |
| February 19, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected February 18, 2026 |
| February 19, 2026 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected February 24, 2026 |
| February 19, 2026 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected February 27, 2026 |
| February 19, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected March 3, 2026 |
| February 19, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected March 16, 2026 |
| February 19, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected March 16, 2026 |
| February 19, 2026 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected March 16, 2026 |
| February 19, 2026 Standard | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Tag F0554 | D Potential harm, isolated | Corrected March 16, 2026 |
| February 19, 2026 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected March 16, 2026 |
| February 19, 2026 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected March 16, 2026 |
| February 19, 2026 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected March 16, 2026 |
| December 12, 2024 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected January 21, 2025 |
| December 12, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected December 27, 2024 |
| December 12, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected December 16, 2024 |
| December 12, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected December 18, 2024 |
| December 12, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | F Potential harm, widespread | Corrected December 24, 2024 |
| December 12, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | F Potential harm, widespread | Corrected December 24, 2024 |
| December 12, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected December 20, 2024 |
| December 12, 2024 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected December 27, 2024 |
| December 12, 2024 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected December 27, 2024 |
| December 12, 2024 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected December 27, 2024 |
| December 12, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected December 27, 2024 |
| December 12, 2024 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | D Potential harm, isolated | Corrected December 27, 2024 |
| December 12, 2024 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected December 27, 2024 |
| October 19, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected October 31, 2023 |
| October 19, 2023 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | F Potential harm, widespread | Corrected October 31, 2023 |
| October 19, 2023 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected October 20, 2023 |
| October 19, 2023 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | F Potential harm, widespread | Corrected November 17, 2023 |
| October 19, 2023 Fire safety | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0926 | F Potential harm, widespread | Corrected October 25, 2023 |
| October 19, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected October 25, 2023 |
| October 19, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected October 20, 2023 |
| October 19, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected October 20, 2023 |
| October 19, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected October 20, 2023 |
| October 19, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected November 20, 2023 |
| October 19, 2023 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | E Potential harm, pattern | Corrected November 15, 2023 |
| October 19, 2023 Standard | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · Tag F0568 | E Potential harm, pattern | Corrected November 15, 2023 |
| October 19, 2023 Complaint | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Tag F0727 | E Potential harm, pattern | Corrected November 15, 2023 |
| October 19, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected November 15, 2023 |
| October 19, 2023 Standard | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Administration Deficiencies · Tag F0836 | E Potential harm, pattern | Corrected November 15, 2023 |
| October 19, 2023 Standard | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Tag F0847 | E Potential harm, pattern | Corrected November 15, 2023 |
| October 19, 2023 Standard | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Tag F0868 | E Potential harm, pattern | Corrected November 15, 2023 |
| October 19, 2023 Standard | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | E Potential harm, pattern | Corrected November 15, 2023 |
| October 19, 2023 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected November 15, 2023 |
| October 19, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected November 15, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ACD CONSOLIDATED LLC Organization | adp of the snf | NOT APPLICABLE | 09/01/2024 |
| BEAR CREEK SRAF GP HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 09/01/2024 |
| CAMPBELL STREET IA 10 LLC Organization | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| CAMPBELL STREET SERVICES LLC Organization | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| DEFRANCO INVESTMENT CO LTD Organization | adp of the snf | NOT APPLICABLE | 09/01/2024 |
| HOLDCO, IA, 10, LLC Organization | adp of the snf | NOT APPLICABLE | 07/03/2025 |
| IAGA SNF HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 09/01/2024 |
| IAGA SNF HULL LLC Organization | adp of the snf | NOT APPLICABLE | 09/01/2025 |
| IAGA SNF PORTFOLIO LLC Organization | adp of the snf | NOT APPLICABLE | 07/07/2025 |
| LENNON, JODI Individual | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| NAP HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 09/01/2024 |
| RICKARD, CHRISTOPHER Individual | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| CAMPBELL STREET SERVICES LLC Organization | direct ownership interest | NOT APPLICABLE | 02/01/2025 |
| 5V+ SENIORS HEALTHCARE FUND GP, LLC Organization | indirect ownership interest | NOT APPLICABLE | 09/01/2025 |
| 5V+ SENIORS HEALTHCARE FUND, LP Organization | indirect ownership interest | NOT APPLICABLE | 09/01/2025 |
| BEAR CREEK STRATEGIC REAL ASSETS FUND LP Organization | indirect ownership interest | NOT APPLICABLE | 09/01/2025 |
| BIRCHWOOD HEALTHCARE PARTNERS LLC Organization | indirect ownership interest | NOT APPLICABLE | 02/01/2025 |
| DOLE, ISAAC Individual | indirect ownership interest | NOT APPLICABLE | 02/01/2025 |
| DOLE, ISAAC Individual | managing control - governing body | NOT APPLICABLE | 02/01/2025 |
| BIRCHWOOD HEALTHCARE PARTNERS LLC Organization | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| CAMPBELL STREET IA 10 LLC Organization | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| CAMPBELL STREET SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| DOLE, ISAAC Individual | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| HOLDCO, IA, 10, LLC Organization | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| LENNON, JODI Individual | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| RICKARD, CHRISTOPHER Individual | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
Other nursing homes near Pleasant Acres Care Center
Hegg Memorial Health Center
2116 14th Street, Rock Valley, IA 51247 · 7.2 mi
Non-profit · 60 beds
- CMS high performer
★★★★★5Much above averageCrown Pointe Estates Care Center
1400 7th Avenue SE, Sioux Center, IA 51250 · 8.7 mi
Non-profit · 99 beds
★★★★★4Above average- ★★★★★5Much above average
Good Samaritan - George
324 First Avenue North, George, IA 51237 · 13.4 mi
Non-profit · 36 beds · Part of Good Samaritan Society
★★★★★5Much above average- ★★★★★1Much below average
Lyon Specialty Care
1010 South Union, Rock Rapids, IA 51246 · 16.3 mi
Non-profit · 45 beds · Part of Care Initiatives
★★★★★4Above average
Frequently asked questions
What is Pleasant Acres Care Center's rating?
Pleasant Acres Care Center has 3 out of 5 stars on the CMS overall star rating. The average for Iowa nursing homes is 3.1 stars.
How many inspection citations did Pleasant Acres Care Center receive?
Its most recent standard health inspection found 7 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Pleasant Acres Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Pleasant Acres Care Center?
It is for profit - limited liability company and part of Campbell Street Services. The ownership section on this page lists the owners and managers reported to CMS.
Where is Pleasant Acres Care Center and how do I contact it?
Pleasant Acres Care Center is at 309 Railroad Street, Hull, IA 51239. Phone: (712) 439-2758.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.