nursing home in Adel, IA
Adel Acres
1919 Greene Street, Adel, IA 50003 · (515) 993-4511
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★1
- Quality measures★★★★★4
- Special Focus candidate
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Adel Acres at a glance
Adel Acres is a 50-bed for-profit nursing home in Adel, Iowa (Dallas County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Iowa average of 3.1.
Residents receive about 3 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (March 26, 2026) found 17 health citations. The Iowa average is 6.5.
Federal regulators fined it 3 times in the past three years, totaling $58,014.
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 50
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- December 1, 2004
- Resident/family council
- Resident
- County
- Dallas County
- CMS Certification Number
- 165555
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 3.1 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 3.7 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.3 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 3.3 / 5 | 3.8 / 5 | Average |
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) | 0.42 hrs | 0.74 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.98 hrs | 2.52 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.46 hrs | 3.37 hrs | 3.42 hrs | Worse |
| Administrators who left in the past year (lower is better) | 1 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 17 | 6 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 8 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 207 | 54.5 | 80.6 | Worse |
Penalties
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 3 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $58,014 | $19,286 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 4 | 1 | 1 | Worse |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 50 | 65 | 107 | |
| Average residents per day | 39 | 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) | 0.7% | 3.8% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 5.3% | 4.2% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 15.9% | 19.5% | 15.4% | Average |
| Long-stay residents with a urinary tract infection (lower is better) | 3.5% | 2.4% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.5% | 1.5% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 26.2% | 17.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 19.8% | 16.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 7% | 4.6% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 22% | 4.2% | 12.8% | Worse |
| 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) | 33% | 20.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 22.7% | 25.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 81% | 95.3% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 80.6% | 94% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 2.1% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 4.3% | 73.3% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 55.7% | 84% | 82% | Worse |
Inspection citations
State inspectors cited this home for 44 health deficiencies and 1 fire safety deficiency in the inspection records CMS currently publishes. 5 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| March 26, 2026 Complaint | 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 | G Actual harm, isolated | Corrected June 15, 2026 |
| March 26, 2026 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | G Actual harm, isolated | Corrected April 16, 2026 |
| March 26, 2026 Standard | 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 | F Potential harm, widespread | Corrected April 16, 2026 |
| March 26, 2026 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | F Potential harm, widespread | Corrected April 16, 2026 |
| March 26, 2026 Complaint | 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 April 16, 2026 |
| March 26, 2026 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected April 16, 2026 |
| March 26, 2026 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected April 16, 2026 |
| March 26, 2026 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected June 15, 2026 |
| March 26, 2026 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected April 16, 2026 |
| March 26, 2026 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected April 16, 2026 |
| March 26, 2026 Standard | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Tag F0865 | D Potential harm, isolated | Corrected June 15, 2026 |
| March 26, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 15, 2026 |
| March 26, 2026 Complaint | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | D Potential harm, isolated | Corrected April 16, 2026 |
| March 26, 2026 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected June 15, 2026 |
| October 16, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected October 27, 2025 |
| October 16, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | G Actual harm, isolated | Corrected October 27, 2025 |
| October 16, 2025 Complaint | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Nursing and Physician Services Deficiencies · Tag F0710 | D Potential harm, isolated | Corrected October 27, 2025 |
| April 9, 2025 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected April 23, 2025 |
| April 9, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected April 23, 2025 |
| April 9, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected May 1, 2025 |
| April 9, 2025 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 May 1, 2025 |
| April 9, 2025 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 | E Potential harm, pattern | Corrected May 1, 2025 |
| April 9, 2025 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected May 1, 2025 |
| April 9, 2025 Standard | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected May 1, 2025 |
| April 9, 2025 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected May 1, 2025 |
| April 9, 2025 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 | D Potential harm, isolated | Corrected May 1, 2025 |
| April 9, 2025 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected May 1, 2025 |
| December 17, 2024 Complaint | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected January 7, 2025 |
| December 17, 2024 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected January 7, 2025 |
| December 17, 2024 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected January 7, 2025 |
| December 17, 2024 Complaint | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Tag F0561 | D Potential harm, isolated | Corrected January 7, 2025 |
| December 17, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected January 7, 2025 |
| December 17, 2024 Complaint | 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 January 7, 2025 |
| August 3, 2024 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected August 22, 2024 |
| May 23, 2024 Standard | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | F Potential harm, widespread | Corrected June 20, 2024 |
| May 23, 2024 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 June 20, 2024 |
| May 23, 2024 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 | D Potential harm, isolated | Corrected June 20, 2024 |
| May 23, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected June 20, 2024 |
| May 23, 2024 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected June 20, 2024 |
| May 23, 2024 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected June 20, 2024 |
| May 23, 2024 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected June 20, 2024 |
| May 23, 2024 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected June 11, 2024 |
| May 23, 2024 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected June 20, 2024 |
| April 4, 2024 Complaint | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Tag F0868 | D Potential harm, isolated | Corrected April 23, 2024 |
| April 4, 2024 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected April 23, 2024 |
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 4 federal penalties in the past three years, including $58,014 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| March 26, 2026 | Payment Denial | 52 days from April 24, 2026 |
| March 26, 2026 | Fine | $22,335 |
| March 26, 2026 | Fine | $19,135 |
| October 16, 2025 | Fine | $16,544 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ownership data not available |
Other nursing homes near Adel Acres
Spurgeon Manor
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★★★★★5Much above averageArbor Springs of West Des Moines L L C
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★★★★★1Much below averageEdgewater, A Wesleylife Community
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★★★★★4Above averageCedar Ridge Village
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★★★★★3AverageDeerfield Health Care Center
13731 Hickman Road, Urbandale, IA 50323 · 11.6 mi
Non-profit · 30 beds · Part of Immanuel
- CMS high performer
★★★★★5Much above averageKennybrook Village
200 SW Brookside Drive, Grimes, IA 50111 · 12.8 mi
For-profit · 40 beds · Part of Pivotal Health Care
★★★★★3Average
Frequently asked questions
What is Adel Acres's rating?
Adel Acres has 1 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 Adel Acres receive?
Its most recent standard health inspection found 17 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Adel Acres 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 Adel Acres?
It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.
Where is Adel Acres and how do I contact it?
Adel Acres is at 1919 Greene Street, Adel, IA 50003. Phone: (515) 993-4511.
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.