Adel Acres
1919 Greene Street, Adel, IA 50003 · (515) 993-4511
For profit - Limited Liability company · 50 certified beds
Special Focus Facility candidate Medicare's data lists this home as a candidate for its Special Focus Facility program, which is for homes with a persistent record of serious problems.
Adel Acres has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in March 2026, found 13 citations, 1 for actual harm or immediate jeopardy (the Iowa average is 6.5). It was fined 3 times in the last three years, $58,014 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on March 26, 2026 found 13 citations. What an inspection citation means
- Ensure that residents are free from significant medication errors.March 26, 2026 · F0760 · Level of harm: Actual harm · Residents affected: Few
- 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.March 26, 2026 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.March 26, 2026 · F0851 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.March 26, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that residents are fully informed and understand their health status, care and treatments.March 26, 2026 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.March 26, 2026 · F0605 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.March 26, 2026 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.March 26, 2026 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident’s drug regimen must be free from unnecessary drugs.March 26, 2026 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.March 26, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.March 26, 2026 · F0805 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Have a plan that describes the process for conducting QAPI and QAA activities.March 26, 2026 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.March 26, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 17 citations.
- Ensure services provided by the nursing facility meet professional standards of quality.March 26, 2026 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.March 26, 2026 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Ensure that residents are free from significant medication errors.March 26, 2026 · F0760 · Level of harm: Actual harm · Residents affected: Few
- Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.March 26, 2026 · F0805 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.March 26, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure services provided by the nursing facility meet professional standards of quality.October 16, 2025 · F0658 · Level of harm: Actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.October 16, 2025 · F0684 · Level of harm: Actual harm · Residents affected: Few
- Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.October 16, 2025 · F0710 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.December 17, 2024 · F0561 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.December 17, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.December 17, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.December 17, 2024 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.December 17, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.December 17, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.August 3, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.April 4, 2024 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyApril 4, 2024 · F0868 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $19,135March 26, 2026
- Fine of $22,335March 26, 2026
- Fine of $16,544October 16, 2025
- Medicare payment denial for 52 daysStarting April 24, 2026
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Iowa average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.02 | 3.82 | 3.86 |
| Registered nurses (RN) | 0.42 | 0.74 | 0.69 |
| Licensed practical nurses (LPN) | 0.62 | 0.56 | 0.86 |
| Nurse aides | 1.98 | 2.52 | 2.32 |
| Total nursing staff turnover | Not available | 44% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 50 |
| Average residents per day | 38.8 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Walnut Ridge Clive · ★★★★★ 5 out of 5 stars
- Spurgeon Manor Dallas Center · ★★★★★ 5 out of 5 stars
- Granger Nursing & Rehabilitation Center Granger · ★★★★★ 3 out of 5 stars
- Perry Lutheran Homes Eden Acres Campus Perry · ★★★★★ 2 out of 5 stars
- Perry Lutheran Home Perry · ★★★★★ 1 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Adel Acres on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.