Iowa › Dallas County › Adel
Adel Acres
1919 Greene Street, Adel, IA 50003
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 50 beds, Adel Acres serves Adel in Dallas County, Iowa and has taken Medicare and Medicaid residents since 2004.
CMS gives it 1 of 5 stars overall, below the Iowa median of 3; the health inspection rating is 1, staffing 1 and quality measures 4.
Inspectors recorded 44 health deficiencies across the three most recent survey cycles (17, 16, 11 by cycle, most recent first), 5 of them at the actual-harm or immediate-jeopardy level. That is 88.0 per 100 beds, more than the state median of 27.5.
CMS lists 4 penalties in the period covered: fines totalling $58K and 1 payment denial.
Reported nurse staffing is 3.0 hours per resident per day (0.4 RN), close to the Iowa median of 3.7.
CMS flags that the facility is a Special Focus Facility candidate.
Compared with county, state and nation
| Measure | This facility | Dallas Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 44 | 20 | 16 | 28.7 |
| Citations per 100 beds | 88.0 | 33.9 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.0 | 4.1 | 3.7 | 3.9 |
| RN hours per resident day | 0.4 | 0.7 | 0.7 | 0.7 |
| Nursing staff turnover | — | 49.3% | 41.9% | 45.8% |
| Fines listed | $58,014 | $0 | $0 | — |
County and state figures are medians across facilities (8 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 26 Mar 2026, 9 Apr 2025.
Severity mix: G ×5 D ×29 E ×7 F ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 26 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 15 Jun 2026 |
| 26 Mar 2026 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 16 Apr 2026 |
| 26 Mar 2026 | F0727 | 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. | F | Standard survey | 16 Apr 2026 |
| 26 Mar 2026 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 16 Apr 2026 |
| 26 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 16 Apr 2026 |
| 26 Mar 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 16 Apr 2026 |
| 26 Mar 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 16 Apr 2026 |
| 26 Mar 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 15 Jun 2026 |
| 26 Mar 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 16 Apr 2026 |
| 26 Mar 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 16 Apr 2026 |
| 26 Mar 2026 | F0761 | 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. | D | Standard survey | 15 Jun 2026 |
| 26 Mar 2026 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Complaint investigation | 16 Apr 2026 |
| 26 Mar 2026 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | Standard survey | 15 Jun 2026 |
| 26 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 15 Jun 2026 |
| 16 Oct 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | G | Complaint investigation | 27 Oct 2025 |
| 16 Oct 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 27 Oct 2025 |
| 16 Oct 2025 | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | Complaint investigation | 27 Oct 2025 |
| 9 Apr 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard survey | 23 Apr 2025 |
| 9 Apr 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 1 May 2025 |
| 9 Apr 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 1 May 2025 |
| 9 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 1 May 2025 |
| 9 Apr 2025 | F0688 | 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. | D | Standard survey | 1 May 2025 |
| 9 Apr 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 1 May 2025 |
| 9 Apr 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 1 May 2025 |
| 9 Apr 2025 | F0803 | 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. | D | Standard survey | 1 May 2025 |
| 9 Apr 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 1 May 2025 |
| 17 Dec 2024 | F0761 | 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. | E | Complaint investigation | 7 Jan 2025 |
| 17 Dec 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 7 Jan 2025 |
| 17 Dec 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint investigation | 7 Jan 2025 |
| 17 Dec 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 7 Jan 2025 |
| 17 Dec 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 7 Jan 2025 |
| 17 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 7 Jan 2025 |
| 3 Aug 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 22 Aug 2024 |
| 23 May 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 20 Jun 2024 |
| 23 May 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 20 Jun 2024 |
| 23 May 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 20 Jun 2024 |
| 23 May 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard survey | 11 Jun 2024 |
| 23 May 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 20 Jun 2024 |
| 23 May 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 20 Jun 2024 |
| 23 May 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | D | Standard survey | 20 Jun 2024 |
| 23 May 2024 | F0836 | 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. | D | Standard survey | 20 Jun 2024 |
| 23 May 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 20 Jun 2024 |
| 4 Apr 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 23 Apr 2024 |
| 4 Apr 2024 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Complaint investigation | 23 Apr 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 26 Mar 2026 | Payment denial | — | 52 days |
| 26 Mar 2026 | Fine | $22,335 | |
| 26 Mar 2026 | Fine | $19,135 | |
| 16 Oct 2025 | Fine | $16,544 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff —, RNs —; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 26.2% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.5% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.5% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.7% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 19.8% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.3% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.9% | 18.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Legal Business Name Not Available.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Dallas County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Spurgeon Manor | Dallas Center | 55 | 5 | 4 | 5 | 8 | 14.5 | — | 22 Apr 2026 |
| Walnut Ridge | Clive | 60 | 5 | 4 | 5 | 13 | 21.7 | — | 9 Jul 2025 |
| Cedar Ridge Village | West Des Moines | 40 | 3 | 3 | 4 | 20 | 50.0 | — | 12 Aug 2025 |
| Granger Nursing & Rehabilitation Center | Granger | 67 | 3 | 3 | 2 | 24 | 35.8 | — | 26 Feb 2026 |
| Perry Lutheran Homes Eden Acres Campusabuse icon | Perry | 57 | 2 | 2 | 4 | 6 | 10.5 | $9K | 7 Jan 2026 |
| Arbor Springs of West Des Moines L L C | West Des Moines | 56 | 1 | 2 | 1 | 19 | 33.9 | — | 30 Jun 2026 |
| Perry Lutheran Home | Perry | 70 | 1 | 1 | 4 | 22 | 31.4 | $16K | 2 Apr 2026 |
All 8 facilities in Dallas County
Questions and answers
How many deficiencies has Adel Acres been cited for?
44 health deficiencies across the three most recent survey cycles, 5 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Adel Acres been fined?
Yes. CMS lists fines totalling $58K in the period covered, plus 1 payment denial.
How does staffing at Adel Acres compare?
Reported total nurse staffing is 3.0 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Adel Acres?
Ownership type is for-profit, limited liability company. Individual owners and managers are not listed on this site.
When was Adel Acres last inspected?
The most recent survey or investigation in the CMS record is dated 26 Mar 2026; the most recent standard health survey was 26 Mar 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.