Iowa › Sioux County › Hull
Pleasant Acres Care Center
309 Railroad Street, Hull, IA 51239
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.
Pleasant Acres Care Center, in Hull, Iowa, is certified for 46 beds under for-profit, limited liability company ownership and belongs to the Campbell Street Services chain.
CMS gives it 3 of 5 stars overall, equal to the Iowa median; the health inspection rating is 3, staffing 4 and quality measures 2.
Inspectors recorded 23 health deficiencies across the three most recent survey cycles (7, 6, 10 by cycle, most recent first), none at the actual-harm level. That is 50.0 per 100 beds, more than the state median of 27.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.0 hours per resident per day (0.8 RN), close to the Iowa median of 3.7; nursing staff turnover is 31.0%.
Compared with county, state and nation
| Measure | This facility | Sioux Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 23 | 18 | 16 | 28.7 |
| Citations per 100 beds | 50.0 | 18.3 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.0 | 3.9 | 3.7 | 3.9 |
| RN hours per resident day | 0.8 | 0.8 | 0.7 | 0.7 |
| Nursing staff turnover | 31.0% | 31.0% | 41.9% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (5 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: 19 Feb 2026, 12 Dec 2024.
Severity mix: D ×12 E ×11
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 |
|---|---|---|---|---|---|
| 19 Feb 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 16 Mar 2026 |
| 19 Feb 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 16 Mar 2026 |
| 19 Feb 2026 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 16 Mar 2026 |
| 19 Feb 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 16 Mar 2026 |
| 19 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 16 Mar 2026 |
| 19 Feb 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 16 Mar 2026 |
| 19 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 16 Mar 2026 |
| 12 Dec 2024 | 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. | E | Standard survey | 27 Dec 2024 |
| 12 Dec 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 27 Dec 2024 |
| 12 Dec 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 27 Dec 2024 |
| 12 Dec 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 27 Dec 2024 |
| 12 Dec 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Standard survey | 27 Dec 2024 |
| 12 Dec 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 27 Dec 2024 |
| 19 Oct 2023 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | E | Standard survey | 15 Nov 2023 |
| 19 Oct 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 15 Nov 2023 |
| 19 Oct 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 15 Nov 2023 |
| 19 Oct 2023 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard survey | 15 Nov 2023 |
| 19 Oct 2023 | 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. | E | Complaint investigation | 15 Nov 2023 |
| 19 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 15 Nov 2023 |
| 19 Oct 2023 | 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. | E | Standard survey | 15 Nov 2023 |
| 19 Oct 2023 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | Standard survey | 15 Nov 2023 |
| 19 Oct 2023 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Standard survey | 15 Nov 2023 |
| 19 Oct 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 15 Nov 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 31.0%, RNs 25.0%; 0 administrators 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 | 17.1% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.4% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.7% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.4% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 6.9% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 22.0% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.0% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 26.2% | 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: Opco Hull Ia Llc. Chain: Campbell Street Services (22 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Campbell Street Services LLC | Direct ownership interest | NOT APPLICABLE | 02/01/2025 |
| 5v+ Seniors Healthcare Fund Gp, LLC | Indirect ownership interest | NOT APPLICABLE | 09/01/2025 |
| 5v+ Seniors Healthcare Fund, LP | Indirect ownership interest | NOT APPLICABLE | 09/01/2025 |
| Bear Creek Strategic Real Assets Fund LP | Indirect ownership interest | NOT APPLICABLE | 09/01/2025 |
| Birchwood Healthcare Partners LLC | Indirect ownership interest | NOT APPLICABLE | 02/01/2025 |
| Birchwood Healthcare Partners LLC | Operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| Campbell Street Ia 10 LLC | Operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| Campbell Street Services LLC | Operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| Holdco, Ia, 10, LLC | Operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| Acd Consolidated LLC | Adp of the snf | NOT APPLICABLE | 09/01/2024 |
| Bear Creek Sraf Gp Holdings LLC | Adp of the snf | NOT APPLICABLE | 09/01/2024 |
| Campbell Street Ia 10 LLC | Adp of the snf | NOT APPLICABLE | 02/01/2025 |
| Campbell Street Services LLC | Adp of the snf | NOT APPLICABLE | 02/01/2025 |
| Defranco Investment Co Ltd | Adp of the snf | NOT APPLICABLE | 09/01/2024 |
| Holdco, Ia, 10, LLC | Adp of the snf | NOT APPLICABLE | 07/03/2025 |
| Iaga SNF Holdings LLC | Adp of the snf | NOT APPLICABLE | 09/01/2024 |
| Iaga SNF Hull LLC | Adp of the snf | NOT APPLICABLE | 09/01/2025 |
| Iaga SNF Portfolio LLC | Adp of the snf | NOT APPLICABLE | 07/07/2025 |
| Nap Holdings LLC | Adp of the snf | NOT APPLICABLE | 09/01/2024 |
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 Sioux County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Hegg Memorial Health Center | Rock Valley | 60 | 5 | 4 | 5 | 11 | 18.3 | — | 6 Nov 2025 |
| Prairie Ridge Care Center | Orange City | 95 | 5 | 4 | 5 | 10 | 10.5 | — | 18 Jun 2026 |
| Crown Pointe Estates Care Center | Sioux Center | 99 | 4 | 3 | 5 | 18 | 18.2 | — | 26 Jun 2025 |
| Hillcrest Health Care Centerabuse icon | Hawarden | 64 | 1 | 1 | 2 | 73 | 114.1 | $130K | 6 May 2026 |
All 5 facilities in Sioux County
Questions and answers
How many deficiencies has Pleasant Acres Care Center been cited for?
23 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Pleasant Acres Care Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Pleasant Acres Care Center 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 Pleasant Acres Care Center?
It is part of the Campbell Street Services chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Campbell Street Services LLC, 5v+ Seniors Healthcare Fund Gp, LLC and 5v+ Seniors Healthcare Fund, LP. Individual owners and managers are not listed on this site.
When was Pleasant Acres Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 19 Feb 2026; the most recent standard health survey was 19 Feb 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.