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Nursing homeFAID #4418

Adel Acres

1919 GREENE STREET, ADEL, IA, 50003
(515) 993-4511
50 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
50
CMS facility ID
165555
Care type
Nursing home
County
Dallas
Facility name
Adel Acres
Street address
1919 GREENE STREET
City / state / ZIP
Adel, IA 50003
Phone
(515) 993-4511

About this facility — Adel Acres

Adel Acres is a Medicare/Medicaid-certified skilled nursing facility in Adel, Iowa. It is licensed for 50 beds — close to the median for skilled nursing facilities in Iowa (57 beds).

It is one of 2 senior care facilities in Adel and 389 skilled nursing facilities across Iowa. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Adel Acres 45 times across 11 inspections in the last three years, including 5 food-safety citations, and CMS has imposed $58,014 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type
For profit - Limited Liability company

Regulatory standing

Licensed / certified since
2004-12-01
CMS overall rating
1 of 5 stars
Health deficiencies
17 at the last standard inspection
Federal fines
$58,014 total
Last standard inspection
2026-03-26
Nurse staffing
3.0 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$355 per day (≈ $10,790/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
60% Medicaid · 5% Medicare · 35% private/other
Occupancy
88% (fiscal year 2023)
Vs. state median
4% above the IA median of $342/day — full state cost breakdown

Services & coverage

Licensed beds
50
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.
2026-03-26Health inspectionComplaint-triggered14 citations
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2026-04-16
F-0605
D · No harm found
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2026-04-16
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-06-15
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-06-15
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2026-04-16
F-0727
F · No harm found
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.
Corrected 2026-04-16
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2026-04-16
F-0760
G · Actual harmFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2026-04-16
F-0761
D · No harm found
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.
Corrected 2026-06-15
F-0805
D · No harm foundFood safetyFrom a complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2026-04-16
F-0812
E · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-04-16
F-0851
F · No harm found
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2026-04-16
F-0865
D · No harm found
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected 2026-06-15
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-06-15
2025-10-16Health inspectionComplaint-triggered3 citations
F-0658
G · Actual harmFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-10-27
F-0684
G · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-10-27
F-0710
D · No harm foundFrom a complaint
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2025-10-27
6 earlier / fire-safety inspections (28 citations)
2025-04-09Health inspection9 citations
F-0684
G · Actual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-23
F-0688
D · No harm found
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.
Corrected 2025-05-01
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-01
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-05-01
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2025-05-01
F-0803
D · No harm foundFood safety
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.
Corrected 2025-05-01
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-05-01
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-05-01
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-05-01
2024-12-17Health inspectionComplaint-triggered6 citations
F-0561
D · No harm foundFrom a complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-01-07
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-01-07
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-01-07
F-0761
E · No harm foundFrom a 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.
Corrected 2025-01-07
F-0842
E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-01-07
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-01-07
2024-08-03Health inspectionComplaint-triggered1 citation
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-08-22
2024-05-23Health inspection9 citations
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-06-20
F-0607
D · No harm found
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-06-11
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-06-20
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-06-20
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-06-20
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-20
F-0836
D · No harm found
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.
Corrected 2024-06-20
F-0851
F · No harm found
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-06-20
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-06-20
2024-04-04Health inspectionComplaint-triggered2 citations
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-04-23
F-0868
D · No harm foundFrom a complaint
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2024-04-23
2025-04-09Fire-safety inspection1 citation
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2025-04-23

Federal penalties

2026-03-26Fine$19,135
2026-03-26Fine$22,335
2025-10-16Fine$16,544
2026-03-26Medicare payment denial — 52 days
Total fines$58,014
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 165555.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 45 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered