Adel Acres in Adel, IA

Adel Acres is a medicare and medicaid certified nursing home in Adel, Iowa. It is located in Dallas county at 1919 Greene Street, Adel, Iowa 50003. You can reach out to the office of Adel Acres via phone at (515) 993-4511. This skilled nursing facility has 50 federally certified beds with average occupancy rate of 77.6%. The nursing facility is a candidate for the "Special Focus Facility" program of CMS (nursing homes with a history of serious quality problems) and its legal business name is Legal Business Name Not Available and has the following ownership type - For Profit - Limited Liability Company.

Adel Acres (Medicare CCN 165555) is certified by CMS (Centers for Medicare & Medicaid Services) and participates in both medicare and medicaid program. This means if you are part of medicare or medicaid program, you may consider this nursing facility for your medical needs. It was first certified by CMS in 2004 (22 years certified) and the last quality survey was conducted in March, 2026.

Contact Information

Adel Acres
1919 Greene Street, Adel, Iowa 50003
(515) 993-4511

Map and Direction



Nursing Home Profile

NameAdel Acres
Location1919 Greene Street, Adel, Iowa
Certified ByMedicare and Medicaid
No. of Certified Beds50
Occupancy Rate77.6%
Medicare ID (CCN)165555
Legal Business NameLegal Business Name Not Available
Ownership TypeFor Profit - Limited Liability Company

NPI Associated with this Nursing Home:

Nursing homes may have several NPI numbers. NPIs marked Confirmed are listed with Adel Acres in Medicare enrollment records; Possible ones were matched in NPPES by name, address or phone number, so please use them accordingly.

NPI Number1669711206
MatchConfirmed listed in Medicare enrollment records
Organization NameAdel Healthcare Management LLC
Doing Business AsAdel Acres
Address1919 Greene St, Adel, IA 50003
Phone Number515-993-4511

NPI Number1114097995
MatchPossible same name, address or phone number
Organization NameAdel Acres Care Center
Address1919 Greene Str, Adel, IA 50003
Phone Number515-993-4511

NPI Number1376335661
MatchPossible same name, address or phone number
Organization NameOpco Adel, Ia, LLC
Address1919 Greene St, Adel, IA 50003
Phone Number515-993-4511

NPI Number1396869830
MatchPossible same name, address or phone number
Organization NameAdel Assisted Living and Nursing LLC
Doing Business AsAdel Acres Care Center
Address1919 Greene St, Adel, IA 50003
Phone Number515-993-4511

NPI Number1679061956
MatchPossible same name, address or phone number
Organization NameGreene Street Operations, LLC
Address1919 Greene St, Adel, IA 50003
Phone Number515-993-4511

Quality Ratings:

Nursing homes vary in the quality of care and services they provide to their residents. The below quality ratings for Adel Acres are calculated from three sources - health inspection results, staffing data, and quality measure data. This information gives you an indication of the care Adel Acres give to their patients.
Ratings from Surveys (Inspections):
Ratings from Quality Measures:
Ratings from Staffing Data:
Overall Rating:

Staffing and Staff Turnover:

Staffing hours per resident per day and staff turnover of Adel Acres, from the payroll data it reports to CMS, are compared against the national average with the color code indicators: Better than National Average Worse than National Average

Staffing MeasureProviderNational Avg.
Total nurse staff hours per resident per day3.023.86
Registered nurse (RN) hours per resident per day0.420.69
Licensed practical nurse (LPN) hours per resident per day0.620.86
Nurse aide hours per resident per day1.982.32
Total nurse staff hours per resident per day on the weekend2.463.42
RN hours per resident per day on the weekend0.260.48
Physical therapist hours per resident per day0.010.07
Total nursing staff turnoverNot available: no valid staffing data was submitted45.8%
Registered nurse turnoverNot available: no valid staffing data was submitted42.9%
Number of administrators who have left the nursing home10.5

Complaints, Fines and Penalties:

Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon)No
Number of Fines3
Total Amount of Fines in Dollars$58,014
Number of Payment Denials1
Total Number of Penalties4

Health Inspections:

In its most recent inspection cycle (standard health inspection in March, 2026, plus any complaint inspections), inspectors cited Adel Acres for 17 health deficiencies (national average: 9.3). The 30 most recent of its 44 citations since 2024 are listed below.

DateDeficiencyHarm LevelStatus
Mar 26, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689, Quality of Life and Care, Complaint inspection
Actual harm, isolatedCorrected by Jun 15, 2026
Mar 26, 2026Ensure that residents are free from significant medication errors.
F0760, Pharmacy Service, Standard inspection, Complaint inspection
Actual harm, isolatedCorrected by Apr 16, 2026
Mar 26, 2026Have 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.
F0727, Nursing and Physician Services, Standard inspection
Potential for harm, widespreadCorrected by Apr 16, 2026
Mar 26, 2026Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F0851, Administration, Standard inspection
Potential for harm, widespreadCorrected by Apr 16, 2026
Mar 26, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812, Nutrition and Dietary, Standard inspection, Complaint inspection
Potential for harm, patternCorrected by Apr 16, 2026
Mar 26, 2026Ensure that residents are fully informed and understand their health status, care and treatments.
F0552, Resident Rights, Standard inspection
Potential for harm, isolatedCorrected by Apr 16, 2026
Mar 26, 2026Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
F0605, Freedom from Abuse, Neglect, and Exploitation, Standard inspection
Potential for harm, isolatedCorrected by Apr 16, 2026
Mar 26, 2026Ensure services provided by the nursing facility meet professional standards of quality.
F0658, Resident Assessment and Care Planning, Standard inspection, Complaint inspection
Potential for harm, isolatedCorrected by Jun 15, 2026
Mar 26, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690, Quality of Life and Care, Standard inspection
Potential for harm, isolatedCorrected by Apr 16, 2026
Mar 26, 2026Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757, Pharmacy Service, Standard inspection
Potential for harm, isolatedCorrected by Apr 16, 2026
Mar 26, 2026Ensure 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.
F0761, Pharmacy Service, Standard inspection
Potential for harm, isolatedCorrected by Jun 15, 2026
Mar 26, 2026Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
F0805, Nutrition and Dietary, Standard inspection, Complaint inspection
Potential for harm, isolatedCorrected by Apr 16, 2026
Mar 26, 2026Have a plan that describes the process for conducting QAPI and QAA activities.
F0865, Administration, Standard inspection
Potential for harm, isolatedCorrected by Jun 15, 2026
Mar 26, 2026Provide and implement an infection prevention and control program.
F0880, Infection Control, Standard inspection
Potential for harm, isolatedCorrected by Jun 15, 2026
Oct 16, 2025Ensure services provided by the nursing facility meet professional standards of quality.
F0658, Resident Assessment and Care Planning, Complaint inspection
Actual harm, isolatedCorrected by Oct 27, 2025
Oct 16, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684, Quality of Life and Care, Complaint inspection
Actual harm, isolatedCorrected by Oct 27, 2025
Oct 16, 2025Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
F0710, Nursing and Physician Services, Complaint inspection
Potential for harm, isolatedCorrected by Oct 27, 2025
Apr 9, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684, Quality of Life and Care, Standard inspection
Actual harm, isolatedCorrected by Apr 23, 2025
Apr 9, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689, Quality of Life and Care, Standard inspection
Potential for harm, patternCorrected by May 1, 2025
Apr 9, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812, Nutrition and Dietary, Standard inspection
Potential for harm, patternCorrected by May 1, 2025
Apr 9, 2025Provide and implement an infection prevention and control program.
F0880, Infection Control, Standard inspection
Potential for harm, patternCorrected by May 1, 2025
Apr 9, 2025Provide 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.
F0688, Quality of Life and Care, Standard inspection
Potential for harm, isolatedCorrected by May 1, 2025
Apr 9, 2025Ensure medication error rates are not 5 percent or greater.
F0759, Pharmacy Service, Standard inspection
Potential for harm, isolatedCorrected by May 1, 2025
Apr 9, 2025Ensure that residents are free from significant medication errors.
F0760, Pharmacy Service, Standard inspection
Potential for harm, isolatedCorrected by May 1, 2025
Apr 9, 2025Ensure 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.
F0803, Nutrition and Dietary, Standard inspection
Potential for harm, isolatedCorrected by May 1, 2025
Apr 9, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842, Resident Assessment and Care Planning, Standard inspection
Potential for harm, isolatedCorrected by May 1, 2025
Dec 17, 2024Ensure 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.
F0761, Pharmacy Service, Complaint inspection
Potential for harm, patternCorrected by Jan 7, 2025
Dec 17, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842, Resident Assessment and Care Planning, Complaint inspection
Potential for harm, patternCorrected by Jan 7, 2025
Dec 17, 2024Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F0561, Resident Rights, Complaint inspection
Potential for harm, isolatedCorrected by Jan 7, 2025
Dec 17, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656, Resident Assessment and Care Planning, Complaint inspection
Potential for harm, isolatedCorrected by Jan 7, 2025

Quality of Resident Care:

These quality measures of Adel Acres, from the regular health assessments of its residents, are compared against the national average with the color code indicators: Better than National Average Worse than National Average

Quality MeasureProviderNational Avg.
Percentage of long-stay residents whose need for help with daily activities has increased26.1713.87
Percentage of long-stay residents who lose too much weight6.965.19
Percentage of long-stay residents with a catheter inserted and left in their bladder0.450.82
Percentage of long-stay residents with a urinary tract infection3.471.59
Percentage of long-stay residents who have depressive symptoms21.9512.8
Percentage of long-stay residents who were physically restrained00.13
Percentage of long-stay residents experiencing one or more falls with major injury0.693.23
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine80.5693.55
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine55.6582.04
Percentage of short-stay residents who newly received an antipsychotic medication01.56
Percentage of long-stay residents whose ability to walk independently worsened19.7614.07
Percentage of long-stay residents who received an antianxiety or hypnotic medication33.0419.52
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine80.9595.46
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4.3579.75
Percentage of long-stay residents with pressure ulcers5.34.62
Percentage of long-stay residents with new or worsened bowel or bladder incontinence22.7219.01
Percentage of long-stay residents who received an antipsychotic medication15.8515.38

Reviews and Comments


Nursing Home

A nursing home (also called skilled nursing facility) is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living.

A skilled nursing facility (SNF) may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation.

Medicare Care Compare

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