Nursing Homes · Medicare certified
Adel Acres
1919 Greene Street · Adel, IA 50003 · 50 certified beds
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About Adel Acres
Adel Acres is a nursing home in Adel, Iowa. Its capacity is 50 beds, below the Dallas County median of 57 for nursing homes. It is run by a for-profit operator and is part of Campbell Street Services. It is Medicare certified. Its public inspection record shows 44 citations, the most recent on March 26, 2026. CMS also lists 4 fines or payment denials against it. Nurse staffing averages 2.98 hours per resident per day. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Special Focus Facility candidate
CMS lists this nursing home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues. About the program.
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
1.0Quality measures
4.0CMS Care Compare, October 2026.
Inspection history (44)
Records from March 2023 to March 2026.
December 17, 2024
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected January 7, 2025.
December 17, 2024
Tag F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 7, 2025.
December 17, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 7, 2025.
August 3, 2024
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 22, 2024.
May 23, 2024
Tag F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 11, 2024.
May 23, 2024
Tag F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 20, 2024.
May 23, 2024
Tag F0836Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 20, 2024.
May 23, 2024
Tag F0692Provide enough food/fluids to maintain a resident's health.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 20, 2024.
May 23, 2024
Tag F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 20, 2024.
May 23, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 20, 2024.
May 23, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 20, 2024.
May 23, 2024
Tag F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected June 20, 2024.
May 23, 2024
Tag F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 20, 2024.
April 4, 2024
Tag F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 23, 2024.
April 4, 2024
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 23, 2024.
March 30, 2023
Tag F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 3, 2023.
March 30, 2023
Tag F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 3, 2023.
March 30, 2023
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 3, 2023.
March 30, 2023
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 3, 2023.
March 30, 2023
Tag F0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 3, 2023.
Penalties (4)
Total fines: $58,014
March 26, 2026 · Payment Denial
CMS recorded a Medicare/Medicaid payment denial for new admissions starting April 24, 2026, lasting 52 days (triggered by inspection on March 26, 2026).
March 26, 2026 · Fine
CMS recorded a civil money penalty of $22,335 against this nursing home on March 26, 2026.
March 26, 2026 · Fine
CMS recorded a civil money penalty of $19,135 against this nursing home on March 26, 2026.
October 16, 2025 · Fine
CMS recorded a civil money penalty of $16,544 against this nursing home on October 16, 2025.
Staffing
2.98 nurse hours per resident per day in Q2 2026, down from 3.07 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Campbell Street Services, a chain of 25 nursing homes.
Average CMS star ratings across the chain: 2.0 overall, 1.9 for health inspections, 2.3 for staffing, 3.4 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Iowa.
What Medicaid pays nursing homes
This is what Iowa Medicaid pays a nursing home for each resident per day. It is not what a family pays privately, but it shows what the state treats as the cost of a day of care.
Median facility daily rate
$307.06per day
About $9,335 a month.
Median we calculated from the state's own facility rate file, January 1, 2026. Based on 381 facilities.
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