Nursing Homes · Medicare certified
Adel Acres
1919 Greene Street · Adel, IA 50003 · 50 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1669711206. Look this up in the CMS NPPES registry (opens in a new tab)
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About Adel Acres
In Adel, Iowa, Adel Acres is listed as a nursing home. Its reported capacity is 50 beds. Federal records list it as Medicare certified. It is recorded as a for-profit operator, part of Sher SNF LLC. Our copy of the inspection record holds 44 citations, the newest dated 26 March 2026. Federal enforcement records add 4 fine or payment denial actions. Staffing reports put it at 3.02 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
Public record
CMS Care Compare · Source data August 2026
CMS designation
Special Focus Facility candidate (CMS)
CMS lists this nursing home on the monthly Special Focus Facility candidate list. Candidate status means the facility qualifies for possible selection into the Special Focus Facility program based on CMS criteria. It is a public CMS designation, not an ElderCareCosts rating. CMS Special Focus Facility program.
Source: CMS Provider Information.GOVCertification
- Medicare-certified (CMS Certification Number on file)
Ratings
Staffing rating
1.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
35
Staffing rating
1.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
35
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
1.0Quality-measure rating
5.0Inspections on record
2
Cited deficiencies
34
Inspection history (44)
Records from March 2023 to March 2026.
December 17, 2024 · E
Citation F0842Federal surveyors cited this nursing home on 2024-12-17 under CMS tag F0842 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2025-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-17.GOVDecember 17, 2024 · D
Citation F0561Federal surveyors cited this nursing home on 2024-12-17 under CMS tag F0561 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. The deficiency was recorded as corrected on 2025-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-17.GOVDecember 17, 2024 · D
Citation F0880Federal surveyors cited this nursing home on 2024-12-17 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-01-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-17.GOVAugust 3, 2024 · D
Citation F0658Federal surveyors cited this nursing home on 2024-08-03 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2024-08-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-03.GOVMay 23, 2024 · D
Citation F0607Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0607 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures to prevent abuse, neglect, and theft. The deficiency was recorded as corrected on 2024-06-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMay 23, 2024 · D
Citation F0644Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0644 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. The deficiency was recorded as corrected on 2024-06-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMay 23, 2024 · D
Citation F0836Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0836 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-06-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMay 23, 2024 · D
Citation F0692Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0692 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide enough food/fluids to maintain a resident's health. The deficiency was recorded as corrected on 2024-06-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMay 23, 2024 · D
Citation F0690Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2024-06-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMay 23, 2024 · E
Citation F0812Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2024-06-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMay 23, 2024 · D
Citation F0880Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-06-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMay 23, 2024 · F
Citation F0851Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0851 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. The deficiency was recorded as corrected on 2024-06-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVMay 23, 2024 · D
Citation F0582Federal surveyors cited this nursing home on 2024-05-23 under CMS tag F0582 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. The deficiency was recorded as corrected on 2024-06-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-23.GOVApril 4, 2024 · D
Citation F0868Federal surveyors cited this nursing home on 2024-04-04 under CMS tag F0868 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Have the Quality Assessment and Assurance group have the required members and meet at least quarterly. The deficiency was recorded as corrected on 2024-04-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-04.GOVApril 4, 2024 · D
Citation F0686Federal surveyors cited this nursing home on 2024-04-04 under CMS tag F0686 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2024-04-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-04.GOVMarch 30, 2023 · E
Citation F0801Federal surveyors cited this nursing home on 2023-03-30 under CMS tag F0801 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. The deficiency was recorded as corrected on 2023-05-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-03-30.GOVMarch 30, 2023 · D
Citation F0644Federal surveyors cited this nursing home on 2023-03-30 under CMS tag F0644 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. The deficiency was recorded as corrected on 2023-05-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-03-30.GOVMarch 30, 2023 · D
Citation F0880Federal surveyors cited this nursing home on 2023-03-30 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2023-05-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-03-30.GOVMarch 30, 2023 · D
Citation F0812Federal surveyors cited this nursing home on 2023-03-30 under CMS tag F0812 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2023-05-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-03-30.GOVMarch 30, 2023 · D
Citation F0943Federal surveyors cited this nursing home on 2023-03-30 under CMS tag F0943 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. The deficiency was recorded as corrected on 2023-05-03. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-03-30.GOV
Penalties (4)
Total fines on file: $58,014
March 26, 2026 · Payment Denial
Citation PAYDEN-2026-04-24CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2026-04-24, lasting 52 days (triggered by inspection on 2026-03-26). Source: CMS Care Compare Penalties (as of 2026-08-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-26.GOVMarch 26, 2026 · Fine
Citation FINE-142284CMS recorded a civil money penalty of $22,335 against this nursing home on 2026-03-26 (Fine ID: 142284). Source: CMS Care Compare Penalties (as of 2026-08-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-26.GOVMarch 26, 2026 · Fine
Citation FINE-142283CMS recorded a civil money penalty of $19,135 against this nursing home on 2026-03-26 (Fine ID: 142283). Source: CMS Care Compare Penalties (as of 2026-08-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-03-26.GOVOctober 16, 2025 · Fine
Citation FINE-135268CMS recorded a civil money penalty of $16,544 against this nursing home on 2025-10-16 (Fine ID: 135268). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-10-16.GOV
Staffing
Latest: 3.02 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
- 2025Q43.07 hrs/resident/day
- 2026-06-013.07 hrs/resident/day
- 2026-07-013.02 hrs/resident/day
- 2026-08-013.02 hrs/resident/day
- 2026Q13.02 hrs/resident/day
Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
For profit
Parent organization: Sher SNF LLC
parent · PAC 244545663
Recent changes to this listing
Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.
Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Ownership changed
The source now records ownership as "For profit - Limited Liability company".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit - Individual".
Reported by CMS nursing homes (provider info)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Typical cost
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical IA range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · IA$9,277/moWhat Medicaid pays nursing homes
Iowa publishes what its Medicaid program pays a nursing facility per resident per day. It is not a private-pay price and it is not what a family is billed. It is useful because it shows what the state considers the cost of a day of nursing-home care.
Median facility daily rate
$307.06per day
That works out to about $9,335 a month at 30.4 days. The monthly figure is our arithmetic, not a number the state published.
Median we calculated from the state's own facility rate file. Period: January 1, 2026. Calculated across 381 facilities in the state's rate file.
Nearby alternatives
No other listed providers in Adel yet.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
Check availability and pricing at Adel Acres
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Trust & methodology
Where this information came from
Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.
- CMS nursing homes (provider info)as of August 2026
- Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Phone number, State, Street address, ZIP code
- CMS nursing homes (ownership)as of July 2026
- Ownership type, Parent organization
- CMS enrollmentas of July 2026
- NPI
- CMS nursing homes (payroll-based journal staffing)as of June 2026
- Staffing hours per resident day
Read how we handle every file on the data sources page.