F

Adel Acres

1919 Greene Street, Adel, IA 50003
Score: 33 / 100

With a score of 33/100, Adel Acres ranks in the bottom tier of Iowa nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

Staffing levels are a potential concern at Adel Acres, with 3.00 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.

Recent inspections identified 41 deficiencies at Adel Acres. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.00 3.8 Below Average
Registered Nurses (RN) 0.52 0.7 Below Average
Licensed Practical Nurses (LPN) 0.31 0.7 Below Average
Certified Nursing Assistants (CNA) 2.17 2.4 Average
Weekend Total Nursing 2.53 3.8 Below Average
Weekend RN Hours 0.37 0.7 Below Average

🔍 Inspection & Deficiency History

41
Total Deficiencies
Oct 15, 2025
Most Recent Inspection
🟠 41 Moderate
View recent deficiencies (5 shown)
  • Tag 0658 Severity G
    Ensure services provided by the nursing facility meet professional standards of quality.
    Oct 15, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0684 Severity G
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Oct 15, 2025 · Quality of Life and Care Deficiencies
  • Tag 0710 Severity D
    Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
    Oct 15, 2025 · Nursing and Physician Services Deficiencies
  • Tag 0684 Severity G
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Apr 8, 2025 · Quality of Life and Care Deficiencies
  • Tag 0689 Severity E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Apr 8, 2025 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 4.2% 4.5% Average
Falls with major injury 3.3% 3.0% Worse
On antipsychotic medication 12.0% 14.5% Better
Urinary tract infections 0.0% 2.5% Better
ADL decline (daily activities) 25.4% 14.0% Worse
Excessive weight loss 7.4% 7.5% Average
New/worsened incontinence 20.0% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $24,990

How This Grade Was Calculated

This facility's grade of F is based on a score of 33 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -2 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Individual
Certified Beds
50
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Apr 8, 2025
Deficiencies (Cycle 1)
12

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