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Adel Acres

1919 Greene Street, Adel, IA 500035159934511Ownership: For profit - Limited Liability companyCertified beds: 50Avg. daily residents: 39County: Dallas
Special Focus Facility candidate — CMS has identified this facility as one of the most poorly performing in the state and it is eligible for the Special Focus program, which brings inspections twice as often as normal.

The complete public record on Adel Acres, a Medicare & Medicaid–certified nursing home in Adel, Iowa, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★☆☆☆☆
CMS’s composite of the three ratings below. Iowa average: 3.1 stars.
Health inspection
★☆☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★☆☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★★☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Adel Acres holds a 1-star overall rating, in the bottom two tiers CMS assigns. Federal regulators have fined this facility $58,014 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.02 total nurse staff hours per resident per day
below the state average (3.82)
0.42 RN hours per resident per day
below the state average (0.74)
2.46 weekend nurse staff hours per resident per day
Not reported total nursing staff turnover
Not reported RN turnover
1 administrator left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

March 26, 2026 most recent standard health inspection
17 health deficiencies cited in the most recent inspection cycle
above the state average (6.6)
18 health deficiencies in the two prior cycles combined
$58,014 in federal fines across 3 penalties (last 3 years)
above the state average ($19,559)
1 payment denial
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

44 citations on record across recent inspections, 5 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
March 26, 20260689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. ComplaintG · Actual harm
March 26, 20260760Ensure that residents are free from significant medication errors. ComplaintG · Actual harm
March 26, 20260727Have 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.F · Potential for more than minimal harm
March 26, 20260851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable…F · Potential for more than minimal harm
March 26, 20260812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with… ComplaintE · Potential for more than minimal harm
March 26, 20260552Ensure that residents are fully informed and understand their health status, care and treatments.D · Potential for more than minimal harm
March 26, 20260605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.D · Potential for more than minimal harm
March 26, 20260658Ensure services provided by the nursing facility meet professional standards of quality. ComplaintD · Potential for more than minimal harm
March 26, 20260690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate…D · Potential for more than minimal harm
March 26, 20260757Ensure each resident’s drug regimen must be free from unnecessary drugs.D · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.