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Adel Acres

Medicare- and Medicaid-certified nursing facility in Adel, Dallas County, Iowa

1 CMS overall stars
50 certified beds
17 deficiencies, latest cycle
Quick answer

Adel Acres, at 1919 Greene Street in Adel (Dallas County), is a nursing facility certified for Medicare and Medicaid with 50 certified beds and Iowa nursing facility license 250229. Adel Acres holds a CMS overall rating of 1 out of 5 in Care Compare data dated October 1, 2026.

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Quick facts

Adel Acres, at 1919 Greene Street in Adel (Dallas County), is a nursing facility certified for Medicare and Medicaid with 50 certified beds and Iowa nursing facility license 250229. Adel Acres holds a CMS overall rating of 1 out of 5 in Care Compare data dated October 1, 2026.

How many stars does Adel Acres have from CMS?

Adel Acres holds a CMS overall rating of 1 out of 5, with 1 stars for health inspections, 1 for staffing and 4 for quality measures on CMS's five-star scale.

CMS / DIAL measureValue
CMS overall stars1 of 5
Health inspections (CMS stars)1 of 5
Staffing (CMS stars)1 of 5
Quality measures (CMS stars)4 of 5
Certified beds and average daily census50 beds, 40.5 residents a day
Name as CMS lists itAdel Acres
Ownership (CMS)For profit - Limited Liability company
Chain affiliation (CMS)Campbell Street Services, 25 homes nationwide
Medicare/Medicaid certification sinceDecember 1, 2004
Iowa license (DIAL)250229; 50 licensed beds; Current through 11/01/2027
State fines since January 2023 (DIAL)7, totaling $38,175 after adjustment

Its average census of about 40 residents fills roughly 81% of certified beds, below the 89% typical of certified homes in the six-county metro.

On CMS's Special Focus list. CMS shows Adel Acres with Special Focus status “SFF Candidate”, a program for homes with a sustained history of serious problems that brings more frequent inspections.

What did the latest inspections of Adel Acres find?

CMS dates Adel Acres's newest standard survey to March 26, 2026; that cycle counts 17 health deficiencies, split 13 routine and 8 from complaints.

The earlier survey, dated April 9, 2025, found 18 deficiencies; separate infection-control reviews produced 0 citations. Measured against a metro median of 6, the latest result is worse than most nearby homes.

Within CMS's three-year penalty window it lists 3 federal fines totaling $43,500 and 1 payment denial.

Iowa's own Assessed Fines Report adds 7 state fines since January 2023: June 1, 2026, $5,250 issued, $5,250 suspended; March 26, 2026, $15,000 issued, $15,000 suspended; October 16, 2025, $14,500 issued, $14,500 suspended; April 9, 2025, $4,000 issued. A suspended state fine usually means CMS imposed its own penalty for the same findings.

What are staffing levels and turnover at Adel Acres?

Payroll data submitted to CMS shows 2.98 nursing hours per resident per day at Adel Acres, lower than the metro median of 4.01, with registered nurses supplying 0.62 of those hours (lower than the metro median of 0.64).

On weekends, total nurse staffing falls to or stays at 2.71 hours per resident-day. CMS reports no turnover figure. CMS counts 1 administrator departure during its measurement period.

How does Adel Acres stack up against nearby homes?

Its 50 certified beds make it smaller than the Dallas County median of 56 licensed nursing facility beds. The nearest other certified home is Spurgeon Manor in Dallas Center, about 6.0 miles away as the crow flies, with a CMS rating of 5 of 5.

FacilityMiles awayUnits or bedsCMS overall ratingLast CMS health inspectionDeficiencies cited
Spurgeon Manor
1204 Linden Street, 50063
6.0555 of 5September 25, 20253
Arbor Springs of West Des Moines LLC
7951 EP True Parkway, 50266
11.1561 of 5June 30, 202613
Edgewater A Wesley Active Life Community LLC
9225 Cascade Avenue, 50266
11.1403 of 5August 3, 20268
Cedar Ridge Village
8950 Coachlight Drive, 50266
11.2403 of 5August 12, 20257
Deerfield Health Care Center
13731 Hickman Road, 50323
11.6305 of 5May 7, 20261

How close is Adel Acres to a hospital?

Adel Acres is in Adel, Dallas County, and UnityPoint Health - Des Moines Methodist West Hospital is the closest general hospital on DIAL's roster, about 11.9 miles away by straight line.

Dallas County Hospital follows at roughly 16.1 miles. These are straight-line distances, not drive times.

What should we ask Adel Acres before choosing it?

Begin with the questions its CMS data raises: ask for the plan of correction covering the 17 deficiencies cited March 26, 2026, and what is different now.

  • Ask what led to the federal or state fines listed above and whether the underlying problem is closed.
  • Occupancy is about 81%; ask which halls have open beds and why.
  • CMS lists a resident council; ask when it meets and whether family members may attend.
  • If Medicaid may pay later, confirm Adel Acres accepts Iowa Medicaid for long stays and which managed care plans it contracts with.
Source: Iowa Department of Inspections, Appeals, and Licensing (DIAL), Health Facilities Division public Entity Report, run November 6, 2026 (dia-hfd.iowa.gov); DIAL Survey Due and Assessed Fines reports (fines with exit dates from January 2023); CMS Care Compare Provider Information, data as of October 1, 2026 (data.cms.gov). Star ratings are CMS's own; we do not rate facilities.

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