Quick answers
- Where is Adel Acres?
- 1919 Greene Street, Adel, IA 50003, in Dallas County, Iowa.
- What is the phone number of Adel Acres?
- (515) 993-4511, as listed by Medicare (CMS).
- What is the Medicare star rating of Adel Acres?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Adel Acres been fined?
- Medicare lists 3 fines totaling $43,500 and 1 payment denial.
- What did inspectors find at Adel Acres?
- In its last three inspection cycles (April 4, 2024 to March 26, 2026), Medicare lists 44 health citations; the most serious was level G. 5 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (April 4, 2024 to March 26, 2026), Adel Acres had 44 health citations; the most serious was level G (actual harm to residents). 5 of them were level G or higher (actual harm or immediate jeopardy). It was fined $43,500 in total (3 fines, the latest on March 26, 2026) and had 1 Medicare payment denial. Nurse staffing is 2.98 hours per resident per day; the Iowa average is 3.86 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: March 26, 2026 — 17 health citations
Inspections in this cycle: October 16, 2025 (complaint investigation); March 26, 2026 (complaint investigation); March 26, 2026 (standard health inspection).
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0760 Level G
“Ensure that residents are free from significant medication errors.”
actual harm to residents; isolated (a few residents) · Pharmacy Service Deficiencies
F0658 Level G
“Ensure services provided by the nursing facility meet professional standards of quality.”
actual harm to residents; isolated (a few residents) · Resident Assessment and Care Planning Deficiencies
F0684 Level G
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 13 less serious citations (levels A to F)
F0727 Level F
“Have 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.”
F0851 Level F
“Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0552 Level D
“Ensure that residents are fully informed and understand their health status, care and treatments.”
F0605 Level D
“Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0757 Level D
“Ensure each resident’s drug regimen must be free from unnecessary drugs.”
F0761 Level D
“Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.”
F0805 Level D
“Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.”
F0865 Level D
“Have a plan that describes the process for conducting QAPI and QAA activities.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0710 Level D
“Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.”
Previous cycle: April 9, 2025 — 15 health citations
Inspections in this cycle: December 17, 2024 (complaint investigation); April 9, 2025 (standard health inspection).
F0684 Level G
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 14 less serious citations (levels A to F)
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0761 Level E
“Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.”
F0842 Level E
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0688 Level D
“Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.”
F0759 Level D
“Ensure medication error rates are not 5 percent or greater.”
F0760 Level D
“Ensure that residents are free from significant medication errors.”
F0803 Level D
“Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0561 Level D
“Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Earlier cycle: May 23, 2024 — 12 health citations
Inspections in this cycle: April 4, 2024 (complaint investigation); May 23, 2024 (standard health inspection); August 3, 2024 (complaint investigation).
Show 12 citations (levels A to F, no actual harm)
F0851 Level F
“Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0582 Level D
“Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.”
F0607 Level D
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0644 Level D
“Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0692 Level D
“Provide enough food/fluids to maintain a resident's health.”
F0836 Level D
“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.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0868 Level D
“Have the Quality Assessment and Assurance group have the required members and meet at least quarterly”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (1)
E0039 Level F
“Conduct testing and exercise requirements.”
Fines and payment denials
Total fines over about the last three years: $43,500 (3 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| March 26, 2026 | Fine | $12,438 |
| March 26, 2026 | Fine | $14,518 |
| March 26, 2026 | Payment denial | from April 24, 2026, 52 days |
| October 16, 2025 | Fine | $16,544 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Iowa | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.62 | 0.74 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.33 | 0.56 | 0.86 |
| Nurse aide hours per resident per day | 2.03 | 2.56 | 2.35 |
| Total nurse staff hours per resident per day | 2.98 | 3.86 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.71 | 3.38 | 3.43 |
| RN hours per resident per day on the weekend | 0.48 | 0.51 | 0.48 |
| Administrators who left in the last year | 1.0 | 0.4 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 25 nursing homes: Campbell Street Services.
Legal business name: Opco Adel, Ia, LLC.
Owners and managers Medicare lists (4)
| Name | Role | Share | Since |
|---|---|---|---|
| Dole, Isaac | Direct owner | — | November 3, 2025 |
| Birchwood Healthcare Partners LLC | Management company (operational or managerial control) | NOT APPLICABLE | November 3, 2025 |
| Campbell Street Services LLC | Management company (operational or managerial control) | NOT APPLICABLE | November 3, 2025 |
| Holdco, IA 5, LLC | Management company (operational or managerial control) | NOT APPLICABLE | November 3, 2025 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 50 |
| Average residents per day | 40.5 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – limited liability company |
| Group or chain (affiliated entity) | Campbell Street Services |
| Legal business name | Opco Adel, Ia, LLC |
| First approved by Medicare/Medicaid | 2004-12-01 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 1919 Greene Street, Adel, IA 50003 |
| County | Dallas County |
| State | Iowa |
| Phone | (515) 993‑4511 |
| CMS Certification Number | 165555 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Spurgeon Manor6.0 mi · Dallas Center, IA · 5 of 5 stars
- Arbor Springs of West Des Moines L L C11 mi · West Des Moines, IA · 1 of 5 stars
- Edgewater, A Wesleylife Community11 mi · West Des Moines, IA · 3 of 5 stars
- Cedar Ridge Village11 mi · West Des Moines, IA · 3 of 5 stars
- Deerfield Health Care Center12 mi · Urbandale, IA · 5 of 5 stars
Nearest hospital emergency rooms
- Dallas County Hospital15 mi · Perry, IA · Critical Access Hospital
- VA Central Iowa Healthcare System19 mi · Des Moines, IA · Federal/VA Acute Care Hospital
- Madison County Health Care System20 mi · Winterset, IA · Critical Access Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13