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Nursing HomeMedicaid Investigative

Adel Acres

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1919 Greene Street, Adel, IA 5000350 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.6/5

based on 10 Google reviews

5
4
3
2
1
Adel Acres Nursing Home in Adel, IA — Street View
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6/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (12 vs median 5)
  • High staff turnover (56%)
  • High RN turnover (88%)

Below average in IA · Below recommended RN staffing · $24,990 in fines

Source: Medicare data

What this means for your family

Adel Acres maintains a strong reputation for a compassionate, home-like environment with highly responsive administrative staff. Families should feel confident in the facility's cleanliness and the kindness of the care team, though they may want to inquire about specific daily activity schedules to ensure they meet their loved one's needs.

Google Reviews

Google Reviews

10 reviews on Google
Adel Acres is consistently praised for its compassionate intake process and a warm, home-like environment. Reviewers frequently highlight the kindness of the nursing and administrative staff, noting that the facility is well-maintained and clean.

Quality Themes

Tap a score for details
Food10.0Staff10.0Clean10.0ActivitiesN/AMedsN/AMemoryN/AComms10.0ValueN/A

Strengths

  • Compassionate and responsive administrative staff
  • Clean, well-maintained building and grounds
  • Warm, home-like atmosphere
  • Dedicated and caring nursing team

Rating Trends

Tap a year to see what changed

2345.02018(1)5.02019(1)5.02020(2)3.02021(2)5.02022(2)5.02025(1)5.02026(1)

Distribution · 10 analyzed

5
9
4
0
3
0
2
0
1
1

How They Respond to Reviews

10%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1It is so lovely to see how clean and well-maintained the building and grounds are; what specific routines do you have in place to keep the facility looking so nice?
  • 2We noticed the administrative team is very responsive to feedback; how does the management team typically communicate important facility updates to families?
  • 3With a smaller, intimate community of 50 residents, how do you ensure there is enough nursing staff available to provide attentive care during the overnight hours?
  • 4Can you walk us through the specific protocols the nursing team follows if a resident has a sudden medical emergency in the middle of the night?
  • 5What kind of daily activities or social outings do you organize to help residents stay engaged and enjoy that warm, home-like atmosphere?
  • 6How does the facility monitor and address any new clinical or safety concerns to ensure the highest standard of care for the residents?

Personalized based on this facility's data


Key Review Excerpts

The intake process with Grace was kind, compassionate and supportive of their dignity at a time of growing dependence.

Long-term resident's family · 2022★★★★★

I walk in and the place smells like Grandma's house. Good food cooking, clean linen, people watching a little TV or taking a nap.

Visitor · 2018★★★★★

I've never met so many kind, genuinely caring people in one facility in my life.

Visitor · 2025★★★★★
Source: 10 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.48hrs
63%
Registered nurses for medical care
Total Nursing
3.07hrs
75%
All nurses + aides combined
Staff Turnover
54%
Lower is better (< 30% = good)
RN Turnover
88%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

4

measures

Worse Than Avg

8

measures

Mixed Results

5

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility19.5%
Worse than Avg
Here
19.5%
US
12.1%
IA
4.1%
Dallas
1.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for the flu

↑ Higher is better
This Facility81.0%
Worse than Avg
Here
81.0%
US
95.5%
IA
95.2%
Dallas
97.8%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility30.3%
Worse than Avg
Here
30.3%
US
19.5%
IA
20.7%
Dallas
15.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility25.7%
Worse than Avg
Here
25.7%
US
14.4%
IA
17.6%
Dallas
17.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility85.6%
Worse than Avg
Here
85.6%
US
93.4%
IA
93.9%
Dallas
95.9%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility12.3%
Mixed vs Avgs
Here
12.3%
US
15.4%
IA
19.4%
Dallas
10.6%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility4.3%
Worse than Avg
Here
4.3%
US
79.7%
IA
73.3%
Dallas
80.5%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility70.9%
Worse than Avg
Here
70.9%
US
81.8%
IA
84.0%
Dallas
86.9%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
IA
2.0%
Dallas
1.3%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

16deficiencies
1penalties
Well above state avg (6.2)
16 complaint-triggered
$24,990 in fines

Families have repeatedly filed complaints against Adel Acres triggering over one-third of the 43 deficiencies found across 7 surveys. The facility shows persistent problems in care planning, treatment quality, and medication management, with the same issues recurring across multiple years despite corrections. While all deficiencies have reported correction dates, the pattern of repeated complaints and similar violations suggests ongoing quality concerns.

Mar 26, 2026Complaint
4
0760Actual harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0805Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Oct 16, 2025Complaint
3
0658Actual harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0710Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Apr 9, 2025Routine
10
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0689Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0803Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Dec 17, 2024Complaint
6
0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Aug 3, 2024Complaint
1
0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

May 23, 2024Routine
9
0851Potential for harm · WidespreadCorrected

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0836Potential for harm · IsolatedCorrected

Administration Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Oct 16, 2025

$16,244

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
35deficiencies
Mar 26, 2026Inspection
Clean

Fed violations: 11, State violations: 1

Oct 27, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Oct 16, 2025Complaint
Clean

Fed violations: 3, State violations: 3

May 21, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Apr 9, 2025Inspection
Clean

Fed violations: 9, State violations: 1

Feb 27, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Jan 7, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Dec 17, 2024Complaint
Clean

Fed violations: 6, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Adel Acres

Organization Type

for profit

Chain Affiliation

Chain Name

Mgm Healthcare

Chain Size

33 facilities nationwide

Chain avg rating: 2.2/5 · Rank 19 of 30

Ownership & Management

Owners

Undisclosed

Ownership Data Not Available · Organization

Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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