Adel Acres
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 10 Google reviews

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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
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 detailsStrengths
- 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
Distribution · 10 analyzed
How They Respond to Reviews
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.”
“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.”
“I've never met so many kind, genuinely caring people in one facility in my life.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
4
measures
8
measures
5
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for the flu
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents vaccinated for pneumonia
Residents on antipsychotic medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2026Complaint4
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Oct 16, 2025Complaint3
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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, 2025Routine10
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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.
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, 2024Complaint6
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.
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.
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Aug 3, 2024Complaint1
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
May 23, 2024Routine9
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
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.
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
Mar 26, 2026InspectionClean
Fed violations: 11, State violations: 1
Oct 27, 2025ComplaintClean
Fed violations: 0, State violations: 0
Oct 16, 2025ComplaintClean
Fed violations: 3, State violations: 3
May 21, 2025InspectionClean
Fed violations: 0, State violations: 0
Apr 9, 2025InspectionClean
Fed violations: 9, State violations: 1
Feb 27, 2025ComplaintClean
Fed violations: 0, State violations: 0
Jan 7, 2025ComplaintClean
Fed violations: 0, State violations: 0
Dec 17, 2024ComplaintClean
Fed violations: 6, State violations: 0
Ownership & Operations
Who Operates This Facility
Adel Acres
for profit
Chain Affiliation
Mgm Healthcare
33 facilities nationwide
Chain avg rating: 2.2/5 · Rank 19 of 30
Ownership & Management
Owners
Undisclosed
Ownership Data Not Available · Organization
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
10 reviews from families & visitors
Official Website
Visit mgmhealthcare.com
Medicare data downloads
Original nursing home datasets
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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.