Adel Acres
A nursing home in Adel, Iowa 50003
1919 Greene Street, Adel, Iowa 50003. (515) 993-4511.
- A candidate for CMS’s special focus list
Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.
The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 17 health citations at the latest inspection cycle Iowa average: 6.6
- 2.98 nurse hours per resident per day Iowa average: 3.86
- 3 fines in the last three years (needs attention)
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
17 health citations at the latest inspection cycle
The Iowa average is 6.6.
Last standard inspection Mar 26, 2026.
Most serious in three years: actual harm (G), at a complaint inspection on Mar 26, 2026
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
44 citations in 7 months of the last 36. Last cited Mar 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 44 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 17 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Mar 26, 2026: standard inspection9 citations
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Ensure that residents are fully informed and understand their health status, care and treatments.
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Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident’s ability to function.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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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.
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Ensure each resident’s drug regimen must be free from unnecessary drugs.
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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.
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Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
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Have a plan that describes the process for conducting QAPI and QAA activities.
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Provide and implement an infection prevention and control program.
Mar 26, 2026: standard and complaint inspection4 citations
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Ensure that residents are free from significant medication errors.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Mar 26, 2026: complaint inspection1 citation
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Oct 16, 2025: complaint inspection3 citations
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Obtain a doctor’s order to admit a resident and ensure the resident is under a doctor’s care.
Apr 9, 2025: standard inspection9 citations
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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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.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Ensure medication error rates are not 5 percent or greater.
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Ensure that residents are free from significant medication errors.
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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.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Provide and implement an infection prevention and control program.
Dec 17, 2024: complaint inspection6 citations
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Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.
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Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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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.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Provide and implement an infection prevention and control program.
Aug 3, 2024: complaint inspection1 citation
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Ensure services provided by the nursing facility meet professional standards of quality.
May 23, 2024: standard inspection9 citations
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Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Provide enough food/fluids to maintain a resident’s health.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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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.
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Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
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Provide and implement an infection prevention and control program.
Apr 4, 2024: complaint inspection2 citations
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Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Dec 1, 2004.
- A candidate for CMS’s special focus list, which CMS keeps for homes with a history of serious problems.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, limited liability company.
- 50 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- 3 fines in the last three years, $43,500 in all.
- 1 Medicare payment denial in the last three years.
- 17 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | Kind | Amount |
|---|---|---|
| Mar 26, 2026 | Medicare payment denial | Not given |
| Mar 26, 2026 | Fine | $14,518 |
| Mar 26, 2026 | Fine | $12,438 |
| Oct 16, 2025 | Fine | $16,544 |
Who does the caring?
2.98 nurse hours per resident per day
The Iowa average is 3.86.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Iowa average |
|---|---|---|
| Nurse hours per resident per day | 2.98 | 3.86 |
| Of which registered nurses | 0.62 | 0.74 |
| At weekends | 2.71 | 3.38 |
| Nursing staff turnover | Not given | 44.1% |
| Registered nurse turnover | Not given | 42.1% |
| Administrators who left | 1 | Not given |
Who owns it?
- Holdco, IA 5, LLC owns 100% directly since Nov 3, 2025.
- Holdco, IA 5, LLC and Birchwood Healthcare Partners LLC and Campbell Street Services LLC run it.
- 16 owners or officers are people: Brenda S Satterfield (runs it (operational or managerial control)); Brenda S Satterfield (additional disclosable party (controls, leases property to, or provides services to the home)); Isaac S Dole (owns 5% or more directly); Isaac S Dole (runs it (operational or managerial control)); Isaac S Dole (on the governing body (managing control)); Isaac S Dole (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Cassidy Dinkla (runs it (operational or managerial control)); Cassidy Dinkla (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Dale M Grunewald (runs it (operational or managerial control)); Dale M Grunewald (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Kody Petrich (runs it (operational or managerial control)); Kody Petrich (additional disclosable party (controls, leases property to, or provides services to the home)).
- Part of Campbell Street Services (25 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Holdco, IA 5, LLC | Owns 5% or more directly | 100% | Nov 3, 2025 |
| Birchwood Healthcare Partners LLC | Owns 5% or more through other companies | 100% | Nov 3, 2025 |
| Holdco, IA 5, LLC | Runs it (operational or managerial control) | Nov 3, 2025 | |
| Holdco, IA 5, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 5, 2025 | |
| Adel Property, LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 3, 2025 | |
| Cyclone Holdco LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 3, 2025 | |
| Birchwood Healthcare Partners LLC | Runs it (operational or managerial control) | Nov 3, 2025 | |
| Campbell Street Services LLC | Runs it (operational or managerial control) | Nov 3, 2025 | |
| Campbell Street Services LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 5, 2025 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (Iowa average 3.4).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 1 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 15.6 miles, this one had the 2nd most health citations at the latest inspection cycle (17; the middle value was 6).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Adel Acres This nursing home | 17 | |
| Spurgeon Manor | 6.0 | 3 |
| Arbor Springs of West Des Moines L L C | 11.1 | 13 |
| Edgewater, A Wesleylife Community | 11.1 | 8 |
| Cedar Ridge Village | 11.2 | 7 |
| Deerfield Health Care Center | 11.6 | 1 |
| Kennybrook Village | 12.8 | 3 |
| Walnut Ridge | 13.4 | 4 |
| Harmony West Des Moines | 14.5 | 16 |
| Granger Nursing & Rehabilitation Center | 14.7 | 4 |
| Royal Oaks Nursing and Rehabilitation Center | 15.6 | 23 |
| Brio of Johnston, LLC | 15.6 | 5 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.