The nursing home failed to ensure residents were free from significant medication errors. Cited March 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
Nursing home report
Adel Acres
Adel, IA · Medicare-certified · 50 beds
Needs attention
For-profitChain member
2 of 5 overall
Adel Acres has a 2 out of 5 overall rating, with especially weak health inspection and staffing ratings at 1 out of 5, despite a 5 out of 5 quality measures rating. It also has a recent federal penalty, $16,244 in fines over the last 24 months, and reported nurse staffing of 3.07 hours per resident per day, below the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
3.066 hrs/resident/day
Quality measures
Last inspection: March 26, 2026Penalties, last 24 months: $16,244recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.066.
Staffing detail
- Registered nurses
- 0.48
- Licensed practical nurses
- 0.47
- Nurse aides
- 2.12
- Weekend nursing
- 2.63
Hours per resident per day.
Total staff turnover: 54%
Registered nurse turnover: 88%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
9.1%22.7%Worsening
Residents with a fall causing major injury
5.3%0%Improving
Residents with pressure ulcers (bedsores)
2.4%4.6%Worsening
Residents with a urinary tract infection
0%9.1%Worsening
Residents who lost too much weight
9.4%3.6%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
18.8%30.8%Worsening
Residents whose ability to walk got worse
8.9%7.9%Improving
Long-stay residents on antianxiety or sleep medication
24.2%35.7%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
21.2%22.6%Worsening
Residents with depressive symptoms
0%17.2%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—81%—
Long-stay residents given the pneumonia vaccine
100%63.6%Worsening
Short-stay residents given the seasonal flu vaccine
—4.3%—
Short-stay residents given the pneumonia vaccine
100%29%Worsening
What the inspectors found
The nursing home failed to provide services that met professional standards of quality. Cited October 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to submit complete and accurate staffing information based on verifiable records. Cited May 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 851 — 42 CFR §483.70 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $16,244 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $16,244 in total fines.
- $16,244
Federal fine
Oct 16, 2025
Operator & ownership
- Ownership
- For profit - Individual
- Chain
- Part of MGM HEALTHCARE · 33 homes · 2.4 stars avg
- Occupancy
- 40 residents on an average day (80% of 50 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 21 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.