The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Adel Acres
Adel, IA · Medicare-certified · 50 beds
Needs attention
Special Focus candidateFor-profit
Data as of September 1, 2026
1 of 5 overall
Adel Acres in Adel, IA has a 1 out of 5 overall rating, with 1-star health inspection and staffing ratings but a 4-star quality measures rating. It is an SFF Candidate and special focus facility, reported 3.02 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and had $58,014 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.0221 hrs/resident/day
Quality measures
Last inspection: March 26, 2026Penalties, last 24 months: $58,014special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0221.
Staffing detail
- Registered nurses
- 0.42
- Licensed practical nurses
- 0.62
- Nurse aides
- 1.98
- Weekend nursing
- 2.46
Hours per resident per day.
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
10%21.7%Worsening
Residents with a fall causing major injury
2.5%0%Improving
Residents with pressure ulcers (bedsores)
3.1%6.8%Worsening
Residents with a urinary tract infection
0%5.6%Worsening
Residents who lost too much weight
10.3%6.9%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
32.1%19.2%Improving
Residents whose ability to walk got worse
25.8%21.6%Improving
Long-stay residents on antianxiety or sleep medication
27.6%34.5%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%1.8%Worsening
Residents with new or worsening incontinence
16.8%25.6%Worsening
Residents with depressive symptoms
51.6%12.9%Improving
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%80.6%Worsening
Short-stay residents given the seasonal flu vaccine
—4.3%—
Short-stay residents given the pneumonia vaccine
100%34.5%Worsening
What the inspectors found
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
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 have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited March 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
Recent history
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $22,335 was recorded.
- PENALTY
A federal fine of $19,135 was recorded.
- 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 $16,544 was recorded.
- 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: 3 fines · $58,014 in total fines · 1 payment denial.
- 52 days
Medicare/Medicaid payment denial
Mar 26, 2026
- $22,335
Federal fine
Mar 26, 2026
- $19,135
Federal fine
Mar 26, 2026
- $16,544
Federal fine
Oct 16, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 38.8 residents on an average day (78% 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.