Adel Acres
1919 Greene Street · Adel, IA · 50003 · 5159934511
50 certified beds For profit - Individual Chain: Mgm Healthcare
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- 4 citations involved actual harm to residents.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
4 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.07 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.48 | 0.55–0.75 |
| Weekend hours / resident-day | 2.63 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 1 · $16,544 |
Inspection citations (43 in the current record)
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Actual harm · G March 26, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 9, 2026 · Pharmacy Service
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Potential for harm · D March 26, 2026 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected April 16, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 26, 2026 · found via complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected April 16, 2026 · Nutrition and Dietary
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Potential for harm · E March 26, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 16, 2026 · Nutrition and Dietary
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Actual harm · G October 16, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 27, 2025 · Resident Assessment and Care Planning
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Actual harm · G October 16, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 27, 2025 · Quality of Life and Care
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Potential for harm · D October 16, 2025 · found via complaint
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected October 27, 2025 · Nursing and Physician Services
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Actual harm · G April 9, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 23, 2025 · Quality of Life and Care
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Potential for harm · D April 9, 2025
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.
Corrected May 1, 2025 · Quality of Life and Care
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Potential for harm · E April 9, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 1, 2025 · Quality of Life and Care
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Potential for harm · D April 9, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected May 1, 2025 · Pharmacy Service
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Potential for harm · D April 9, 2025
Ensure that residents are free from significant medication errors.
Corrected May 1, 2025 · Pharmacy Service
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Potential for harm · D April 9, 2025
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.
Corrected May 1, 2025 · Nutrition and Dietary
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Potential for harm · E April 9, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 1, 2025 · Nutrition and Dietary
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Potential for harm · D April 9, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 9, 2025
Provide and implement an infection prevention and control program.
Corrected May 1, 2025 · Infection Control
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Potential for harm · D December 17, 2024 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected January 7, 2025 · Resident Rights
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Potential for harm · D December 17, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 7, 2025 · Resident Assessment and Care Planning
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Potential for harm · D December 17, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 7, 2025 · Quality of Life and Care
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Potential for harm · E December 17, 2024 · found via complaint
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.
Corrected January 7, 2025 · Pharmacy Service
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Potential for harm · E December 17, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 7, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D December 17, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected January 7, 2025 · Infection Control
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Potential for harm · D August 3, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 22, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 23, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected June 20, 2024 · Resident Rights
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Potential for harm · D May 23, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected June 11, 2024 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 16, 2025 | Fine | $16,544 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165555 · certified since December 1, 2004. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.