Federal inspection record · CMS data as of October 1, 2026
Pleasant Acres Care Center
309 Railroad Street, Hull, IA · (712) 439-2758
- Certified beds
- 46
- Residents per day
- 37
- Ownership
- For-Profit
- Chain
- Campbell Street Services
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1995
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Pleasant Acres Care Center carries 33 inspection points. That is fewer than 50% of Iowa's 385 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–7 pts
- 4★ 7–21 pts
- 3★ 21–41 pts
- 2★ 41–86.5 pts
- 1★ over 86.5 pts
Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
23 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights5E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Quality of Life and Care4D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Nutrition and Dietary3E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
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.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning3E
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure each resident receives an accurate assessment.
Nursing and Physician Services3E
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
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.
Administration3E
- E
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.
- E
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
- E
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Inspection history
2026-02-19
7 health deficiencies · 7 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2024-12-12
6 health deficiencies · 7 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2023-10-19
10 health deficiencies · 10 fire-safety deficiencies
Top issue: Administration (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 13 min of nursing staff time a day, 41 min of it from a registered nurse.
This home
3 h 13 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 36% of nursing staff and 25% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.6 pts worse | 2.0 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse | 2.0 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.8 pts better | 100.0% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.6 pts better | 97.4% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts better | 2.4% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.6 pts better | 3.6% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.8 pts better | 2.6% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.6 pts worse | 22.6% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication11 pts worse | 30.8% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.2 pts better | 15.0% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.1 pts better | 13.5% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts worse | 1.6% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.8 pts better | 1.6% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.5 pts better | 18.5% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.1 pts better | 0.0% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine0.7 pts worse | 83.3% | 84.0% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication13.9 pts worse | 16.0% | 2.1% | 1.5% |
·
Who owns and runs it
26 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| 5v+ Seniors Healthcare Fund Gp, LLC | Indirect Ownership Interest · Organization | 0% | 6 facilities |
| 5v+ Seniors Healthcare Fund, LP | Indirect Ownership Interest · Organization | 0% | 6 facilities |
| Acd Consolidated LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Bear Creek Sraf Gp Holdings LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Bear Creek Strategic Real Assets Fund LP | Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Birchwood Healthcare Partners LLC | Indirect Ownership Interest · Organization | 0% | 15 facilities |
| Birchwood Healthcare Partners LLC | Operational/Managerial Control · Organization | 0% | 15 facilities |
| Campbell Street Ia 10 LLC | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Campbell Street Ia 10 LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Campbell Street Services LLC | Direct Ownership Interest · Organization | 0% | 26 facilities |
| Campbell Street Services LLC | Operational/Managerial Control · Organization | 0% | 26 facilities |
| Campbell Street Services LLC | Adp Of The SNF · Organization | 0% | 26 facilities |
| Defranco Investment Co Ltd | Adp Of The SNF · Organization | 0% | 8 facilities |
| Dole, Isaac | Indirect Ownership Interest · Individual | 0% | 27 facilities |
| Dole, Isaac | Managing Control - Governing Body · Individual | 0% | 27 facilities |
| Dole, Isaac | Operational/Managerial Control · Individual | 0% | 27 facilities |
| Holdco, Ia, 10, LLC | Operational/Managerial Control · Organization | 0% | 8 facilities |
| Holdco, Ia, 10, LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Iaga SNF Holdings LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Iaga SNF Hull LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Iaga SNF Portfolio LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Lennon, Jodi | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Lennon, Jodi | Adp Of The SNF · Individual | 0% | 1 facilities |
| Nap Holdings LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Rickard, Christopher | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Rickard, Christopher | Adp Of The SNF · Individual | 0% | 2 facilities |
·
Fire safety
24 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke12F
- F
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Provide properly protected cooking facilities.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Install corridor and hallway doors that block smoke.
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Gas, Vacuum, and Electrical Systems5F
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
Egress3F
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F
Install proper backup exit lighting.
- F
Have properly located and lighted "Exit" signs.
Construction1F
- F
Meet other general requirements.
·
Other homes nearby
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Hegg Memorial Health Center
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- E
- Nursing / resident / day
- 4 h 19 min
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-
Crown Pointe Estates Care Center
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-
Prairie Ridge Care Center
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- Nursing / resident / day
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