Pleasant Acres Care Center
309 Railroad Street, Hull, IA 51239 · Sioux County · (712) 439-2758
46 certified beds, about 36 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1995
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165248 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on February 19, 2026, inspectors cited 7 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 23 health citations since October 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.02 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.80 of those hours.
31.0% of nursing staff left within the year CMS measured (Iowa average 44.0%).
CMS links it to Campbell Street Services, an affiliated group of 24 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
1010/23
612/24
702/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 23 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
12D
11E
0F
Potential for minimal harm
0A
0B
0C
February 19, 2026Standard inspection, Complaint inspection · 7 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, staff interviews, and facility policy review the facility failed to ensure proper sanitary conditions in the kitchen area, where staff prepared food. The facility identified a census of 37 residents.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, clinical record review, and interviews with residents and staff, the facility failed to maintain resident dignity and privacy during incontinence care and to communicate about residents in a respectful manner for 2 of 12 residents reviewed (Residents #8 and #30). The facility reported a census of 37 residents.
- D Allow residents to self-administer drugs if determined clinically appropriate.
Inspectors wroteBased on observation, medical record review, facility policy review and staff interview the facility failed to ensure resident self administering medications was safe to do and failed to watch resident not assessed to self administer medications took their medications for 1 of 1 resident observed (Resident #26). The facility reported a census of 37.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review, staff interviews and facility policy review the facility failed to complete neurological checks after a resident fell for 1 of 1 residents reviewed (Resident #11). The facility reported a census of 37 residents.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observations, staff interviews, and facility policy review, the facility failed to provide safe transfers of residents with transfers 1 of 3 residents reviewed (Resident #11). The facility reported a total census of 37 residents.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, record review, interviews, and policy review, the facility failed to implement and practice appropriate infection control measures for use of a Bilevel Positive Airway Pressure (BiPAP) machine by not establishing or following a routine cleaning schedule for 1 of 12 residents reviewed (Resident #7). The facility reported a census of 37 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, policy review, and staff interviews, the facility failed to perform blood sugar testing and administer insulin in a manner that protected the resident from bloodborne pathogens for 1 of 1 residents reviewed (Resident #7). The facility reported a census of 37 residents.
December 12, 2024Standard inspection · 6 citations
- 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.
Inspectors wroteBased on observation, document review and staff interview the facility failed to follow the menu and prepare food to meet the residents nutritional needs. The facility reported a census of 27 residents.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on clinical record review and staff interview the facility failed to notify the Long Term Care (LTC) Ombudsman for 2 of 2 residents reviewed who transferred to the hospital (Resident #4 and #15). The facility reported a census of 27 residents.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on electronic health record review, policy review, resident interviews, family interviews, and staff interviews the facility failed to provide an opportunity for a comprehensive care plan to be reviewed and revised by an interdisciplinary team composed of each resident and resident representative to allow developing the care plan and making decisions about his or her care to 2 of 12 residents reviewed (Resident #14 and #19). The facility reported a census of 27 residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review, resident and staff interviews and facility policy review the facility failed to provide physician ordered medications and failed to notify the physician of missed medications for 1 of 1 residents reviewed (Resident #4). The facility reported a census of 27 residents.
- D Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on interview, record review, and policy review, the facility failed to ensure call lights responded to in a timely manner for 2 out of 4 residents reviewed (Resident #4 and #23). The facility reported a census of 27 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, policy review, and staff interview the facility failed to provide appropriate infection prevention practices when providing care to a resident with a suprapubic catheter, that was on Enhanced Barrier Precautions (EBP) for 1 of 1 reviewed (Resident #21). The facility reported a census of 27 residents.
October 19, 2023Standard inspection, Complaint inspection · 10 citations
- E Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Inspectors wroteBased on record review, interview, and facility policy the facility failed to provide resident or resident representative quarterly statements for 3 out of 3 residents reviewed (Resident #9, #12 and #20) . The facility reported a census of 26.
- E Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on clinical record review and staff interview the facility failed to notify the Long Term Care (LTC) Ombudsman for 4 of 4 residents reviewed who transferred to the hospital (Resident #9, #15, #19 and #25). The facility reported a census of 26 residents.
- E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on clinical record review, staff interview and facility policy the facility failed to revise and update the care plan to include oral intake for 2 of 2 residents reviewed for oral intake (Resident # 1 and # 24) and failed to list high risk medications and side effects for 3 out of 5 residents reviewed for high risk medications (Resident #2, #12, #18). The facility reported a census of 26 residents.
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on interview, record review, and policy review, the facility failed to ensure call lights responded to in a timely manner for 3 out of 3 residents reviewed (Resident #12, #18, #19). The facility reported a census of 26 residents.
- 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.
Inspectors wroteBased on facility schedule reviews and staff interview, the facility failed to assure a Registered Nurse (RN) on duty for 8 hours daily, 7 days per week. The facility reported a census of 26 residents.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, staff interviews, and facility policy reviews the facility failed to ensure food was stored and prepared under sanitary conditions. The facility identified a census of 26 residents.
- 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.
Inspectors wroteWithin 30 days of a resident's admission to a healthcare facility receiving reimbursement through the medical assistance program under Iowa Code chapter 249 A, the facility shall ask the resident or the residents personal representative whether the resident is a veteran and shall document the response. If the facility determines that the resident is a veteran, the facility shall report the resident's name along with the names of the resident's spouse and any dependent children, as well as the name of the contact person for this information, to the Iowa department of veteran's affairs. Where appropriate, the facility first shall seek reimbursement from the identified payer source before seeking reimbursement from the medical assistance program established under Iowa Code chapter 249A. [...]
- E Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Inspectors wroteBased on record review, interview, and facility policy the facility failed to grant the resident or representative the right to rescind a signed Arbitration agreement within 30 calendar days of signing it. The facility reported a census of 26.
- E Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteBased on record review, interview, and facility policy the facility failed to have the Medical Director at quarterly meetings for their quarterly Quality Assessment and Assurance (QAA) meetings and hold QAA meetings every quarter. The facility reported a census of 26.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review and staff interview, the facility failed to complete the comprehensive resident assessment accurately for 1 of 13 residents reviewed (Resident #5). The facility reported a census of 26 residents.
Fire safety inspections
24 fire safety citations on file: 7 on February 19, 2026, 7 on December 12, 2024, 10 on October 19, 2023.
Every fire safety citation24 citations
- F Meet other general requirements.
- 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 Have simulated fire drills held at unexpected times.
- F Ensure that testing and maintenance of electrical equipment is performed.
- 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 To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- 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 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.
- 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.
- F Have simulated fire drills held at unexpected times.
- 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.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.02 | 3.82 | 3.86 |
| Registered nurses | 0.80 | 0.74 | 0.69 |
| All nursing staff on weekends | 2.61 | 3.37 | 3.42 |
| Nurse aides | 1.28 | ||
| Licensed practical nurses | 0.94 | ||
| Nursing staff turnover (share who left in a year) | 31.0% | 44.0% | 45.8% |
| Registered nurse turnover | 25.0% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.36 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.19 on weekdays and 2.61 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.36 in April to June 2025 to 3.02 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.02 | 0.80 | 3.19 | 2.61 | 0.0% | 0 of 90 | 36 |
| Oct to Dec 2025 | 3.27 | 0.80 | 3.38 | 2.99 | 0.0% | 0 of 92 | 35 |
| Jul to Sep 2025 | 3.44 | 1.01 | 3.61 | 3.02 | 0.0% | 0 of 92 | 30 |
| Apr to Jun 2025 | 3.36 | 1.05 | 3.46 | 3.12 | 13.2% | 0 of 91 | 30 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 17.1 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.5 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.7 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.4 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 6.9 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 22.0 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.0 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 26.2 | 19.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.8 | 2.1 | 1.8 |
Owners and operators
Legal business name: OPCO HULL IA LLC. CMS links this home to Campbell Street Services, a group of 24 nursing homes averaging 2.1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Campbell Street Services LLC | Direct ownership interest | Organization | 02/01/2025 | |
| 5v+ Seniors Healthcare Fund Gp, LLC | Indirect ownership interest | Organization | 09/01/2025 | |
| 5v+ Seniors Healthcare Fund, LP | Indirect ownership interest | Organization | 09/01/2025 | |
| Bear Creek Strategic Real Assets Fund LP | Indirect ownership interest | Organization | 09/01/2025 | |
| Birchwood Healthcare Partners LLC | Indirect ownership interest | Organization | 02/01/2025 | |
| Dole, Isaac | Indirect ownership interest | Individual | 02/01/2025 | |
| Dole, Isaac | Managing control - governing body | Individual | 02/01/2025 | |
| Birchwood Healthcare Partners LLC | Operational/managerial control | Organization | 02/01/2025 | |
| Campbell Street Ia 10 LLC | Operational/managerial control | Organization | 02/01/2025 | |
| Campbell Street Services LLC | Operational/managerial control | Organization | 02/01/2025 | |
| Holdco, Ia, 10, LLC | Operational/managerial control | Organization | 02/01/2025 | |
| Dole, Isaac | Operational/managerial control | Individual | 02/01/2025 | |
| Lennon, Jodi | Operational/managerial control | Individual | 02/01/2025 | |
| Rickard, Christopher | Operational/managerial control | Individual | 02/01/2025 | |
| Acd Consolidated LLC | Adp of the SNF | Organization | 09/01/2024 | |
| Bear Creek Sraf Gp Holdings LLC | Adp of the SNF | Organization | 09/01/2024 | |
| Campbell Street Ia 10 LLC | Adp of the SNF | Organization | 02/01/2025 | |
| Campbell Street Services LLC | Adp of the SNF | Organization | 02/01/2025 | |
| Defranco Investment Co Ltd | Adp of the SNF | Organization | 09/01/2024 | |
| Holdco, Ia, 10, LLC | Adp of the SNF | Organization | 07/03/2025 | |
| Iaga SNF Holdings LLC | Adp of the SNF | Organization | 09/01/2024 | |
| Iaga SNF Hull LLC | Adp of the SNF | Organization | 09/01/2025 | |
| Iaga SNF Portfolio LLC | Adp of the SNF | Organization | 07/07/2025 | |
| Nap Holdings LLC | Adp of the SNF | Organization | 09/01/2024 | |
| Lennon, Jodi | Adp of the SNF | Individual | 02/01/2025 | |
| Rickard, Christopher | Adp of the SNF | Individual | 02/01/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on February 19, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on February 19, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on February 19, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on December 12, 2024: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.61 hours per resident per day, below the Iowa average of 3.37.
Other nursing homes nearby
- Hegg Memorial Health Center Rock Valley, 7.2 mi · 5 of 5 stars · 11 citations
- Crown Pointe Estates Care Center Sioux Center, 8.7 mi · 4 of 5 stars · 18 citations
- Prairie Ridge Care Center Orange City, 13.1 mi · 5 of 5 stars · 10 citations
- Good Samaritan - George George, 13.4 mi · 5 of 5 stars · 21 citations
- Sanford Senior Care Sheldon Sheldon, 15 mi · 1 of 5 stars · 21 citations
- Lyon Specialty Care Rock Rapids, 16.3 mi · 4 of 5 stars · 18 citations
- Fellowship Village Inwood, 16.5 mi · 4 of 5 stars · 6 citations
- Hillcrest Health Care Center Hawarden, 20.9 mi · 1 of 5 stars · 72 citations
Iowa contacts for a concern about a nursing home
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.
Common questions
- What is Pleasant Acres Care Center's Medicare star rating?
- CMS rates Pleasant Acres Care Center 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Pleasant Acres Care Center get at its last inspection?
- 7 health deficiencies at the standard inspection on February 19, 2026. The Iowa average is 6.5.
- Has Pleasant Acres Care Center been fined?
- CMS lists no fines in the last three years.
- Does Pleasant Acres Care Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Pleasant Acres Care Center?
- CMS lists 26 owners and managers, and links the home to Campbell Street Services. Legal business name: OPCO HULL IA LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.