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Pleasant Acres Care Center
309 Railroad Street, Hull, IA 51239 (opens Google Maps) · Sioux County · (712) 439-2758· 46 certified beds · avg 36 residents/day · certified since Jan 1, 1995 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: CAMPBELL STREET SERVICES (22 facilities, chain avg rating 2.1★)
3/5
Health inspection rating (on-site)
inspected Feb 19, 2026
0
Serious findings on record
$0
Fines, last 3 years
3.45
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 23 inspection findings. Open the full record below to read every finding.
The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. F-0812
The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint F-0550
The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. F-0554
View all 23 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Feb 19, 2026 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Feb 19, 2026 | D · Potential for more than minimal harm, isolated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint · F-0550 |
| Feb 19, 2026 | D · Potential for more than minimal harm, isolated | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · F-0554 |
| Feb 19, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Feb 19, 2026 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Feb 19, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
| Feb 19, 2026 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Dec 12, 2024 | E · Potential for more than minimal harm, pattern | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · F-0803 |
| Dec 12, 2024 | D · Potential for more than minimal harm, isolated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623 |
| Dec 12, 2024 | D · Potential for more than minimal harm, isolated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657 |
| Dec 12, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Dec 12, 2024 | D · Potential for more than minimal harm, isolated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · F-0725 |
| Dec 12, 2024 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Oct 19, 2023 | E · Potential for more than minimal harm, pattern | The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. · F-0568 |
| Oct 19, 2023 | E · Potential for more than minimal harm, pattern | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623 |
| Oct 19, 2023 | E · Potential for more than minimal harm, pattern | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657 |
| Oct 19, 2023 | E · Potential for more than minimal harm, pattern | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · F-0725 |
| Oct 19, 2023 | E · Potential for more than minimal harm, pattern | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · from a complaint · F-0727 |
| Oct 19, 2023 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Oct 19, 2023 | E · Potential for more than minimal harm, pattern | The facility was not properly licensed, or did not operate in compliance with federal, state, and local laws, regulations, and accepted professional standards. · F-0836 |
| Oct 19, 2023 | E · Potential for more than minimal harm, pattern | The facility did not properly inform residents or their representatives about arbitration agreements — contracts that give up the right to sue in court — including their right to refuse to sign. · F-0847 |
| Oct 19, 2023 | E · Potential for more than minimal harm, pattern | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. · F-0868 |
| Oct 19, 2023 | D · Potential for more than minimal harm, isolated | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641 |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 7).
All citationsSerious citations (G–L)
2023
All citations: 10
Serious citations (G–L): 0
2024
All citations: 6
Serious citations (G–L): 0
2026
All citations: 7
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 10 | 0 | E |
| 2024 | 6 | 0 | E |
| 2026 | 7 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityIowa averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.45
Iowa average: 4.37
U.S. average: 3.95
Registered Nurse hours
This facility: 0.92
Iowa average: 0.85
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.98
Iowa average: 3.86
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Iowa avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.45 | 4.37 | 3.95 | bottom 7% in Iowa; bottom 34% in the U.S. |
| Registered Nurse hours | 0.92 | 0.85 | 0.69 | top 35% in Iowa; top 20% in the U.S. |
| Weekend total nurse staffing | 2.98 | 3.86 | 3.50 | bottom 6% in Iowa; bottom 30% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.57 | 0.51 | 0.48 | top 29% in Iowa; top 26% in the U.S. |
| Total nursing staff turnover (%) | 31.0 | 44.0 | 45.8 | top 18% in Iowa; top 16% in the U.S. |
| RN turnover (%) | 25.0 | 42.1 | 42.9 | top 27% in Iowa; top 20% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.02, RN 0.80, weekend 2.61.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.02 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Pleasant Acres Care Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| 5V+ Seniors Healthcare Fund GP, LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2025 |
| 5V+ Seniors Healthcare Fund, LP | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2025 |
| Bear Creek Strategic Real Assets Fund LP | Organization | Indirect Ownership Interest | NOT APPLICABLE | 09/01/2025 |
| Birchwood Healthcare Partners LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2025 |
| Campbell Street Services LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 02/01/2025 |
| Dole, Isaac | Individual | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2025 |
| Acd Consolidated LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2024 |
| Bear Creek Sraf GP Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2024 |
| Birchwood Healthcare Partners LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2025 |
| Campbell Street Ia 10 LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2025 |
| Campbell Street Ia 10 LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2025 |
| Campbell Street Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2025 |
| Campbell Street Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2025 |
| Defranco Investment Co LTD | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2024 |
| Dole, Isaac | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/01/2025 |
| Dole, Isaac | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2025 |
| Holdco, Ia, 10, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2025 |
| Holdco, Ia, 10, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/03/2025 |
| Iaga SNF Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2024 |
| Iaga SNF Hull LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/01/2025 |
Showing 20 of 26 parties CMS has on file for this facility; 6 are not displayed. The full list is in the CMS Ownership dataset.
Other facilities in the same chain
CMS lists this facility under the chain Campbell Street Services — 22 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
- Regency Care Center — Norwalk, IA · overall 1/5abuse
- Regency Park Nursing & Rehab Center of Carroll — Carroll, IA · overall 5/5
- Regency Park Nursing & Rehab Center of Jefferson — Jefferson, IA · overall 4/5
- The Bridges at Ankeny — Ankeny, IA · overall 3/5
- University Park Nursing and Rehabilitation Center — Des Moines, IA · overall 4/5
- Horizon Post Acute — Wichita, KS · overall 1/5
- Legacy at Herington — Herington, KS · overall 1/5
- Legacy at Salina — Salina, KS · overall 1/5
Listed by state, then facility name — not a ranking. Showing 8 of the 21 others, continuing from this facility's own place in that list.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the Iowa midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 31% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 26 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Hegg Memorial Health Center | 7.2 mi | Rock Valley, IA | ★★★★★ | 4/5 | |
| Crown Pointe Estates Care Center | 8.7 mi | Sioux Center, IA | ★★★★☆ | 3/5 | |
| Prairie Ridge Care Center | 13.1 mi | Orange City, IA | ★★★★★ | 4/5 | |
| Good Samaritan - George | 13.4 mi | George, IA | ★★★★★ | 3/5 | |
| Sanford Senior Care Sheldon | 15.0 mi | Sheldon, IA | ★☆☆☆☆ | 1/5 | |
| Lyon Specialty Care | 16.3 mi | Rock Rapids, IA | ★★★★☆ | 4/5 | |
| Fellowship Village | 16.5 mi | Inwood, IA | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Other facilities in the same county
CMS records place this facility in Sioux, IA — 5 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.
- Hillcrest Health Care Center — Hawarden, IA · overall 1/5abuse
Listed by facility name — not a ranking. Homes already in the table above are not repeated here.
Facility data as of CMS processing date 2026-08-01. CCN 165248.