Pleasant Acres Care Center

Name: Pleasant Acres Care Center
Address: 309 Railroad Street, Hull, IA, 51239, US
Telephone: 7124392758

309 Railroad Street, Hull, IA 51239 · Sioux County · 46 certified beds · avg 36 residents/day · certified since Jan 1, 1995

Part of chain: CAMPBELL STREET SERVICES (22 facilities, chain avg rating 2.1★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.45

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

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 self-reported quality measures.

All citations in the current public record (23)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Feb 19, 2026	E · Potential for harm, repeated	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.
Feb 19, 2026	D · Potential for harm, one-off	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
Feb 19, 2026	D · Potential for harm, one-off	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.
Feb 19, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Feb 19, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Feb 19, 2026	D · Potential for harm, one-off	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.
Feb 19, 2026	D · Potential for harm, one-off	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.
Dec 12, 2024	E · Potential for harm, repeated	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.
Dec 12, 2024	D · Potential for harm, one-off	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.
Dec 12, 2024	D · Potential for harm, one-off	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.
Dec 12, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Dec 12, 2024	D · Potential for harm, one-off	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.
Dec 12, 2024	D · Potential for harm, one-off	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.
Oct 19, 2023	E · Potential for harm, repeated	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.
Oct 19, 2023	E · Potential for harm, repeated	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.
Oct 19, 2023	E · Potential for harm, repeated	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.
Oct 19, 2023	E · Potential for harm, repeated	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.
Oct 19, 2023	E · Potential for harm, repeated	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
Oct 19, 2023	E · Potential for harm, repeated	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.
Oct 19, 2023	E · Potential for harm, repeated	The facility was not properly licensed, or did not operate in compliance with federal, state, and local laws, regulations, and accepted professional standards.
Oct 19, 2023	E · Potential for harm, repeated	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.
Oct 19, 2023	E · Potential for harm, repeated	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.
Oct 19, 2023	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 7).

Year	Citations	Worst severity that year
2023	10	E
2024	6	E
2026	7	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)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

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, 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. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5

Who owns this facility

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

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?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
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 →

All facilities in Hull →

Facility data as of CMS processing date 2026-08-01. CCN 165248.

The Care File

Visit checklist — Pleasant Acres Care Center

309 Railroad Street, Hull, IA 51239 · 7124392758

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "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?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 165248 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)