Adel Acres
Adel Acres – Medicare Certified Since 2004
Adel Acres is a Medicare and Medicaid certified skilled nursing facility located in Adel, Iowa. This facility has been serving the community for 22 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.
This facility has 50 certified beds with a current occupancy rate of 79% (averaging 40 residents per day), which is moderate. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.
Staffing Levels: Based on CMS payroll data, this facility provides approximately 3.26 hours of total nursing care per resident per day (2.21 hours from CNAs, 0.38 hours from LPNs, 0.67 hours from RNs). Physical therapy staffing is 0.02 hours per resident per day.
Medicare Quality Ratings: According to CMS, Adel Acres has an overall quality rating of 1 out of 5 stars, which is much below average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 1 stars, staffing: 2 stars, quality measures: 4 stars.
Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.
Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.
Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.
Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.
Local Comparison Snapshot
How Adel Acres compares to 49 facilities in Des Moines-West Des Moines, IA
Click a measure name to jump to details • Hover over ⓘ for definitions
Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 49 facilities in Des Moines-West Des Moines, IA.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.
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Medicare Star Ratings
Official CMS ratings based on health inspections, staffing, and quality measures
Data as of December 2025
Star Ratings History
Quarterly performance from 2013-2026
How Does This Facility Compare?
Compared to 49 other nursing homes in Des Moines-West Des Moines, IA
Based on CMS Medicare star ratings. Higher ratings indicate better performance.
Staffing Hours per Resident Day
Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.
Staff Turnover Rate
Lower turnover rates generally indicate a more stable workforce and better continuity of care.
Agency/Contract Staff Usage
Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.
Agency Staff Trends
Historical agency/contract staff usage by role
Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.
Direct Care Staffing
Average minutes of direct nursing care per resident per day
Data as of December 2025
Staffing Trends
Direct care minutes per resident per day
Occupancy Rate History
Average daily residents as a percentage of certified beds
Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.
Staff Turnover History
Annual percentage of nursing staff who left the facility
Data as of December 2025
Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.
Average Daily Rate
Average daily charge for care at this facility
Based on CMS Cost Report data (inpatient revenue ÷ total patient days)
Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.
Financial Health
Comprehensive financial indicators from CMS Cost Reports
Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.
Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.
Who Stays Here
Breakdown of residents by payment type
Based on fiscal year 2023 cost report data
Average Length of Stay
How long residents typically stay at this facility
Based on fiscal year 2023 cost report data
Services
Comprehensive skilled nursing services, rehabilitation programs, and medical care in ADEL
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Find Jobs Near MeReviews
My parents Robert and Florence (103/92) entered Adel Acres in June 2021, having lived independently until then. The intake process with Grace was kind, compassionate and supportive of their dignity at a time of growing dependence. Michelle, Nursing Director, has been responsive and equally compassionate, allowing me at times to pummel her with emails. Megan, social worker, has quickly responded as well to broader questions and has been most efficient in organizing periodic Care Conferences. Jennifer, finance officer, has also helped to manage myriad details facilitating transactions effectively. Administrator Kody brings good spirit and leadership to his team and has always been immediately responsive to my questions. Two other nurses come quickly to mind; Crystal and Kim, who bring rainbows of joy into the room when they care for my parents. Tanya and Kendal also come to mind as sources of joy. Jeff, the property manager, exudes compassion as well as he meets the physical needs of my parents environment, a very spacious room which allows them to feel at home. Goodness… there are also so many other great staff; I am sorry not to name each of them. All staff have been wonderful! I recommend Adel Acres without hesitation!
Grace is remarkable about representing Adel Acres with such pride. Rightfully so, it is a lovely place. She cares so much about her residents, staff and shows pride in it every day. Her team is dedicated to making their residents generously loved and cared for.
What a lovely place to live! Good grief, this facility could be an extension of my living room, only it's cleaner. I walk in and the place smells like Grandma's house. Good food cooking, clean linen, people watching a little TV or taking a nap. A few laughs, some music and comfy furniture. The staff love the folks that live here, and they are loved back! The grounds, as well as the building, are well-kept. New carpet. No stains or unpleasant odors. I frequently see doctors and other professional staff there. Hospice care givers. Therapists. Families and children come visit. Places uptown to eat and pick up necessary supplies. Minivans to go to the doctor. Minutes from the Des Moines Metro, airports, lodging and interestate highways. Far enough away from the hubbub to get a good nights sleep. Sign me up! Like home, because it IS someone's home. (Friends included at no extra charge)
I've never met so many kind, genuinely caring people in one facility in my life. So grateful 🙏🏼
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