Nursing homeActive
Pleasant Acres Care Center
309 Railroad Street, Hull, IA 51239712439275846 certified beds · 36 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
23
● 0● 23● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-02-19
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 4
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-02-19 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2024-12-12 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2023-10-19 | Standard | 0100 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-16Record 165248-20260219-F550
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-16Record 165248-20260219-F554
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-16Record 165248-20260219-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-16Record 165248-20260219-F689
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-16Record 165248-20260219-F695
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-16Record 165248-20260219-F812
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-16Record 165248-20260219-F880
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-27Record 165248-20241212-F623
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-27Record 165248-20241212-F657
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-27Record 165248-20241212-F684
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-27Record 165248-20241212-F725
F803Ensure 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.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-27Record 165248-20241212-F803
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-27Record 165248-20241212-F880
F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-15Record 165248-20231019-F568
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-15Record 165248-20231019-F623
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-15Record 165248-20231019-F641
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-15Record 165248-20231019-F657
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-15Record 165248-20231019-F725
F727Have 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.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-15Record 165248-20231019-F727
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-15Record 165248-20231019-F812
F836Ensure 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.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-15Record 165248-20231019-F836
F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-15Record 165248-20231019-F847
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-15Record 165248-20231019-F868
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.80
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.02
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours2.61
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover31%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover25%
Facility
Iowa
National
Iowa 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 0.0% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.4% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 26.2% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.7% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 17.1% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.7% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 21.1% | 20.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Birchwood Healthcare Partners LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Campbell Street Ia 10 LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Campbell Street Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Dole, Isaac Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Holdco, Ia, 10, LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Lennon, Jodi Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rickard, Christopher Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| 5v+ Seniors Healthcare Fund Gp, LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| 5v+ Seniors Healthcare Fund, LP Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Acd Consolidated LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bear Creek Sraf Gp Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bear Creek Strategic Real Assets Fund LP Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Birchwood Healthcare Partners LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Campbell Street Ia 10 LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Campbell Street Services LLC Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Campbell Street Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Defranco Investment Co Ltd Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dole, Isaac Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Dole, Isaac Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Holdco, Ia, 10, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Iaga SNF Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Iaga SNF Hull LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Iaga SNF Portfolio LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lennon, Jodi Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Nap Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rickard, Christopher Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Campbell Street Services — 22 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.
No county cost figures on file for Sioux.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Crown Pointe Estates Care Center Sioux Center | 8.7 mi | 2025-06-26 | 0120 |
| Hegg Memorial Health Center Rock Valley | 7.2 mi | 2025-11-06 | 0110 |
| Prairie Ridge Care Center Orange City | 13.1 mi | 2026-06-18 | 0100 |
| Good Samaritan - George George | 13.4 mi | 2025-08-21 | 0192 |
| Lyon Specialty Care Rock Rapids | 16.3 mi | 2026-02-02 | 080 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |