Pleasant Acres Care Center
Hull, Sioux County, Iowa · CCN 165248 · For-profit (LLC) · part of Campbell Street Services (22 facilities, chain average 2.1 stars)
CMS rates Pleasant Acres Care Center 3 of 5 overall as of August 2026. 46 certified beds, 36 residents a day on average. 23 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★☆☆ 3 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★☆☆☆ 2 of 5 |
| Quality: long-stay / short-stay | 2 / — of 5 |
Staffing
| Total nurse staffing | 3.02255 hours per resident per day |
|---|---|
| Registered nurses | 0.80199 hours per resident per day |
| Weekend total | 2.60846 hours per resident per day |
| Nursing staff turnover | 31% (registered nurses 25%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-02-19 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-03-16 |
| 2026-02-19 complaint survey |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-16 |
| 2026-02-19 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-16 |
| 2026-02-19 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-16 |
| 2026-02-19 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-16 |
| 2026-02-19 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-16 |
| 2026-02-19 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-16 |
| 2024-12-12 | 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. Nutrition and Dietary Deficiencies · tag F0803 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-12-27 |
| 2024-12-12 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · tag F0623 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-27 |
| 2024-12-12 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-27 |
| 2024-12-12 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-27 |
| 2024-12-12 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-27 |
| 2024-12-12 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-12-27 |
| 2023-10-19 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Resident Rights Deficiencies · tag F0568 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-11-15 |
| 2023-10-19 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · tag F0623 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-11-15 |
| 2023-10-19 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-11-15 |
| 2023-10-19 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-11-15 |
| 2023-10-19 complaint survey |
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. Nursing and Physician Services Deficiencies · tag F0727 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-11-15 |
| 2023-10-19 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-11-15 |
| 2023-10-19 | 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. Administration Deficiencies · tag F0836 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-11-15 |
| 2023-10-19 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · tag F0847 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-11-15 |
| 2023-10-19 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · tag F0868 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-11-15 |
| 2023-10-19 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-11-15 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Acd Consolidated LLC Organization | adp of the snf | — | 2024-09-01 |
| Bear Creek Sraf Gp Holdings LLC Organization | adp of the snf | — | 2024-09-01 |
| Campbell Street Ia 10 LLC Organization | adp of the snf | — | 2025-02-01 |
| Campbell Street Services LLC Organization | adp of the snf | — | 2025-02-01 |
| Defranco Investment Co Ltd Organization | adp of the snf | — | 2024-09-01 |
| Holdco, Ia, 10, LLC Organization | adp of the snf | — | 2025-07-03 |
| Iaga Snf Holdings LLC Organization | adp of the snf | — | 2024-09-01 |
| Iaga Snf Hull LLC Organization | adp of the snf | — | 2025-09-01 |
| Iaga Snf Portfolio LLC Organization | adp of the snf | — | 2025-07-07 |
| Nap Holdings LLC Organization | adp of the snf | — | 2024-09-01 |
| Campbell Street Services LLC Organization | direct ownership interest | — | 2025-02-01 |
| 5v+ Seniors Healthcare Fund Gp, LLC Organization | indirect ownership interest | — | 2025-09-01 |
| 5v+ Seniors Healthcare Fund, Lp Organization | indirect ownership interest | — | 2025-09-01 |
| Bear Creek Strategic Real Assets Fund Lp Organization | indirect ownership interest | — | 2025-09-01 |
| Birchwood Healthcare Partners LLC Organization | indirect ownership interest | — | 2025-02-01 |
| Birchwood Healthcare Partners LLC Organization | operational/managerial control | — | 2025-02-01 |
| Campbell Street Ia 10 LLC Organization | operational/managerial control | — | 2025-02-01 |
| Campbell Street Services LLC Organization | operational/managerial control | — | 2025-02-01 |
| Holdco, Ia, 10, LLC Organization | operational/managerial control | — | 2025-02-01 |
| Lennon, Jodi Individual | adp of the snf | — | 2025-02-01 |
| Rickard, Christopher Individual | adp of the snf | — | 2025-02-01 |
| Dole, Isaac Individual | indirect ownership interest | — | 2025-02-01 |
| Dole, Isaac Individual | managing control - governing body | — | 2025-02-01 |
| Dole, Isaac Individual | operational/managerial control | — | 2025-02-01 |
| Lennon, Jodi Individual | operational/managerial control | — | 2025-02-01 |
| Rickard, Christopher Individual | operational/managerial control | — | 2025-02-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Pleasant Acres Care Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Sioux County.