Pleasant Acres Care Center: Data Analysis and Ratings

309 RAILROAD STREET, HULL, IA 51239 (712-439-2758)

CMS 5-Star Rating:

Data as of: September 01, 2023

The Most Important Data about Pleasant Acres Care Center

We've looked at a lot of nursing homes, this is what we think you need to see first and if you don't want to spend a lot of time. (It's the tl;dr section.)

There is no indication of abuse occuring at Pleasant Acres Care Center. (CMS flags facilities where abuse has either happened or is very likely.)

CMS 5-Star Overall Rating: (1 out of 5):
(The national average overall star rating is 3 stars.)

Current Trend: Worsening

Total Nursing Hours Spent Per Resident Per Day: 3.26
(The national average is 3.76 )

Best Nursing Homes in IA

According to our analysis, Pleasant Acres Care Center is ranked #16 out of 16 skilled nursing homes within a 25 mile radius. See detailed information from recent inspection reports, nursing hours analysis, surverys, and information on owners and operators. Click here to view the ranked list of nursing homes near Pleasant Acres Care Center.

What is this page all about?

Below is everything shred of information that we can find about Pleasant Acres Care Center, along with our best effort to make sense of the data. Our purpose here is to help you to make good decisions when picking a nursing home and to keep you informed once you have chosen a home. We know from personal experience that choosing a nursing home is not something you do once and then you forget about it. In fact, it gets worse. Once you select a nursing home and get through the initial steps of figuring out how to pay for it, then the real worries start. Are they taking good care of me or my loved one? This is the question that will keep you up at night: Can I really trust these people? We wish we could answer this question, we can't. What he can do is churn through the tons of data and try and help you to make sense of it. We hope it helps.

General Data Card

These are the basic data points for the facility.

Data date: September 01, 2023

Address: 309 RAILROAD STREET, HULL, IA 51239

Phone: 712-439-2758

Click for Map Website

Ranking: Pleasant Acres Care Center is ranked #3 out of 3 facilities within a 10 mile radius and #16 out of 16 facilities within a 25 mile radius.

Medicare Provider Number: 165248

Participating in Medicare Since: January 01, 1995

No. of Certified Beds: 60

No. of Residents: 27

Occupancy: 45.00 % (as of 09/17/2023 )

Amount fined in recent period: $34,154.25

Complaints filed: 15

Ratings History for Pleasant Acres Care Center

Review of Pleasant Acres Care Center Ratings and Inspection Scores

CMS regularly inspects every skilled nursing facility. (The timing is supposed to be annually, but since the beginning of the Covid pandemic, these inspections have not occured as frequently.) The results of the multi-day inspection is reduced to a series of scores which are then translated into the star ratings. The health inspection scores are an absolute value, so you can compare one facility's score directly to another. The Overall Star rating is based on the facility's performance as compared to other facilities in the same state, so you cannot easily compare one facility's Overall star rating to a facility in another state.

Ratings

Overall Rating 1:
Health Inspection Rating 1:
Quality Rating 3:
Staffing Rating 1:

Inspection Scores

Cycle 1 Score (as of July 07, 2022) 265
Cycle 2 Score (as of October 24, 2019) 96
Cycle 3 Score (as of August 16, 2018) 20
Weighted All Cycles Score 168

It has been 13 months since the most recent inspection.

What Goes Into the Nursing Home's 5-Star Rating

CMS has put a lot of effort into creating its very elaborate 5-Star Quality Rating System specifically to provide a quick way for residents and family members to easily understand how well a nursing home is performing and to make comparing nursing homes easier. The rating system allows people to easily compare facilities across numerous dimensions with the express purpose of identifying the best and best performing nursing homes. The rating system was initially developed in 2008 and the methodologies are regularly reviewed and updated.

The rating system has five separate ratings including:

  • Overall rating
  • Health Inspection rating
  • Staff rating
  • RN Staffing rating
  • Quality Measures rating

Nursing homes are rated from 1-star to 5-stars with 1-star being the best rating and 5-star being the best rating. For the Health Inspection Rating the nursing homes in each state are ranked based on their weighted three year inspection score. The top 10 percent of nursing homes (those with the lowest scores) are awarded a 5-star rating; the bottom 20 percent (those with the highest scores) are awarded a 1-star rating. In between 1-star and 5-star, the remaining homes are divided equally into three tranches which correspond with the stars 2 to 4. The staff ratings and quality measure ratings follow a similar process but the divisions are based on a national ranking. The division between star ratings is called the “cut-rate”. Cut-rates are redefined periodically and are published by CMS. See the latest cut rates on this table.

Calculating the Overall Star Rating is done differently. According to CMS, the reason for adopting a different system is to give the Health Inspection Rating higher weight in the Overall Rating. So, since there are FIVE ratings and FIVE stars for each rating, there must also be a FIVE step process to calculate the Overall Rating (so symetrical!) :

  1. Begin with the Health Inspection Rating
  2. Add one star to the Health Inspection Rating if the Staffing Rating is at least four-stars and is higher than the Health Inspection Rating. (We will call this the "Adjusted Rating".)
  3. Subtract one star from the Health Inspection Rating if the Staffing Rating is one-star.
  4. Add a star to the Adjusted Rating if the Quality Measure Rating is 5-stars.
  5. Subtract one star from the Adjusted Rating if the Quality Measure Rating is 1-star.

Throughout the calculation of the Overall Rating, the rating cannot exceed 5-stars. The Overall Rating is capped at 2-stars if the Health Inspection rating is 1-star. No Overall Rating is awarded if the nursing home does not have a Health Inspection Rating (This effectively means that a nursing home is not rated until the home has been operating for more than two years.)

Changes in a nursing homes star rating can be due to the results of a new health inspection report, the processing of new complaints, the aging of older complaints, a new inspection control survey, a revisit, or the resolution of disputes that change the scope and or severity of deficiencies.

Most Recent Nursing Home Inspections

CMS is required to inspect each senior nursing facility at least annually. These inspections take several days. Additional follow-up inspections as conducted as needed or for certain purposes. Inspections stopped for more than seven months in 2020 due to the Covid pandemic. That stoppage has caused all inspections to be delayed as the inspectors continue to deal with a backlog. The table below shows the latest inspections for Pleasant Acres Care Center including health, fire, and inspection control inspections:

No Inspection Information is Available

Owner and Operator Information for Pleasant Acres Care Center

Our database of owners and operators shows all direct owners of the nursing nurse, any managers and directors, and the most adjacent indirect owners of the facility (that is, if the direct owner is company, then the owners of that company.) Lists of nursing home owners are available and you can search for nursing home owners and operators on our site.

Business Entity Name:

PREMIER ESTATES 505, LLC

Owners:

Managers and Directors:

Analysis of Nursing Hours Spent Per Patient

CMS provides detailed information about how long nursing staff spends with residents. This data includes nursing subcategories of Registered Nurse, Licensed Practical Nurse, and non-nursing Certified Nursing Assistants. More hours spend per patient should can indicate a better facility or it could indicate more complicated situations.

The nursing staff of Pleasant Acres Care Center spends LESS time on average with its residents than the state average and LESS time than the national average for total nursing homes spent per resident.

Type Facility State / National Avg
Registered Nurse (RN)
Hours 0.44 0.74 / 0.66
Case Mix 0.29 0.33 / 0.39
Adjusted 0.59 NA / NA
Licensed Practical Nurse (LPN)
Hours 1.48 0.59 / 0.89
Case Mix 0.64 NA / NA
Adjusted 1.70 NA / NA
Certified Nursing Assistants (CNA)
Hours 1.34 2.32 / 2.22
Case Mix 1.70 NA / NA
Adjusted 1.60 NA / NA
Total Licensed Staff
Hours 1.92 1.32 / 1.54
Physical Therapist (PT)
Hours 0.01 0.04 / 0.07
Total Nursing Homes Spent per Resident on Average
Hours 3.26 3.64 / 3.76
Case Mix 2.64 2.94 / 3.17
Adjusted 3.92 NA / NA

Quality Measures

Quality measures are based both on patient survey information and on the results of actual claims that are filed with CMS. It is not clear what period is covered in the measures.

Desc. Perc. State Avg. / Comparison
Percentage of short-stay residents who were rehospitalized after a nursing home admission (qm521) Not Available
Percentage of short-stay residents who had an outpatient emergency department visit (qm522) Not Available
Number of hospitalizations per 1000 long-stay resident days (qm551) Not Available
Number of outpatient emergency department visits per 1000 long-stay resident days (qm552) Not Available
Percentage of long-stay residents whose need for help with daily activities has increased (qm401) 26.7% 17.0%
Worse
Percentage of long-stay residents who lose too much weight (qm404) 7.0% 5.4%
Worse
Percentage of low risk long-stay residents who lose control of their bowels or bladder (qm405) 43.5% 46.1%
Better
Percentage of long-stay residents with a catheter inserted and left in their bladder (qm406) 0.0% 2.6%
Better
Percentage of long-stay residents with a urinary tract infection (qm407) 0.0% 3.1%
Better
Percentage of long-stay residents who have depressive symptoms (qm408) 0.0% 4.5%
Better
Percentage of long-stay residents who were physically restrained (qm409) 0.0% 0.2%
Better
Percentage of long-stay residents experiencing one or more falls with major injury (qm410) 3.8% 3.8%
Worse
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine (qm415) 82.7% 93.9%
Worse
Percentage of long-stay residents who received an antipsychotic medication (qm419) 10.0% 17.4%
Better
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine (qm430) 71.4% 85.0%
Worse
Percentage of short-stay residents who newly received an antipsychotic medication (qm434) Not Available
Percentage of long-stay residents whose ability to move independently worsened (qm451) 24.1% 17.4%
Worse
Percentage of long-stay residents who received an antianxiety or hypnotic medication (qm452) 20.0% 19.3%
Worse
Percentage of high risk long-stay residents with pressure ulcers (qm453) 4.5% 6.1%
Better
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine (qm454) 90.9% 95.5%
Worse
Percentage of short-stay residents who made improvements in function (qm471) Not Available
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine (qm472) 48.1% 74.0%
Worse

Pleasant Acres Care Center Violations, Complaints and Fines

These are complaints and fines that are reported by CMS. Some of the data is not very recent, but we have decided to include it here so that you have as much information as possible.

Amount fined in recent period: $34,154.25, Complaints filed: 15

Deficiency Deficiency Date / Date Corrected
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
(Health)
08-16-2018 / 09-14-2018
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
(Health)
08-16-2018 / 09-14-2018
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave.
(Health)
08-16-2018 / 09-14-2018
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
(Health)
08-16-2018 / 09-14-2018
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
(Health)
08-16-2018 / 09-14-2018
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
(Health)
08-16-2018 / 09-14-2018
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
(Health)
08-16-2018 / 09-14-2018
Provide and implement an infection prevention and control program.
(Health)
08-16-2018 / 09-14-2018
Have exits that are accessible at all times.
(Fire Safety)
08-21-2018 / 09-21-2018
Install emergency lighting that can last at least 1 1/2 hours.
(Fire Safety)
08-21-2018 / 09-21-2018
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
(Fire Safety)
08-21-2018 / 09-21-2018
Inspect, test, and maintain automatic sprinkler systems.
(Fire Safety)
08-21-2018 / 09-21-2018
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
(Fire Safety)
08-21-2018 / 09-21-2018
Install corridor and hallway doors that block smoke.
(Fire Safety)
08-21-2018 / 09-21-2018
Have generator or other power source capable of supplying service within 10 seconds.
(Fire Safety)
08-21-2018 / 09-21-2018
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
(Health)
10-24-2019 / 11-24-2019
Keep residents' personal and medical records private and confidential.
(Health)
10-24-2019 / 11-24-2019
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
(Health)
10-24-2019 / 11-24-2019
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave.
(Health)
10-24-2019 / 11-24-2019
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
(Health)
10-24-2019 / 11-24-2019
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
(Health)
10-24-2019 / 11-24-2019
Ensure services provided by the nursing facility meet professional standards of quality.
(Health)
10-24-2019 / 11-24-2019
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
(Health)
10-24-2019 / 11-24-2019
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
(Health)
10-24-2019 / 11-24-2019
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
(Health)
10-24-2019 / 11-24-2019
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
(Health)
10-24-2019 / 11-24-2019
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
(Health)
10-24-2019 / 11-24-2019
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
(Health)
10-24-2019 / 11-24-2019
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
(Health)
10-24-2019 / 11-24-2019
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.
(Health)
10-24-2019 / 11-24-2019
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
(Health)
10-24-2019 / 11-24-2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
(Health)
10-24-2019 / 11-24-2019
Provide and implement an infection prevention and control program.
(Health)
10-24-2019 / 11-24-2019
Conduct testing and exercise requirements.
(Fire Safety)
10-31-2019 / 12-16-2019
Use approved construction type or materials.
(Fire Safety)
10-31-2019 / 11-30-2019
Install proper backup exit lighting.
(Fire Safety)
10-31-2019 / 11-30-2019
Install emergency lighting that can last at least 1 1/2 hours.
(Fire Safety)
10-31-2019 / 11-30-2019
Provide properly protected cooking facilities.
(Fire Safety)
10-31-2019 / 11-30-2019
Have approved installation, maintenance and testing program for fire alarm systems.
(Fire Safety)
10-31-2019 / 11-30-2019
Inspect, test, and maintain automatic sprinkler systems.
(Fire Safety)
10-31-2019 / 11-30-2019
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
(Fire Safety)
10-31-2019 / 12-12-2019
Properly select, install, inspect, or maintain portable fire extinguishes.
(Fire Safety)
10-31-2019 / 11-30-2019
Have properly installed electrical wiring and gas equipment.
(Fire Safety)
10-31-2019 / 11-30-2019
Provide a written emergency evacuation plan.
(Fire Safety)
10-31-2019 / 11-30-2019
Have simulated fire drills held at unexpected times.
(Fire Safety)
10-31-2019 / 11-30-2019
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
(Fire Safety)
10-31-2019 / 11-30-2019
Have generator or other power source capable of supplying service within 10 seconds.
(Fire Safety)
10-31-2019 / 12-11-2019
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
(Health)
07-07-2022 / 08-04-2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
(Health)
07-07-2022 / 08-04-2022
Provide care and assistance to perform activities of daily living for any resident who is unable.
(Health)
07-07-2022 / 08-04-2022
Provide safe and appropriate respiratory care for a resident when needed.
(Health)
07-07-2022 / 08-04-2022
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
(Health)
07-07-2022 / 08-04-2022
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
(Health)
07-07-2022 / 08-04-2022
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
(Health)
07-07-2022 / 08-04-2022
Develop and implement policies and procedures for flu and pneumonia vaccinations.
(Health)
07-07-2022 / 08-04-2022
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
(Health)
07-07-2022 / 08-04-2022
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
(Health)
07-07-2022 / 08-04-2022
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
(Health)
07-07-2022 / 08-04-2022
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
(Health)
07-07-2022 / 08-04-2022
Assess the resident when there is a significant change in condition
(Health)
07-07-2022 / 08-04-2022
Ensure services provided by the nursing facility meet professional standards of quality.
(Health)
07-07-2022 / 08-04-2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
(Health)
07-07-2022 / 07-21-2022
Post nurse staffing information every day.
(Health)
07-07-2022 / 08-04-2022
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
(Health)
07-07-2022 / 08-04-2022
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.
(Health)
07-07-2022 / 08-04-2022
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
(Health)
07-07-2022 / 08-04-2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
(Health)
07-07-2022 / 08-04-2022
Provide and implement an infection prevention and control program.
(Health)
07-07-2022 / 08-04-2022
Make sure that a working call system is available in each resident's bathroom and bathing area.
(Health)
07-07-2022 / 08-04-2022
Install emergency lighting that can last at least 1 1/2 hours.
(Fire Safety)
07-08-2022 / 07-25-2022
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
(Fire Safety)
07-08-2022 / 07-25-2022
Inspect, test, and maintain automatic sprinkler systems.
(Fire Safety)
07-08-2022 / 07-12-2022
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
(Fire Safety)
07-08-2022 / 07-25-2022
Properly select, install, inspect, or maintain portable fire extinguishes.
(Fire Safety)
07-08-2022 / 07-12-2022
Install corridor and hallway doors that block smoke.
(Fire Safety)
07-08-2022 / 07-25-2022
Provide a written emergency evacuation plan.
(Fire Safety)
07-08-2022 / 07-25-2022
Have simulated fire drills held at unexpected times.
(Fire Safety)
07-08-2022 / 07-25-2022
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
(Fire Safety)
07-08-2022 / 07-25-2022
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
(Fire Safety)
07-08-2022 / 07-15-2022
Have generator or other power source capable of supplying service within 10 seconds.
(Fire Safety)
07-08-2022 / 07-13-2022

Hospitals Near Pleasant Acres Care Center

Quite often skilled nursing facilities and hospitals work closely together to help patients recover or manage a terminal illness. Hospitals deals with acute care while nursing homes treat patients for a longer period of time. New residents at skilled nursing homes typically come from a hospital and nursing home residents may be readmitted to a hospital if their recovery does not proceed well. (Hospital readmission rates are closely monitored by CMS.) Consequently it is important that you consider which hospitals are near a nursing home which choosing one. Below is a list of hospitals near Pleasant Acres Care Center.

This information is based on the most recent Hospital data. Historical data is not available.

Hospital 5-Star Overall Rating
SANFORD SHELDON MEDICAL CENTER
118 NORTH 7TH AVENUE
SHELDON, IA 51201
4
HAWARDEN REGIONAL HEALTHCARE
1111 11TH STREET
HAWARDEN, IA 51023
Not Available
AVERA MERRILL PIONEER HOSPITAL
1100 S 10TH AVE
ROCK RAPIDS, IA 51246
Not Available
HEGG MEMORIAL HEALTH CENTER
1202 21ST AVENUE
ROCK VALLEY, IA 51247
Not Available
OSCEOLA COMMUNITY HOSPITAL
600 9TH AVENUE NORTH
SIBLEY, IA 51249
Not Available
SIOUX CENTER HEALTH
1101 9TH STREET SE
SIOUX CENTER, IA 51250
Not Available
ORANGE CITY AREA HEALTH SYSTEM
1000 LINCOLN CIRCLE SE
ORANGE CITY, IA 51041
Not Available
SANFORD CANTON-INWOOD MEDICAL CENTER - CAH
440 NORTH HIAWATHA DRIVE
CANTON, SD 57013
Not Available

Medical Professionals Associated with Pleasant Acres Care Center

These are the doctors who are affiliated with Pleasant Acres Care Center. The data is from the most recent period. Historical data is not available.

Detailed Analysis Pages:

Depending on the nursing home, this page can get really long. So, we have also broken up the data onto separate pages to allow you to find what you want more easily. We will keep adding to these pages as we continue to analyze the nursing home database.

CMS Five Star Ratings and Quality Measures for Pleasant Acres Care Center

Five different rating results plus detailed inspection numbers and quality measures for Pleasant Acres Care Center.

Covid Infections at Pleasant Acres Care Center

This report is updated weekly and shows new and historical infection levels.

Nursing Hours Analysis for Pleasant Acres Care Center

How long a nurse spends with a resident can be an important factor in their recovery. This page shows the average nursing hours spent per resident for RNs, LPNs, CNAs, PTs and all licensed staff.

Ownership Details for Pleasant Acres Care Center

A list of all of the registered owners for Pleasant Acres Care Center. This includes direct and indirect owners and managers.

Noted Deficiencies for Pleasant Acres Care Center

A list of all of the deficiencies for the facility. This includes a description, type of deficiency, incident date and when the facility reports that the incident was corrected.

Comparison Ranking of Nearby Skilled Nursing Facilities

How does Pleasant Acres Care Center compare to other skilled nursing facilities? This list shows the competitive set within a 25 mile radius.

Best Nursing Homes in HULL, IA

Homes that you should consider. A list ranking the best skilled nursing facilities in HULL based on their weighted inspection score as of September 01, 2023.

Worst Nursing Homes in HULL, IA

Homes that you avoid if possible. A list ranking the worst skilled nursing facilities in HULL based on their weighted inspection score as of September 01, 2023.