Nursing home
Pleasant Acres Care Center
309 Railroad Street, Hull, IA 51239 · Map
For profit - Limited Liability company · Part of Arboreta Healthcare (8 facilities) · 46 certified beds
Pleasant Acres Care Center is a Medicare-certified nursing home in Hull, Iowa. CMS rates it 3 out of 5 stars overall (2/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.44 hours per resident per day, below the Iowa average of 3.83. Its most recent inspection on Dec 12, 2024 cited 6 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Pleasant Acres Care Center compares
This facility vs. the Iowa and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Iowa avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.44 | 3.83 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 1.01 | 0.73 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 1.55 | 2.53 | 2.34 | below avg |
| Nursing staff turnover | —% | 43.9% | 46.4% | — |
| Deficiencies cited, last inspection | 6.0 | 6.2 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the February 19, 2026 inspection was corrected by March 16, 2026
What inspectors found at Pleasant Acres Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Feb 19, 2026 · Full report (PDF) - Potential for harm
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 · Dec 12, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 12, 2024 · Full report (PDF) - Potential for harm
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 · Dec 12, 2024 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Dec 12, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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 · Dec 12, 2024 · Full report (PDF) - Potential for harm
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 · Dec 12, 2024 · Full report (PDF) - Potential for harm
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 · Oct 19, 2023 - Potential for harm
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · Oct 19, 2023 - Potential for harm
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration Deficiencies · Oct 19, 2023 - Potential for harm
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 · Oct 19, 2023 - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Oct 19, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 309 Railroad Street
Hull, IA 51239 - CMS certification #
- 165248
- Ownership
- For profit - Limited Liability company
- Certified beds
- 46
- Avg residents/day
- 30.4
- Provider type
- Medicare and Medicaid
- First certified
- 1995-01-01
- Chain
- Arboreta Healthcare (8 facilities)
- Setting
- Rural
Part of Arboreta Healthcare
Arboreta Healthcare operates 8 nursing facilities across the United States. View all Arboreta Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Pleasant Acres Care Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Hegg Memorial Health Center, Rock Valley. 7.1 miles away, straight line.
- Nearest Medicare nursing home
- Hegg Memorial Health Center, Rock Valley. 7.2 miles away, straight line.
- Nearest home health agency office
- Hegg Home Health Care, Rock Valley. 7.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Pember Drug. 7.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 51239 as rural (rural area).
- Dialysis within 15 miles
- Sanford Health Dialysis Hospers, Hospers, 14.8 miles away, straight line (CMS rating 3 of 5 stars)
- Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 51239.
Sioux Center Health Home Care And Hospice, office in Sioux Center, 8.7 miles away, straight line
Orange City Hospice, office in Orange City, 13.0 miles away, straight line (CMS family survey rating 5 of 5 stars)
Sanford Home Health And Hospice Sheldon, office in Sheldon, 15.0 miles away, straight line - Nearest geriatric medicine practice
- Homaha Senior Care LLC, Omaha. 133.1 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively high, wildfire relatively low, tornado very high, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Pleasant Acres Care Center a good nursing home?
CMS gives Pleasant Acres Care Center an overall rating of 3 out of 5 stars, including 2/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Pleasant Acres Care Center staffed?
Pleasant Acres Care Center reports 3.44 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has Pleasant Acres Care Center had inspection problems?
Its most recent CMS inspection cited 6 deficiencies.
How many beds does Pleasant Acres Care Center have?
Pleasant Acres Care Center is certified for 46 beds.