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C
Below Standard

Pleasant Acres Care Center

309 RAILROAD STREET · HULL, IA 51239

7124392758 · For profit - Limited Liability company

46 beds30.4 residents62 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
A+
Excellent
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Pleasant Acres Care Center receives an overall staffing grade of C (Below Standard). With 3.4798 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has adequate registered nurse (RN) coverage. It is 0.42 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 16.21% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.4798 HPRD — needs 0.00 more hours per resident per day.
📊Staffing levels are highly variable day to day (consistency score: 0.8948). This means the care experience can be very different depending on the day.

✨ Strengths (3)

✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.4798hrs/resident/day▼ 0.42
CMS benchmark: 3.48
RN HPRD
1.0178hrs/resident/day▲ 0.33
Recommended: 0.75
Weekend Drop-off
16.21%
3.6468 weekday → 3.0558 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.4836hrs/resident/day
Direct care aides
LPN HPRD
0.9052hrs/resident/day
Licensed practical nurses
Consistency
0.8948std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Sioux County Average-0.48 HPRD
3.96
03.48 HPRD
vs. Iowa State Average-0.34 HPRD
3.82
03.48 HPRD
vs. National Average-0.42 HPRD
3.90
03.48 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Pleasant Acres Care Center ★
HULL · This facility
—
C
3.47981.0178★★★☆☆
Crown Pointe Estates Care Center
Sioux Center
8.6 mi
A
4.82480.829★★★☆☆
Good Samaritan Society - George
George
13.4 mi
C
3.30691.1547★★★☆☆
Lyon Specialty Care
ROCK RAPIDS
16.3 mi
C
3.0280.4785★★★★★
Fellowship Village
Inwood
16.5 mi
A
4.9941.1419★★★★★
Hillcrest Health Care Center
Hawarden
20.8 mi
C
3.15470.5578★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
38
Total Deficiencies
$0
Fines Assessed
Dec 12, 2024Health
6 deficiencies cited
▼
Oct 19, 2023Health
10 deficiencies cited
▼
Jul 7, 2022Health
22 deficiencies cited· Includes actual harm
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.