Pleasant Acres Care Center – Hull, IA

CMS Verified | 2026-03-01

Pleasant Acres Care Center

309 Railroad Street, Hull, IA 51239
(712) 439-2758
46 beds
All Hull facilities
3.0*
Overall
3.0*
Health Inspection
3.0*
Quality Care
2.0*
Staffing
64.75
Score /100
#10446
National Rank

#10446
of 14703 facilities
National
29.0% position
#261
of 390 in IA
State Rank
#4
of 5 in Sioux
County Rank
#1
of 1 in Hull
City Rank
#1
of 1 in ZIP 51239
ZIP Rank






About Pleasant Acres Care CenterPleasant Acres Care Center is located at 309 Railroad Street, Hull, IA, reachable at (712) 439-2758. This For profit – Limited Liability company facility operates 46.0 certified beds and serves an average of 30 residents per day. It is part of the Arboreta Healthcare network (8 facilities nationwide). Medicare and Medicaid services have been provided since 1995-01-01. The facility currently holds a average (3-star) overall CMS rating.
Facility

Pleasant Acres Care Center

Address

309 Railroad Street, Hull, IA 51239

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 46 Certified Beds
  • Ownership: For profit – Limited Liability company
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: ARBORETA HEALTHCARE

Quick Verdict

Overall Quality
⚠️ Average (3★) overall rating
Health Inspection
⚠️ Average (3★) health inspection
Staffing
⚠️ Below Average (2★) staffing rating
Quality of Care
⚠️ Average (3★) quality of care
Compliance
❌ 5 fine(s) over 5 years
5-Year Trend
Improving over 5 years
64.75
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#10446 of 14703 nationally – #261 of 390 in Iowa

Who Is This Facility Best For?

Pleasant Acres Care Center offers a mid-range care option in Hull, IA. Families prioritizing high RN coverage should discuss staffing schedules directly with the facility, as registered nurse hours have trended downward in recent years.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

3 / 5
Health Inspection

3 / 5
Staffing Rating

2 / 5
Quality Measures (QM)

3 / 5
Long-Stay QM Rating

3 / 5
Short-Stay QM Rating

N/A

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightPleasant Acres Care Center currently provides 3 hours 27 minutes of total nurse staffing per resident per day, including 1 hour 1 minute of Registered Nurse (RN) coverage. The CMS Staffing Rating of 2 out of 5 is below average — a point worth discussing with facility management before admission. RN hours per resident have declined from 102 min/day (2022) to 61 min/day (2026) — a trend families should be aware of.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 27 minutes
Nurse Aide Hours1 hour 33 minutes
Licensed Practical Nurse (LPN) Hours53 minutes
Registered Nurse (RN) Hours1 hour 1 minute
Physical Therapist Hours1 minute

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours3 hours 1 minute
Weekend Registered Nurse (RN) Hours39 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryThe facility has received 5 fine(s) over the 5-year period, totaling $176,546. 51 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 0
Total Fines Amount $0.0
Payment Denials 0
Total Penalties 0
Abuse Flag on Record N
Total Weighted Health Survey Score 40.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#10,446
of 14,703
National
Bottom 29%
#261
of 390
IA State
Bottom 33% in IA
#4
of 5
️ Sioux County
#4 of 5
#1
of 1
️ Hull
Best in city
#1
of 1
ZIP 51239
Best in ZIP

Nationally, Pleasant Acres Care Center ranks 10446th out of 14,703 facilities (composite score: 64.8/100), placing it in the below average nationwide. Within IA, it ranks 261st out of 390 nursing homes. For 2026 staffing: total nurse hours rank #9,629 nationally and RN hours rank #1,960 nationally (#48 in IA).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank IA State Rank Note
2022 4.94 #1,222 / 14,703 #19 / 390 Top 10%
2023 #14,162 / 14,703 #380 / 390 ⚠️ Bottom 5%
2024 2.27 #14,021 / 14,703 #371 / 390 ⚠️ Bottom 5%
2025 3.00 #12,920 / 14,703 #342 / 390 ⚠️ Bottom 25%
2026 3.44 #9,629 / 14,703 #258 / 390 Below average

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank IA State Rank Note
2022 1.69 #407 / 14,703 #5 / 390 Top 5%
2023 #14,162 / 14,703 #380 / 390 ⚠️ Bottom 5%
2024 0.38 #10,751 / 14,703 #348 / 390 Below average
2025 1.16 #1,230 / 14,703 #27 / 390 Top 10%
2026 1.01 #1,960 / 14,703 #48 / 390 Top 25%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Pleasant Acres Care Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1995-01-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (712) 439-2758 or your local Medicaid office to verify current eligibility.

Pleasant Acres Care Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 3 out of 5 stars. This is made up of three components: Health Inspection (3★), Staffing (2★), and Quality of Resident Care (3★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 64.8/100, placing it #10446 of 14703 facilities nationally and #261 of 390 in Iowa. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Pleasant Acres Care Center receives a reported average of 3 hours 27 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 1 hour 1 minute; Licensed Practical Nurse (LPN) — 53 minutes; Nurse Aide — 1 hour 33 minutes. On weekends, total nurse staffing is 3 hours 1 minute per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 5 fine(s) over the 5-year period, totaling $176,546. 51 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 40.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Pleasant Acres Care Center ranks 10446th out of 14,703 facilities (composite score: 64.8/100), placing it in the below average nationwide. Within IA, it ranks 261st out of 390 nursing homes. For 2026 staffing: total nurse hours rank #9,629 nationally and RN hours rank #1,960 nationally (#48 in IA). Our composite quality score of 64.8/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Hull, visit: https://nursinghomesnearme.org/iowa/hull/

Contact and Location

ADR
Address

309 Railroad Street, Hull, IA 51239
Get directions on Google Maps

TEL
LLC
Legal Name

OPCO HULL IA LLC

MAP
Browse by Location

All Iowa ·
Sioux County ·
Hull ·
ZIP 51239

Facility Details

Number of Certified Beds 46
Average Residents / Day 30 (66% occupancy)
Ownership Type For profit – Limited Liability company
Provider Type Medicare and Medicaid
County Sioux County, IA
City Hull, IA
ZIP Code 51239
Approved Since January 1, 1995
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 165248
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org