Nursing homeActive
The Village of Ackley
502 Butler Street, Ackley, IA 50601641847353138 certified beds · 29 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
6
since 2023
Deficiencies
33
● 0● 30● 3
Penalties · 3 yrs
$47,149
2 fines
Last survey
2026-03-12
Standard
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 4
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-03-12 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2025-11-20 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-02-27 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2024-07-11 | Complaint | 042 | CMS-2567 (Care Compare) | — |
| 2024-04-09 | Standard | 0151 | CMS-2567 (Care Compare) | — |
| 2023-10-30 | Complaint | 030 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-25Record 165443-20260312-F641
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-25Record 165443-20260312-F812
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-11-25Record 165443-20251120-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-11-25Record 165443-20251120-F609
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-21Record 165443-20250227-F550
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-21Record 165443-20250227-F623
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-21Record 165443-20250227-F644
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-03-21Record 165443-20250227-F851
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-08-10Record 165443-20240711-F689
F692Provide enough food/fluids to maintain a resident's health.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-08-10Record 165443-20240711-F692
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-10Record 165443-20240711-F580
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-10Record 165443-20240711-F584
F825Provide or get specialized rehabilitative services as required for a resident.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-10Record 165443-20240711-F825
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-10Record 165443-20240711-F842
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity JHarm
Medication
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-05-04Record 165443-20240409-F757
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-04Record 165443-20240409-F578
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-04Record 165443-20240409-F580
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-04Record 165443-20240409-F641
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-04Record 165443-20240409-F657
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-04Record 165443-20240409-F690
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-04Record 165443-20240409-F758
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-04Record 165443-20240409-F801
F803Ensure 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.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-04Record 165443-20240409-F803
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-04Record 165443-20240409-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-04Record 165443-20240409-F812
F836Ensure 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.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-04Record 165443-20240409-F836
F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-04Record 165443-20240409-F849
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-04Record 165443-20240409-F868
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-04Record 165443-20240409-F880
F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-04Record 165443-20240409-F943
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-17Record 165443-20231030-F580
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-17Record 165443-20231030-F684
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-11-17Record 165443-20231030-F725
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-07-11 | Civil money penalty | $24,668 | CMS · Penalties |
| 2024-04-09 | Civil money penalty | $22,481 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.08
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.72
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours3.39
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover67%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover73%
Facility
Iowa
National
Iowa 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.4% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.8% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 15.7% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 19.8% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.4% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 10.3% | 20.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Card, Tim Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Deford, Colin Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kramer, Scott Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Richtsmeier, Lynn Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Stine, Kerri Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ubben, Lisa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Western Home Services Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| A - 1 Staffing Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ager, Wendy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bcg Holdings Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Brighton Consulting Group LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cattail Bcg LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cattail Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cbs Staffing LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cliftonlarsonallen LLP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Deford, Colin Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ecsi Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Enslin, John Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Evans, Angela Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Grape Tree Medical Staffing LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hansen, Kris Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Harris, Jerry Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Helping Hands Healthcare Solutions Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Iowa Health Care Association Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Janssen, Ardelle Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kramer, Scott Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lindaman, Jane Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lotus Above & Beyond Healthcare Staffing LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mccormick, Darrell Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Medical Solutions LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Millennium Rehab & Consulting Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Nederhoff, Taylor Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Neuberger, Brianne Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| O'leary, Patrick Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Pm Acquisition LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sietsema, Todd Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Sugar Creek Health Management LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Tech Of Ages LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Western Home Services Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Zion Bancorporation Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Zion Bancorporation Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
Part of a chain
Western Home Communities — 6 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.
No county cost figures on file for Hardin.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Maple Manor Village Aplington | 9.2 mi | 2026-02-18 | 070 |
| Eldora Specialty Care Eldora | 13.8 mi | 2026-06-15 | 061 |
| Scenic Manor Iowa Falls | 11.0 mi | 2026-06-25 | 070 |
| Franklin General Hospital Hampton | 14.8 mi | 2025-05-08 | 050 |
| Rehabilitation Center of Hampton Hampton | 15.0 mi | 2026-05-28 | 061 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |