Federal inspection record · CMS data as of October 1, 2026
The Village of Ackley
502 Butler Street, Ackley, IA · (641) 847-3531
- Certified beds
- 38
- Residents per day
- 28
- Ownership
- Non-Profit
- Chain
- Western Home Communities
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 2002
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
The Village of Ackley carries 38 inspection points. That is fewer than 45% of Iowa's 385 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–7 pts
- 4★ 7–21 pts
- 3★ 21–41 pts
- 2★ 41–86.5 pts
- 1★ over 86.5 pts
Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
33 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide enough food/fluids to maintain a resident's health.
-
J
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Everything else, by area of care
Resident Rights7E
- E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
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.
- D
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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning5D
- D
Ensure each resident receives an accurate assessment.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nutrition and Dietary5E
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
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.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
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.
Administration4D
- D
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- D
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.
- D
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
- D
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Freedom from Abuse, Neglect, and Exploitation3D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Quality of Life and Care3D
- D
Provide or get specialized rehabilitative services as required for a resident.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Pharmacy Service1D
- D
Implement 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.
Nursing and Physician Services1E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspection history
2026-03-12
4 health deficiencies · 4 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2025-02-27
4 health deficiencies · 6 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2024-04-09
25 health deficiencies · 18 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 47 min of nursing staff time a day, 1 h 4 min of it from a registered nurse.
This home
3 h 47 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 54% of nursing staff and 60% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$47,149 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-07-11 | Fine | $24,668 |
| 2024-04-09 | Fine | $22,481 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts better | 0.7 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts worse | 2.0 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.8 pts better | 100.0% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine28.1 pts worse | 67.7% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.6 pts worse | 6.5% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.1 pts better | 4.1% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.3 pts better | 1.1% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11.2 pts better | 9.8% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication6.1 pts better | 13.7% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.1 pts better | 12.1% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.1 pts worse | 21.7% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better | 0.0% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.4 pts better | 0.0% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.6 pts worse | 25.6% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.7 pts better | 2.4% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16 pts better | 100.0% | 84.0% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication9 pts worse | 11.1% | 2.1% | 1.5% |
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Who owns and runs it
40 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| A - 1 Staffing | Adp Of The SNF · Organization | 0% | 1 facilities |
| Ager, Wendy | Adp Of The SNF · Individual | 0% | 6 facilities |
| Bcg Holdings Inc | Adp Of The SNF · Organization | 0% | 49 facilities |
| Brighton Consulting Group LLC | Adp Of The SNF · Organization | 0% | 73 facilities |
| Cattail Bcg LLC | Adp Of The SNF · Organization | 0% | 50 facilities |
| Cattail Inc | Adp Of The SNF · Organization | 0% | 50 facilities |
| Cbs Staffing LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Cliftonlarsonallen | Adp Of The SNF · Organization | 0% | 124 facilities |
| Deford, Colin | Operational/Managerial Control · Individual | 0% | 5 facilities |
| Deford, Colin | Adp Of The SNF · Individual | 0% | 5 facilities |
| Ecsi Inc | Adp Of The SNF · Organization | 0% | 49 facilities |
| Enslin, John | Corporate Director · Individual | 0% | 1 facilities |
| Evans, Angela | Adp Of The SNF · Individual | 0% | 8 facilities |
| Grape Tree Medical Staffing LLC | Adp Of The SNF · Organization | 0% | 64 facilities |
| Hansen, Kris | Adp Of The SNF · Individual | 0% | 6 facilities |
| Harris, Jerry | Adp Of The SNF · Individual | 0% | 12 facilities |
| Helping Hands Healthcare Solutions | Adp Of The SNF · Organization | 0% | 4 facilities |
| Iowa Health Care Association | Adp Of The SNF · Organization | 0% | 50 facilities |
| Janssen, Ardelle | Corporate Director · Individual | 0% | 1 facilities |
| Kramer, Scott | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Kramer, Scott | Adp Of The SNF · Individual | 0% | 2 facilities |
| Lindaman, Jane | Corporate Director · Individual | 0% | 1 facilities |
| Lotus Above & Beyond Healthcare Staffing LLC | Adp Of The SNF · Organization | 0% | 4 facilities |
| Mccormick, Darrell | Adp Of The SNF · Individual | 0% | 6 facilities |
| Medical Solutions LLC | Adp Of The SNF · Organization | 0% | 16 facilities |
| Millennium Rehab & Consulting Inc | Adp Of The SNF · Organization | 0% | 18 facilities |
| Nederhoff, Taylor | Corporate Officer · Individual | 0% | 1 facilities |
| Neuberger, Brianne | Corporate Director · Individual | 0% | 1 facilities |
| O'leary, Patrick | Adp Of The SNF · Individual | 0% | 6 facilities |
| Pm Acquisition LLC | Adp Of The SNF · Organization | 0% | 12 facilities |
| Richtsmeier, Lynn | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Sietsema, Todd | Corporate Director · Individual | 0% | 1 facilities |
| Stine, Kerri | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Sugar Creek Health Management LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Tech Of Ages LLC | Adp Of The SNF · Organization | 0% | 6 facilities |
| Ubben, Lisa | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Western Home Services Inc | Operational/Managerial Control · Organization | 0% | 5 facilities |
| Western Home Services Inc | Adp Of The SNF · Organization | 0% | 5 facilities |
| Zion Bancorporation | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| Zion Bancorporation | Adp Of The SNF · Organization | 0% | 1 facilities |
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Fire safety
28 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness10F
- F
Address subsistence needs for staff and patients.
- F
Establish procedures for tracking staff and patients during an emergency.
- F
Establish policies and procedures for medical documentation.
- F
Establish policies and procedures for volunteers.
- F
Establish roles under a Waiver declared by secretary.
- F
Develop a communication plan.
- F
Establish methods for sharing information.
- F
Provide a means of sharing information on occupancy/needs.
- F
Provide family notifications of emergency plan.
- F
Include a process for Emergency Preparedness collaboration.
Egress8F
- F
Have exits that are accessible at all times.
- F
Have properly located and lighted "Exit" signs.
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- E
Meet other general requirements.
- E
Have exits that are accessible at all times.
- E
Install emergency lighting that can last at least 1 1/2 hours.
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F
Install emergency lighting that can last at least 1 1/2 hours.
Smoke6F
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Install corridor and hallway doors that block smoke.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems3E
- E
Have proper medical gas storage and administration areas.
- D
Ensure proper usage of power strips and extension cords.
- E
Have generator or other power source capable of supplying service within 10 seconds.
Services1E
- E
Have properly installed electrical wiring and gas equipment.
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Scenic Manor
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Eldora Specialty Care
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