The Village of Ackley
502 Butler Street, Ackley, IA 50601 · Hardin County · 38 certified beds · avg 29 residents/day · certified since Jan 1, 2002
Part of chain: WESTERN HOME COMMUNITIES (6 facilities, chain avg rating 3.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Apr 9, 2024 · F-0757
The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Why it matters: Unneeded drugs expose residents to side effects, drowsiness, falls, and dangerous interactions.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: May 4, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jul 11, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 10, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Jul 11, 2024 · F-0692 · triggered by a complaint
The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Why it matters: Malnutrition and dehydration can quickly weaken a resident and lead to serious complications.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Aug 10, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (33)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 12, 2026 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Mar 12, 2026 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Nov 20, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Nov 20, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Feb 27, 2025 | E · Potential for harm, repeated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Feb 27, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Feb 27, 2025 | D · Potential for harm, one-off | The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. |
| Feb 27, 2025 | D · Potential for harm, one-off | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Jul 11, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jul 11, 2024 | ▲ G · Actual harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · from a complaint |
| Jul 11, 2024 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Jul 11, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Jul 11, 2024 | D · Potential for harm, one-off | The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. · from a complaint |
| Jul 11, 2024 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Apr 9, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Apr 9, 2024 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Apr 9, 2024 | E · Potential for harm, repeated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Apr 9, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 9, 2024 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 9, 2024 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Apr 9, 2024 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Apr 9, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Apr 9, 2024 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Apr 9, 2024 | D · Potential for harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint |
| Apr 9, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · from a complaint |
| Apr 9, 2024 | D · Potential for harm, one-off | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Apr 9, 2024 | D · Potential for harm, one-off | The facility was not properly licensed, or did not operate in compliance with federal, state, and local laws, regulations, and accepted professional standards. |
| Apr 9, 2024 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
| Apr 9, 2024 | D · Potential for harm, one-off | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
| Apr 9, 2024 | D · Potential for harm, one-off | The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. · from a complaint |
| Oct 30, 2023 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint |
| Oct 30, 2023 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Oct 30, 2023 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (4 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | E |
| 2024 | 22 | 3 | J ▲ |
| 2025 | 6 | 0 | E |
| 2026 | 2 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
2 fines totaling $47,149.
| Date | Type | Amount / length |
|---|---|---|
| Jul 11, 2024 | Fine | $24,668 |
| Apr 9, 2024 | Fine | $22,481 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Iowa avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.38 | 4.37 | 3.95 | top 45% in Iowa; top 27% in the U.S. |
| Registered Nurse hours | 1.27 | 0.85 | 0.69 | top 10% in Iowa; top 8% in the U.S. |
| Weekend total nurse staffing | 3.98 | 3.86 | 3.50 | top 39% in Iowa; top 23% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.49 | 0.51 | 0.48 | top 43% in Iowa; top 33% in the U.S. |
| Total nursing staff turnover (%) | 66.7 | 44.0 | 45.8 | bottom 6% in Iowa; bottom 8% in the U.S. |
| RN turnover (%) | 72.7 | 42.1 | 42.9 | bottom 12% in Iowa; bottom 9% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.72, RN 1.08, weekend 3.39. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| A - 1 Staffing | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| Ager, Wendy | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2022 |
| BCG Holdings INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Brighton Consulting Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Card, Tim | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/08/2020 |
| Cattail BCG LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Cattail INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| CBS Staffing LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| Cliftonlarsonallen LLP | Organization | ADP of the SNF | NOT APPLICABLE | 08/25/2021 |
| Deford, Colin | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2025 |
| Deford, Colin | Individual | ADP of the SNF | NOT APPLICABLE | 04/24/2026 |
| Ecsi INC | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Enslin, John | Individual | Corporate Director | NOT APPLICABLE | 12/28/2023 |
| Evans, Angela | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2022 |
| Grape Tree Medical Staffing LLC | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| Hansen, Kris | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2022 |
| Harris, Jerry | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2022 |
| Helping Hands Healthcare Solutions | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/2023 |
| Iowa Health Care Association | Organization | ADP of the SNF | NOT APPLICABLE | 10/01/2024 |
| Janssen, Ardelle | Individual | Corporate Director | NOT APPLICABLE | 02/20/2020 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Maple Manor Village | 9.2 mi | Aplington, IA | ★★★★☆ | 4/5 | |
| Scenic Manor | 11.0 mi | Iowa Falls, IA | ★★★★★ | 5/5 | |
| Eldora Specialty Care | 13.8 mi | Eldora, IA | ★★★☆☆ | 2/5 | abuse |
| Franklin General Hospital | 14.8 mi | Hampton, IA | ★★★★★ | 4/5 | |
| Rehabilitation Center of Hampton | 15.0 mi | Hampton, IA | ★★★★☆ | 4/5 | |
| Rehabilitation Center of Allison | 18.9 mi | Allison, IA | ★★★☆☆ | 2/5 | |
| Grundy Care Center | 19.7 mi | Grundy Center, IA | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 165443.