Nursing Care Index

The Village Of Ackley

Ackley, Hardin County, Iowa · CCN 165443 · Non-profit (Corporation) · part of Western Home Communities (6 facilities, chain average 3.7 stars)

CMS rates The Village Of Ackley 3 of 5 overall as of August 2026. 38 certified beds, 29 residents a day on average. 33 citations on record from the current inspection cycles, 1 at immediate jeopardy; 2 fines totalling $47,149.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★☆☆ 3 of 5
Health inspections★★★☆☆ 3 of 5
Staffing★★★★☆ 4 of 5
Quality measures★★★★☆ 4 of 5
Quality: long-stay / short-stay4 / — of 5

Staffing

Total nurse staffing3.72069 hours per resident per day
Registered nurses1.07658 hours per resident per day
Weekend total3.38876 hours per resident per day
Nursing staff turnover66.7% (registered nurses 72.7%)

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-03-12 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-25
2026-03-12 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-03-25
2025-11-20
complaint survey
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-11-25
2025-11-20
complaint survey
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-11-25
2025-02-27 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · tag F0623
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-03-21
2025-02-27
complaint survey
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-21
2025-02-27 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · tag F0644
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-21
2025-02-27 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · tag F0851
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-03-21
2024-07-11
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2024-08-10
2024-07-11
complaint survey
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · tag F0692
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2024-08-10
2024-07-11
complaint survey
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-10
2024-07-11
complaint survey
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.
Resident Rights Deficiencies · tag F0584
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-10
2024-07-11
complaint survey
Provide or get specialized rehabilitative services as required for a resident.
Quality of Life and Care Deficiencies · tag F0825
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-10
2024-07-11
complaint survey
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · tag F0842
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-10
2024-04-09 Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · tag F0757
J Immediate jeopardy to resident health or safety; isolated Deficient, Provider has date of correction
2024-05-04
2024-04-09 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.
Nutrition and Dietary Deficiencies · tag F0803
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-05-04
2024-04-09 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · tag F0804
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-05-04
2024-04-09 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-05-04
2024-04-09 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-05-04
2024-04-09 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.
Resident Rights Deficiencies · tag F0578
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-04
2024-04-09 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-04
2024-04-09 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-04
2024-04-09 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · tag F0657
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-04
2024-04-09
complaint survey
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-04
2024-04-09
complaint survey
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.
Pharmacy Service Deficiencies · tag F0758
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-04
2024-04-09 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.
Nutrition and Dietary Deficiencies · tag F0801
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-04
2024-04-09 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.
Administration Deficiencies · tag F0836
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-04
2024-04-09 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.
Administration Deficiencies · tag F0849
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-04
2024-04-09 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · tag F0868
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-04
2024-04-09
complaint survey
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0943
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-05-04
2023-10-30
complaint survey
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · tag F0725
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-11-17
2023-10-30
complaint survey
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-17
2023-10-30
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-17

Fines and payment denials

DatePenaltyAmount
2024-07-11Fine$24,668
2024-04-09Fine$22,481

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Zion Bancorporation
Organization
5% or greater mortgage interest1995-07-03
A - 1 Staffing
Organization
adp of the snf2023-04-01
Bcg Holdings Inc.
Organization
adp of the snf2024-10-01
Brighton Consulting Group LLC
Organization
adp of the snf2024-10-01
Cattail Bcg LLC
Organization
adp of the snf2024-10-01
Cattail Inc.
Organization
adp of the snf2024-10-01
Cbs Staffing LLC
Organization
adp of the snf2023-04-01
Cliftonlarsonallen LLP
Organization
adp of the snf2021-08-25
Ecsi Inc.
Organization
adp of the snf2024-10-01
Grape Tree Medical Staffing LLC
Organization
adp of the snf2023-04-01
Helping Hands Healthcare Solutions
Organization
adp of the snf2023-04-01
Iowa Health Care Association
Organization
adp of the snf2024-10-01
Lotus Above & Beyond Healthcare Staffing LLC
Organization
adp of the snf2023-04-01
Medical Solutions LLC
Organization
adp of the snf2023-04-01
Millennium Rehab & Consulting Inc.
Organization
adp of the snf2023-06-30
Pm Acquisition LLC
Organization
adp of the snf2019-10-01
Sugar Creek Health Management LLC
Organization
adp of the snf2023-04-01
Tech Of Ages LLC
Organization
adp of the snf2025-01-01
Western Home Services Inc.
Organization
adp of the snf2022-01-01
Zion Bancorporation
Organization
adp of the snf1995-07-03
Western Home Services Inc.
Organization
operational/managerial control2022-01-01
Ager, Wendy
Individual
adp of the snf2022-01-01
Deford, Colin
Individual
adp of the snf2026-04-24
Evans, Angela
Individual
adp of the snf2022-01-01
Hansen, Kris
Individual
adp of the snf2022-01-01
Harris, Jerry
Individual
adp of the snf2022-01-01
Kramer, Scott
Individual
adp of the snf2026-04-24
Mccormick, Darrell
Individual
adp of the snf2022-01-01
O'Leary, Patrick
Individual
adp of the snf2022-01-01
Enslin, John
Individual
corporate director2023-12-28
Janssen, Ardelle
Individual
corporate director2020-02-20
Lindaman, Jane
Individual
corporate director2022-11-02
Neuberger, Brianne
Individual
corporate director2020-09-03
Sietsema, Todd
Individual
corporate director2022-11-02
Nederhoff, Taylor
Individual
corporate officer2017-11-13
Card, Tim
Individual
operational/managerial control2020-09-08
Deford, Colin
Individual
operational/managerial control2025-02-01
Kramer, Scott
Individual
operational/managerial control2015-10-21
Richtsmeier, Lynn
Individual
operational/managerial control2021-08-19
Stine, Kerri
Individual
operational/managerial control2023-05-01
Ubben, Lisa
Individual
operational/managerial control2007-12-11

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Hardin County.