The Village of Ackley
502 Butler Street · Ackley, IA · 50601 · 6418473531
38 certified beds Non profit - Corporation Chain: Western Home Communities
- Inspection results have improved across recent cycles.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
64% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.88 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.12 | 0.55–0.75 |
| Weekend hours / resident-day | 3.66 | ≈ weekday level |
| Nursing turnover / year | 64% | median 45% |
| Fines (3-yr window) | 2 · $47,149 |
Inspection citations (33 in the current record)
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Potential for harm · D March 12, 2026
Ensure each resident receives an accurate assessment.
Corrected March 25, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 12, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 25, 2026 · Nutrition and Dietary
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Potential for harm · D November 20, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 20, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E February 27, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected March 21, 2025 · Resident Rights
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Potential for harm · D February 27, 2025
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected March 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D February 27, 2025
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected March 21, 2025 · Administration
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Potential for harm · D February 27, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 21, 2025 · Resident Rights
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Actual harm · G July 11, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 10, 2024 · Quality of Life and Care
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Actual harm · G July 11, 2024 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected August 10, 2024 · Quality of Life and Care
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Potential for harm · D July 11, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected August 10, 2024 · Resident Rights
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Potential for harm · D July 11, 2024 · found via complaint
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.
Corrected August 10, 2024 · Resident Rights
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Potential for harm · D July 11, 2024 · found via complaint
Provide or get specialized rehabilitative services as required for a resident.
Corrected August 10, 2024 · Quality of Life and Care
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Potential for harm · D July 11, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected August 10, 2024 · Resident Assessment and Care Planning
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Immediate jeopardy · J April 9, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected May 4, 2024 · Pharmacy Service
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Potential for harm · D April 9, 2024
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.
Corrected May 4, 2024 · Resident Rights
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Potential for harm · D April 9, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 4, 2024 · Resident Rights
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Potential for harm · D April 9, 2024
Ensure each resident receives an accurate assessment.
Corrected May 4, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 9, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 4, 2024 · Resident Assessment and Care Planning
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Potential for harm · D April 9, 2024
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.
Corrected May 4, 2024 · Nutrition and Dietary
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Potential for harm · E April 9, 2024
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.
Corrected May 4, 2024 · Nutrition and Dietary
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Potential for harm · E April 9, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected May 4, 2024 · Nutrition and Dietary
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Potential for harm · E April 9, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 4, 2024 · Nutrition and Dietary
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Potential for harm · D April 9, 2024
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.
Corrected May 4, 2024 · Administration
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Potential for harm · D April 9, 2024
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.
Corrected May 4, 2024 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 11, 2024 | Fine | $24,668 |
| April 9, 2024 | Fine | $22,481 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165443 · certified since January 1, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.