What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview: Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement. Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay. Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation. Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program. State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options. Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities. Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.

How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up.

What services do you offer?

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The Village of Ackley | Iowa | Photos & Videos

Overview of The Village of Ackley

The Village of Ackley is a senior living community in Ackley, Iowa. It offers a full range of senior living services, including independent living, assisted living, skilled nursing, and short-term rehabilitation. The facility is committed to providing compassionate care and a variety of social activities for residents.

(641) 847-3531 admissions@westernhome.org

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 4.19/day Iowa avg: 4.30/day

Overall rating

1/5

Iowa avg: 3.1/5

Health Inspection

1/5

Iowa avg: 2.9/5

Staffing

3/5

Iowa avg: 3.5/5

Quality Measures

2/5

Iowa avg: 3.3/5

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 38

This home usually has availability

Lower occupancy suggests more openings may be available.

80.1%

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Might be optimal for

Flexible care needs

How we assess these insights Show admissions and discharges

Breakdown by payment type

Medicare

41% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

48% of new residents, often for short stays.

Typical stay 1 - 2 years

Medicaid

11% of new residents, often for long-term daily care.

Typical stay 3 - 4 years

Finances and operations

Home revenue

$4.2M

Operating loss

-$166.5K

Proprietary home Corporation

Home revenue

$4,194,084.00

Operating loss

$-166,537.00

Payroll costs

$1.8M

43.4% of revenue

Other operating costs

$2.6M

Total costs $4.4M

38-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

About this community

Occupancy Rate

84%

Occupied Beds

32 of 38

Percentage of available beds currently in use by residents.

License Status

Active

Facility Type

Free Standing NF/SNF

Additional licensing details

License number: 420418

CMS Certification Number: 165443

Certification type: FALSE

County: Hardin

Ownership & operating entity

The Village of Ackley is administrated by Scott Kramer.

Care Services

Nursing Services

Rehabilitation Services

Respite Care

Memory Care

Independent Living

Skilled Nursing

Licensed Nurses/CNAs

Short-Term Rehab

All Levels of Care

Independent Living

Assisted Living

Memory Care

Skilled Nursing

Contact Information

Email: [email protected]

Fax: 6418473428

Amenities & Lifestyle

Programs & Activities

Specific Programs

Independent Living, Assisted Living, Memory Care, Skilled Nursing, Short-term Rehab, Adult Day Services

Dining & Nutrition

Food Description

All food is home cooked with three hearty meals each day.

Meals Included

Yes

Iowa average: 17 visits/inspections

Iowa average: 0 inspections

Show Inspection Reports

Latest inspection

Date:December 8, 2025

42 deficiencies

Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.

Compare Nursing Homes around Iowa

Akron Care Center, INC

SNF

IA 510017716

CITY OF AKRON

98.1%

$4,650,730.00

$2,144,112.00

46.1%

42.00

4/5

4.7098

4/5

5/5

1/5

+10%

+30%

Accura HealthCare of Carlisle

SNF

IA 500478733

AMERICAN HEALTHCARE ASSOCIATES INC

80.5%

$4,098,046.00

$2,453,646.00

59.9%

38.90

4/5

5.8515

3/5

5/5

4/5

+36%

+7%

Accura Healthcare of Spirit Lake

SNF

IA 513601000

66.6%

$7,053,735.00

$3,009,392.00

42.7%

65.20

1/5

4.2922

1/5

4/5

3/5

-12%

Accura Healthcare of Lake City, LLC

SNF

IA 514499701

ACCURA HEALTHCARE OF THE HEARTLAND LLC

70.4%

$2,045,587.00

$969,532.00

47.4%

39.80

1/5

5.1665

1/5

4/5

1/5

+20%

-7%

The Village of Ackley

SNF

IA 506011730

DEBERG, KOREY

80.1%

$3,893,367.00

$1,820,216.00

46.8%

24.60

1/5

4.1913

1/5

3/5

2/5

-2%

+6%

Akron Care Center, INC

Type of care: SNF AL

Community: IA 510017716

Bed Count: 45

Pets Allowed: No

Operator: CITY OF AKRON

CCN: 165595

Occupancy: 98.1%

Home Revenue: $4,650,730.00

Payroll Costs: $2,144,112.00

Payroll %: 46.1%

Avg Residents/Day: 42.00

Overall Rating: 4/5

Adj Nurse Hours: 4.7098

Health Insp Rating: 4/5

Staffing Rating: 5/5

QM Rating: 1/5

Citations: 4

RN share vs State Avg:

+15%

Staffing vs State Avg:

+10%

Occupancy vs State Avg:

+30%

Accura HealthCare of Carlisle

Type of care: SNF AL

Community: IA 500478733

Bed Count: 46

Pets Allowed: No

Operator: AMERICAN HEALTHCARE ASSOCIATES INC

CCN: 165311

Occupancy: 80.5%

Home Revenue: $4,098,046.00

Payroll Costs: $2,453,646.00

Payroll %: 59.9%

Avg Residents/Day: 38.90

Overall Rating: 4/5

Adj Nurse Hours: 5.8515

Health Insp Rating: 3/5

Staffing Rating: 5/5

QM Rating: 4/5

Citations: 17

Severe Citations: 2

RN share vs State Avg:

-40%

Staffing vs State Avg:

+36%

Occupancy vs State Avg:

+7%

Accura Healthcare of Spirit Lake

Type of care: SNF AL

Community: IA 513601000

Bed Count: 85

Pets Allowed: No

CCN: 165528

Occupancy: 66.6%

Home Revenue: $7,053,735.00

Payroll Costs: $3,009,392.00

Payroll %: 42.7%

Avg Residents/Day: 65.20

Overall Rating: 1/5

Adj Nurse Hours: 4.2922

Health Insp Rating: 1/5

Staffing Rating: 4/5

QM Rating: 3/5

Number of Fines: 1

Citations: 21

Severe Citations: 1

RN share vs State Avg:

-8%

Staffing vs State Avg: 0%

Occupancy vs State Avg:

-12%

Accura Healthcare of Lake City, LLC

Type of care: SNF AL

Community: IA 514499701

Bed Count: 46

Pets Allowed: No

Operator: ACCURA HEALTHCARE OF THE HEARTLAND LLC

CCN: 165082

Occupancy: 70.4%

Home Revenue: $2,045,587.00

Payroll Costs: $969,532.00

Payroll %: 47.4%

Avg Residents/Day: 39.80

Overall Rating: 1/5

Adj Nurse Hours: 5.1665

Health Insp Rating: 1/5

Staffing Rating: 4/5

QM Rating: 1/5

Number of Fines: 4

Citations: 39

Severe Citations: 4

RN share vs State Avg:

-33%

Staffing vs State Avg:

+20%

Occupancy vs State Avg:

-7%

The Village of Ackley

Type of care: SNF AL

Community: IA 506011730

Bed Count: 64

Pets Allowed: No

Operator: DEBERG, KOREY

CCN: 165443

Occupancy: 80.1%

Home Revenue: $3,893,367.00

Payroll Costs: $1,820,216.00

Payroll %: 46.8%

Avg Residents/Day: 24.60

Overall Rating: 1/5

Adj Nurse Hours: 4.1913

Health Insp Rating: 1/5

Staffing Rating: 3/5

QM Rating: 2/5

Number of Fines: 3

Citations: 36

Severe Citations: 4

RN share vs State Avg:

-4%

Staffing vs State Avg:

-2%

Occupancy vs State Avg:

+6%

Ackley, IA 506011730

Calculate Travel Distance to The Village of Ackley

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Total Staff

Employees

Contractors

11,142

Total Hours (Quarter)

Avg Staff/Day

6.8

Avg Shift (hrs)

Nursing Staff Breakdown

Role ⓘ	Count ⓘ	Avg Shift (hrs) ⓘ	Uses Contractors? ⓘ
Registered Nurse	8	7.8	Yes
Licensed Practical Nurse	13	8.8	Yes
Certified Nursing Assistant	17	6.9	No

Staff by Category

Administration

0 staff

0hs shift avg

Nursing Staff

45 staff

7.4hs shift avg

Physicians & Practitioners

4 staff

8.3hs shift avg

Therapy Services

14 staff

1.7hs shift avg

Activities & Recreation

0 staff

0hs shift avg

Social Services

6 staff

1.3hs shift avg

Dietary Services

3 staff

6.5hs shift avg

Other Services

0 staff

0hs shift avg

Contractor Analysis

9.9%

of total hours from contractors

1,104 contractor hours this quarter

Physical Therapy Assistant: 2 Occupational Therapy Aide: 1 Qualified Social Worker: 6 Licensed Practical Nurse: 6 Registered Nurse: 4 Speech Language Pathologist: 2 Respiratory Therapy Technician: 4 Occupational Therapy Assistant: 2 Physical Therapy Aide: 3

Role ⓘ	Employees ⓘ	Contractors ⓘ	Total Staff ⓘ	Total Hours ⓘ	Days Worked ⓘ	% of Days ⓘ	Avg Shift (hrs) ⓘ
Certified Nursing Assistant	17	0	17	4,070	91	100%	6.9
Medication Aide/Technician	7	0	7	2,214	91	100%	7.2
Licensed Practical Nurse	7	6	13	1,629	91	100%	8.8
Registered Nurse	4	4	8	907	67	74%	7.8
Clinical Nurse Specialist	3	0	3	760	76	84%	8.5
Nurse Practitioner	1	0	1	513	65	71%	7.9
Other Dietary Services Staff	2	0	2	363	44	48%	6.1
Dietitian	1	0	1	333	47	52%	7.1
Speech Language Pathologist	0	2	2	83	65	71%	1.2
Physical Therapy Assistant	0	2	2	82	43	47%	1.9
Occupational Therapy Aide	0	1	1	78	14	15%	5.6
Qualified Social Worker	0	6	6	47	34	37%	1.3
Respiratory Therapy Technician	0	4	4	35	35	38%	1
Physical Therapy Aide	0	3	3	16	13	14%	1.3
Occupational Therapy Assistant	0	2	2	13	3	3%	4.2

View All Staffing Data

Total Health inspections 6

22% above Iowa average

Iowa average: 4.9

Last Health inspection on Feb 2025

Total Health citations 36

66% above Iowa average

Iowa average: 21.7

6 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 26 citations

Complaint investigations 14 citations

Breakdown of citations

Critical Health citations 2

233% above Iowa average

Iowa average: 0.6

Serious Health citations 2

122% above Iowa average

Iowa average: 0.9

Moderate Health citations 32

Minor Health citations 0

Citations history (last 3 years)

Administration moderate citation Feb 27, 2025

Corrected

Care Planning moderate citation Feb 27, 2025

Corrected

Resident Rights moderate citation Feb 27, 2025

Corrected

Resident Rights moderate citation Feb 27, 2025

Corrected

Ownership: Non-Profit Corporation

Resident Census by Payment Source

28 Total Residents

Medicare 1 (3.6%)

Medicaid 16 (57.1%)

Private Pay/Other 11 (39.3%)

Programs & Services

Residents' Group

Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Active Resident Council

High-risk clinical events score 10.8

5% worse than Iowa average

Iowa average: 10.2

Functional decline score 26.6

23% worse than Iowa average

Iowa average: 21.6

Long-Stay Resident Measures

Need for Help with Daily Activities Increased 24.4%

30% above Iowa average.

Walking Ability Worsened 19.6%

0% below Iowa average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 35.9%

37% above Iowa average.

Falls with Major Injury 1.8%

49% below Iowa average.

High Risk Residents with Pressure Ulcers 5.7%

30% above Iowa average.

Urinary Tract Infection 0.9%

62% below Iowa average.

Depressive Symptoms 7.6%

96% above Iowa average.

Antipsychotic Use 32.4%

70% above Iowa average.

Pneumococcal Vaccine 96.3%

2% above Iowa average.

Influenza Vaccine 72.7%

24% below Iowa average.

Lost Too Much Weight 2.4%

51% below Iowa average.

Short-stay resident measures

Pneumococcal Vaccine 88.9%

5% better than Iowa average

Antipsychotic medication increase 5.4%

194% worse than Iowa average

Total fines amount $100K

This home paid 108% more in fines than the state average.

Iowa average: $48K

Number of Fines 3

This home received 77% more fines than the state average.

Iowa average: 1.7

Payment Denials 0

This home had 100% fewer payment denials than the state average.

Iowa average: 0.5

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Jul 11, 2024

$25K

Civil Money Penalty Apr 9, 2024

$22K

Civil Money Penalty May 16, 2023

$53K

Last updated: Jan 2026

Financial Trends

Historical financial and operational data for The Village of Ackley based on CMS SNF Cost Reports.

Occupancy Rate 80.1% ↑ 17.8pp vs 2022

Net Income -$166,537 ↑ ~$48K vs 2022

Total Payroll $2,420,861 ↓ ~$38K vs 2022

Profit Margin -4.3% ↑ 0.6pp vs 2022

Loading trend charts...

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	59.8%	59.7%	86.3%	79.9%	72.1%	71.6%	76.0%	71.0%	69.7%	73.7%	71.5%	62.4%	80.1%
Beds	110	120	129	89	89	89	89	70	64	64	64	64	64
Net Income	$448,000	$723,873	$138,124	$199,649	-$216,827	-$326,944	$119,301	-$1,266,143	$193,030	$852,869	$744,062	-$214,802	-$166,537
Gross Revenue	$4,666,500	$5,217,042	$4,884,089	$4,959,365	$5,002,529	$5,031,631	$5,349,961	$4,778,318	$4,373,055	$4,489,947	$4,570,965	$4,398,890	$3,893,367
Operating Expenses	$4,176,741	$4,518,112	$4,439,856	$4,456,926	$4,570,241	$4,404,614	$4,354,746	$3,642,640	$3,588,419	$3,824,631	$3,529,044	$3,626,541	$3,621,234
Net Patient Revenue	$4,300,852	$4,669,045	$4,360,019	$4,413,780	$4,005,761	$4,020,071	$4,340,423	$3,816,677	$3,507,714	$3,741,521	$3,787,994	$3,525,671	$3,110,281
Total Payroll	$2,804,740	$3,105,742	$2,705,909	$2,451,855	$2,921,509	$2,725,793	$2,756,668	$2,497,932	$2,476,267	$2,607,729	$2,373,578	$2,458,711	$2,420,861
Profit Margin %	9.6%	13.9%	2.8%	4.0%	-4.3%	-6.5%	2.2%	-26.5%	4.4%	19.0%	16.3%	-4.9%	-4.3%
Medicare %	2.8%	5.5%	2.4%	2.0%	4.7%	6.0%	5.9%	7.3%	6.7%	6.1%	5.3%	8.3%	4.0%
Medicaid %	35.7%	23.5%	19.2%	39.6%	46.9%	49.8%	44.5%	54.6%	51.7%	47.5%	47.4%	45.0%	34.2%
Private %	61.4%	71.0%	78.4%	58.4%	48.3%	44.2%	49.6%	38.1%	41.6%	46.3%	47.3%	46.7%	61.8%
Revenue/Day	$179	$178	$107	$170	$171	$172	$176	$210	$207	$217	$227	$242	$166
Cost/Day	$174	$172	$109	$172	$195	$189	$176	$201	$212	$222	$211	$249	$193
Avg Length of Stay	161.9 days	145.3 days	207.1 days	403.2 days	202.0 days	148.7 days	140.2 days	164.9 days	157.0 days	383.6 days	321.4 days	171.4 days	359.9 days

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Elderly Waiver

Iowa Medicaid Elderly Waiver

General: Age 65+, Iowa resident, Medicaid-eligible, nursing home-level care need.

Income Limits (2025): ~$2,829/month (300% FBR, individual).

Asset Limits: $2,000 (individual), $3,000 (couple).

IA Specifics: Rural focus; waitlists possible.

Iowa Family Caregiver Support

IA NFCSP

General: Caregiver of someone 60+, Iowa resident.

Income Limits: No strict limit; prioritizes low-income.

Asset Limits: Not applicable.

IA Specifics: Limited slots; rural emphasis.

Medicare Savings Program (MSP)

Iowa Medicare Savings Program

General: Age 65+ or disabled, Iowa resident, Medicare Part A/B.

Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

Asset Limits: $9,430 (individual), $14,130 (couple).

IA Specifics: Three tiers; no waitlist.

Program of All-Inclusive Care for the Elderly (PACE)

Iowa PACE

General: Age 55+, Iowa resident, nursing home-level care need, safe with PACE support.

Income Limits (2025): ~$2,829/month (300% FBR, Medicaid-eligible).

Asset Limits: $2,000 (individual), $3,000 (couple).

IA Specifics: Limited to western Iowa (e.g., Council Bluffs); expanding slowly.

Senior Community Service Employment Program (SCSEP)

Iowa SCSEP

General: Age 55+, unemployed, low-income, Iowa resident.

Income Limits (2025): ~$1,983/month (125% FPL).

Asset Limits: Not specified; income-focused.

IA Specifics: Priority for veterans, rural residents.

VA Aid and Attendance (A&A) and Housebound Benefits

Iowa VA Aid and Attendance/Housebound

General: Age 65+ or disabled veteran/spouse, Iowa resident, wartime service, need for ADL help (A&A) or homebound.

Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

Asset Limits: ~$155,356 (net worth limit).

IA Specifics: High veteran demand in rural areas.

Able Up Iowa

General: Age 65+ or disabled, Iowa resident, ability to repay loan, need for assistive tech or mods.

Income Limits (2025): No strict limit; must demonstrate repayment capacity.

Asset Limits: Not specified; credit-based.

IA Specifics: Loans up to $25,000; statewide via Easterseals partnership.

The Village of Ackley

The Village of Ackley is a Nursing Home in Iowa

The Village of Ackley is a Nursing Home in Iowa

The Village of Ackley

The Village of Ackley is a Nursing Home in Iowa

The Village of Ackley is a Nursing Home in Iowa

Quality ratings

Capacity and availability

Smaller home

This home usually has availability

Who this home usually serves

Mix of rehab and long-term care

Breakdown by payment type

Medicare

Private pay

Medicaid

Finances and operations

About this community

Additional licensing details

Ownership & operating entity

Care Services

All Levels of Care

Contact Information

Amenities & Lifestyle

Programs & Activities

Dining & Nutrition

Inspection History

19 visits/inspections

Latest inspection

42 deficiencies

Inspection Reports

Compare Nursing Homes around Iowa

Places of interest near The Village of Ackley

Calculate Travel Distance to The Village of Ackley

Staffing Data

Nursing Staff Breakdown

Staff by Category

Contractor Analysis

Health Inspection History

Breakdown of citations

Citations history (last 3 years)

Facility Characteristics

Resident Census by Payment Source

Programs & Services

Family Engagement

Quality of care over time

Long-Stay Resident Measures

Daily care & independence

Safety & clinical stability

Emotional & behavioral wellbeing

Preventive care

Nutrition & physical health

Short-stay resident measures

Penalties and fines

Penalty History

Financial Trends

Occupancy Rate

Financial Performance

Payroll & Labor Costs

Payer Mix

Revenue vs Cost Per Patient Day

Guides for Better Senior Living

Eldertainment

Financial Aid for Iowa Seniors

Elderly Waiver

Iowa Family Caregiver Support

Medicare Savings Program (MSP)

Program of All-Inclusive Care for the Elderly (PACE)

Senior Community Service Employment Program (SCSEP)

VA Aid and Attendance (A&A) and Housebound Benefits

Able Up Iowa

Touring Checklist for Senior Living

Location

Community Spaces and Overall Environment

Services

Staffing

Accommodations

Finances

Other Notes

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