Occupancy rate
84%
In line with Iowa averageMix 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.
Nursing Home
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.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
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.
Occupancy rate
84.2%
Residents per day
32
Occupancy rate
84.2%
Residents per day
32
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
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
Privately-owned community
Operated by a business corporation.
Home revenue
$4.2M
Operating loss
-$166.5K
Privately-owned community
Operated by a business corporation.
Home revenue
$4,194,084.00
Operating loss
$-166,537.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
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
In line with Iowa averageOccupied beds
32 / 38
Average residents
51 per day
License details
Facility type
Free Standing Nf/snf
Status
Active
County:
Hardin
Additional licensing details
License number:
420418
CMS Certification Number:
165443
Certification type:
FALSE
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
Contact Information
Email:
[email protected]
Fax:
6418473428
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
Inspection History
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
19 visits/inspections
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.
Inspection Report Summary for The Village of Ackley
The most recent inspection on December 8, 2025, found the facility in substantial compliance with no specific deficiencies detailed. Earlier inspections showed a mixed pattern, with some substantiated complaints related to abuse and neglect in late 2025, and multiple deficiencies in resident care, notification practices, and staffing issues identified in prior years. Complaint investigations included substantiated cases involving failure to notify families and physicians of significant resident condition changes, inadequate supervision, and issues with abuse reporting, while many other complaints were unsubstantiated. Enforcement actions such as fines or license suspensions were not listed in the available reports, though an Immediate Jeopardy was identified and later removed in 2023 related to inadequate supervision and accident hazards. The facility’s record shows some improvement over time, with recent inspections indicating substantial compliance following earlier citations.
Health Inspection History
Inspections
Total health inspections
6
Iowa average 4.9
Last Health inspection on Feb 2025
Total health citations
36
Citations per inspection
6
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
22 of 36 citations resulted from standard inspections; 10 of 36 resulted from complaint investigations; and 4 of 36 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
2
2
233% worse than Iowa averageIowa average: 0.6
Serious Health citations
2
2
122% worse than Iowa averageIowa average: 0.9
2 critical citations
2 serious citations
32 moderate citations
0 minor citations
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
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Iowa
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Akron Care Center, INC
+15%
+10%
+30%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 510017716
45
CITY OF AKRON
98.1%
$4,650,730.00
$2,144,112.00
46.1%
42.00
4.7098
-
4
-
+15%+10%+30%
Accura HealthCare of Carlisle
-40%
+36%
+7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 500478733
46
AMERICAN HEALTHCARE ASSOCIATES INC
80.5%
$4,098,046.00
$2,453,646.00
59.9%
38.90
5.8515
-
17
2
-40%+36%+7%
Accura Healthcare of Spirit Lake
-8%
-12%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 513601000
85
-
66.6%
$7,053,735.00
$3,009,392.00
42.7%
65
4.2922
1
21
1
-8%
0%
-12%
Accura Healthcare of Lake City, LLC
-33%
+20%
-7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 514499701
46
ACCURA HEALTHCARE OF THE HEARTLAND LLC
70.4%
$2,045,587.00
$969,532.00
47.4%
39.80
5.1665
4
39
4
-33%+20%-7%
The Village of Ackley
-4%
-2%
+6%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 506011730
64
DEBERG, KOREY
80.1%
$3,893,367.00
$1,820,216.00
46.8%
24.60
4.1913
3
36
4
-4%-2%+6%
Akron Care Center, INC
Type of care:
SNF
AL
Community:
IA 510017716
Bed Count:
45
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:
Adj Nurse Hours:
4.7098
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
+15%
+15%
Staffing vs State Avg:
+10%
+10%
Occupancy vs State Avg:
+30%
+30%
Accura HealthCare of Carlisle
Type of care:
SNF
AL
Community:
IA 500478733
Bed Count:
46
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:
Adj Nurse Hours:
5.8515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
17
Severe Citations:
2
RN share vs State Avg:
-40%
-40%
Staffing vs State Avg:
+36%
+36%
Occupancy vs State Avg:
+7%
+7%
Accura Healthcare of Spirit Lake
Type of care:
SNF
AL
Community:
IA 513601000
Bed Count:
85
CCN:
165528
Occupancy:
66.6%
Home Revenue:
$7,053,735.00
Payroll Costs:
$3,009,392.00
Payroll %:
42.7%
Avg Residents/Day:
65
Overall Rating:
Adj Nurse Hours:
4.2922
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
21
Severe Citations:
1
RN share vs State Avg:
-8%
-8%
Staffing vs State Avg:
0%
Occupancy vs State Avg:
-12%
-12%
Accura Healthcare of Lake City, LLC
Type of care:
SNF
AL
Community:
IA 514499701
Bed Count:
46
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:
Adj Nurse Hours:
5.1665
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
4
Citations:
39
Severe Citations:
4
RN share vs State Avg:
-33%
-33%
Staffing vs State Avg:
+20%
+20%
Occupancy vs State Avg:
-7%
-7%
The Village of Ackley
Type of care:
SNF
AL
Community:
IA 506011730
Bed Count:
64
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:
Adj Nurse Hours:
4.1913
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
3
Citations:
36
Severe Citations:
4
RN share vs State Avg:
-4%
-4%
Staffing vs State Avg:
-2%
-2%
Occupancy vs State Avg:
+6%
+6%Places of interest near The Village of Ackley
Ackley, IA 506011730
Ackley, IA 506011730
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
72
Total Staff
42
Employees
30
Contractors
11,142
Total Hours (Quarter)
18
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 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
28 residents
Residents by payment source
Medicare
1 resident (3.6%)
Medicaid
16 residents (57.1%)
Private pay or other
11 residents (39.3%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.8
5% worse than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
26.6
23% worse than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
24.4%
Percent of long-stay residents whose need for help with daily activities has increased
24.4%
30% worse than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
19.6%
Percent of long-stay residents whose ability to move independently worsened
19.6%
In line with Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
35.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
35.9%
37% worse than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.8%
Percent of long-stay residents experiencing one or more falls with major injury
1.8%
49% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.7%
Percent of long-stay high risk residents with pressure ulcers
5.7%
30% worse than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.9%
Percent of long-stay residents with a urinary tract infection
0.9%
62% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.4%
Percent of long-stay residents who lose too much weight
2.4%
51% better than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
7.6%
Percent of long-stay residents who have depressive symptoms
7.6%
96% worse than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
32.4%
Percent of long-stay residents who received an antipsychotic medication
32.4%
70% worse than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
96.3%
In line with Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
72.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
72.7%
24% worse than Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.9%
5% better than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
5.4%
Percent of short-stay residents who newly received an antipsychotic medication
5.4%
194% worse than Iowa averageIowa average: 1.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$100K
108% higher than Iowa averageIowa average: $48K
Number of fines
3
77% more fines than Iowa averageIowa average: 1.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Iowa averageIowa average: 0.5
Fines amount comparison
Fines amount comparison
This facility
$100K
Iowa average
$48K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 11, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 11, 2024
$25K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 9, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Apr 9, 2024
$22K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 16, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
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...
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The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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