The Village of Ackley

Nursing Home, Adult Day Care, Assisted Living, Independent Living, Memory Care & Skilled Nursing · Ackley, IA

CMS overall rating

502 Butler Street, Ackley, Ia 506011730 View map

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The Village of Ackley accepts Medicare, Medicaid, and private pay.

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The Village of Ackley accepts Medicare, Medicaid, and private pay.

Overview of The Village of Ackley

Owned by Korey Deberg, The Village of Ackley is a nursing home in Iowa. With 38 beds, the smaller community serves residents who need skilled nursing care and rehabilitation services. The area has a Walk Score of 44, so the facility is somewhat walkable. Some nearby services are accessible on foot, while most trips require transportation.

The facility focuses on short-term rehabilitation and respite care and also provides ongoing nursing support. Residents stay an average of 360 days, including those recovering from acute health events and those transitioning into longer-term care. The community has an occupancy rate of 84%, with 32 residents living in its 38 beds.

Daily nurse staffing averages 4 hours and 11 minutes per resident. Registered nurses provide 1 hour and 7 minutes of care each day, while nurse aides contribute 2 hours and 30 minutes of direct support. This level of staffing provides substantial hands-on assistance for residents. Medicare, Medicaid, and private pay are accepted, giving families several options for arranging care.

Home-cooked meals are an important part of daily life within the community. Residents receive three hearty meals each day because of the facility’s personal approach to care. This style of dining may appeal to residents and families who value a more home-like atmosphere.

Recent state inspections reviewed areas such as abuse and neglect prevention, timely reporting of resident concerns, communication with families regarding health changes, staffing levels, and clinical documentation. Families touring the community should ask about these core operational areas before making a placement decision.

Facility Direct Line (641) 847-3531 admissions@westernhome.org

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

4h 11m per day

vs avg

2 of 6 metrics below state avg

Standout metric Weekend RN is +97% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	1h 7m per day	▲ 53% State avg: 44m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	15m per day	▼ 55% State avg: 34m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 30m per day	■ Avg State avg: 2h 32m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	3h 39m per day	▲ 9% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	2m per day	▼ 20% State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	59m per day	▲ 97% State avg: 30m per day · National avg: 28m per day

Capacity and availability

360 days

38-bed community

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

Walk Score: 44 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

84%

Higher than the Iowa average: 75.4%

Occupied beds

32 / 38

Average occupied beds in Iowa homes 51 beds

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility

StatusActive

ExpirationJuly 16, 2026 Expires in 6 days

CountyHardin

License Number420418

CMS Certification Number165443

Certification TypeFALSE

The Village of Ackley is administered by Scott Kramer.

Rehabilitation Services

Respite Care

Short-Term Rehab

Email scott.kramer@westernhome.org

Fax6418473428

Pets not allowed

Since 2020 · 6 years of data 88 deficiencies 19 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2020 vs. Iowa state average

Overall vs. IA average

Latest Inspection December 8, 2025

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	IA Average	vs. IA Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	88	27	This facility has 226% more total deficiencies than a typical Iowa assisted living residence (88 vs. IA avg 27).↑ 226% worse
Deficiencies per year Average deficiencies per year since 2020.	14.7	4.5	This facility has 227% more deficiencies per year than a typical Iowa assisted living residence (14.7 vs. IA avg 4.5).↑ 227% worse
Deficiencies per inspection Average deficiencies per inspection.	4.6	1.8	This facility has 156% more deficiencies per inspection than a typical Iowa assisted living residence (4.6 vs. IA avg 1.8).↑ 156% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	IA Average	vs. IA Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	19	15	This facility has had 27% more total inspections than the Iowa average (19 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↑ 27% more

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The most recent inspection on December 8, 2025 accepted a credible allegation of substantial compliance with no deficiencies cited.
The November 20, 2025 complaint investigation substantiated abuse and neglect deficiencies, including failure to prevent abuse and timely report allegations.
Between April and November 2025, recurring deficiencies involved failure to notify families of condition changes, inadequate staffing, and incomplete documentation.

Show Inspection Reports

Inspections since 2023

Total health inspections 6

State average N/A

Last Health inspection on Feb 2025

Total health citations

State average N/A

Citations per inspection

State average N/A

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

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

2 critical citations State average: N/A

2 serious citations State average: N/A

32 moderate citations State average: N/A

0 minor citations State average: N/A

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

Total staff 102

Employees 48

Contractors 54

Staff to resident ratio 3.64 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 19

Average shift 6.8 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 11,947

Nursing staff breakdown

7.6 hours

8 hours

7.2 hours

Contractor staffing

1,538 contractor hours this quarter

Certified Nursing Assistant: 14 Registered Nurse: 14 Licensed Practical Nurse: 9 Respiratory Therapy Technician: 5 Physical Therapy Assistant: 3 Speech Language Pathologist: 2 Qualified Social Worker: 2 Physical Therapy Aide: 2 Medication Aide/Technician: 1 Occupational Therapy Assistant: 1 Occupational Therapy Aide: 1

Staff by category


Certified Nursing Assistant	26	14	40	4,963	92	100%	7.2
Medication Aide/Technician	6	1	7	2,363	90	98%	7.9
Registered Nurse	9	14	23	1,863	88	96%	7.6
Clinical Nurse Specialist	2	0	2	905	86	93%	8.8
Licensed Practical Nurse	4	9	13	754	66	72%	8
Nurse Practitioner	1	0	1	503	63	68%	8
Physical Therapy Assistant	0	3	3	186	53	58%	3.4
Speech Language Pathologist	0	2	2	175	63	68%	2.7
Respiratory Therapy Technician	0	5	5	78	50	54%	1.5
Occupational Therapy Aide	0	1	1	68	14	15%	4.8
Qualified Social Worker	0	2	2	57	41	45%	1.4
Physical Therapy Aide	0	2	2	21	11	12%	1.9
Occupational Therapy Assistant	0	1	1	11	3	3%	3.7

40 Certified Nursing Assistant

% of Days 100%

7 Medication Aide/Technician

% of Days 98%

23 Registered Nurse

% of Days 96%

2 Clinical Nurse Specialist

% of Days 93%

13 Licensed Practical Nurse

% of Days 72%

1 Nurse Practitioner

% of Days 68%

3 Physical Therapy Assistant

% of Days 58%

2 Speech Language Pathologist

% of Days 68%

5 Respiratory Therapy Technician

% of Days 54%

1 Occupational Therapy Aide

% of Days 15%

2 Qualified Social Worker

% of Days 45%

2 Physical Therapy Aide

% of Days 12%

1 Occupational Therapy Assistant

% of Days 3%

View All Staffing Data

Total fines amount $100K

108% higher than State average

State average: $48K

Number of fines 3

77% more fines than State average

State average: 1.7

Payment Denials 0

100% fewer payment denials than State average

State average: 0.5

Fines amount comparison

This facility $100K

State average $48K

Penalty History

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

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Jul 11, 2024

$25K

Civil Money Penalty Apr 9, 2024

$22K

Last updated: Jan 2026

High-risk clinical events score 10.8

5% worse than State average

State average: 10.2

Functional decline score 26.6

23% worse than State average

State average: 21.6

Long-stay resident measures

Above average State avg: 3.3

Need for Help with Daily Activities Increased 24.4%

30% worse than State average

State average: 18.8%

Walking Ability Worsened 19.6%

In line with State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 35.9%

37% worse than State average

State average: 26.2%

Falls with Major Injury 1.8%

49% better than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers 5.7%

30% worse than State average

State average: 4.4%

Urinary Tract Infection 0.9%

62% better than State average

State average: 2.5%

Lost Too Much Weight 2.4%

51% better than State average

State average: 5.0%

Depressive Symptoms 7.6%

96% worse than State average

State average: 3.9%

Antipsychotic Use 32.4%

70% worse than State average

State average: 19.0%

Pneumococcal Vaccine 96.3%

In line with State average

State average: 94.4%

Influenza Vaccine 72.7%

24% worse than State average

State average: 95.3%

Hospitalizations per 1,000 days 1.08

27% better than State average

State average: 1.48

ED visits per 1,000 days 2.81

34% worse than State average

State average: 2.09

Short-stay resident measures

Pneumococcal Vaccine 88.9%

5% better than State average

State average: 85.1%

Antipsychotic medication increase 5.4%

194% worse than State average

State average: 1.8%

Successful return to home or community 51.5%

In line with State average

State average: 50.6%

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

Total residents 28

Medicare

3.6% of residents

Medicaid

57.1% of residents

Private pay or other

39.3% of residents

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.

Financial Trends

Historical financial and operational data for The Village of Ackley from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 80.1% ↑ 17.8pp vs 2022

Net Patient Income -$511.0K ↓ ~$410.1K vs 2022

Payroll Costs $2.1M ↓ ~$135.7K vs 2022

Operating Margin -16.4% ↓ 13.6pp vs 2022

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 Income	$124,111	$150,933	-$79,837	-$43,146	-$564,480	-$384,543	-$14,323	$174,037	-$80,705	-$83,110	$258,950	-$100,870	-$510,953
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
Payroll Costs	$2,676,843	$2,839,975	$2,705,909	$2,451,855	$2,458,002	$2,355,673	$2,434,770	$2,249,991	$2,229,242	$2,355,172	$2,145,321	$2,186,963	$2,051,288
Operating Margin %	2.9%	3.2%	-1.8%	-1.0%	-14.1%	-9.6%	-0.3%	4.6%	-2.3%	-2.2%	6.8%	-2.9%	-16.4%
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%
Net Patient 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

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$3.1M

Net patient income

-$511.0K

Nonprofit Nonprofit Corporation

Net patient revenue

$3.1M

Net patient income

-$511.0K

Other income

$300.7K

Payroll costs

$2.1M 66% of net patient revenue

Other operating costs

$1.6M

Total costs

$3.6M

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.

New residents most often arrive under private pay (48% of admissions), and a typical private pay stay runs around 1 - 2 years.

Coverage residents most often arrive under.

Medicare 41%

Private pay 48%

Medicaid 11%

Coverage residents most often leave under.

Medicare 42%

Private pay 50%

Medicaid 8%

0.0 miles from city center Estimated distance in miles from Ackley's city center to The Village of Ackley's address, calculated via Google Maps.

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The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.


Bethany Home Retirement Center	NH IL MC SNF	Dubuque (Eagle Point District)	-	66	-	69	1 Bed / 2 Bed
Friendship Village	NH AL IL MC SNF	Waterloo	-	72	-	52	2 Bed / 3 Bed
Prairie Vista Village	NH AL IL SNF	South Altoona	-	68	A	29	-
St Francis Manor	NH AL HOS SNF	Grinnell	-	78	-	82	-
The Village of Ackley	NH ADC AL IL MC SNF	Ackley	-	38	-	44	-

Nursing Home Explorer

Is The Village of Ackley in a walkable area?

The Village of Ackley has a walk score of 44. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of The Village of Ackley?

According to IA state health department records, The Village of Ackley's license number is 420418.

When does The Village of Ackley's license expire?

According to IA state health department records, The Village of Ackley's license expires on July 16, 2026.

What is the occupancy rate at The Village of Ackley?

The Village of Ackley's occupancy is 84%.

Are pets allowed at The Village of Ackley?

No, The Village of Ackley has a no-pet policy.

What is the best email address for The Village of Ackley?

The team at The Village of Ackley can be reached at scott.kramer@westernhome.org.

Does The Village of Ackley operate as a for-profit or non-profit?

The Village of Ackley is registered as a non-profit in IA.

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The Village of Ackley

Overview of The Village of Ackley

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Contact Information

Additional Policies & Features

Contact The Village of Ackley

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

40 Certified Nursing Assistant

7 Medication Aide/Technician

23 Registered Nurse

2 Clinical Nurse Specialist

13 Licensed Practical Nurse

1 Nurse Practitioner

3 Physical Therapy Assistant

2 Speech Language Pathologist

5 Respiratory Therapy Technician

1 Occupational Therapy Aide

2 Qualified Social Worker

2 Physical Therapy Aide

1 Occupational Therapy Assistant

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

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