The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
Nursing home report
The Village of Ackley
Ackley, IA · Medicare-certified · 38 beds
Needs attention
Non-profitChain member
2 of 5 overall
The Village of Ackley has a 2-star overall rating, with a very low 1-star health inspection score but stronger staffing (4 stars) and quality measures (5 stars). It reported nurse staffing of 3.88 hours per resident per day, below the federal benchmark of 4.1, and had $24,668 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.8806 hrs/resident/day
Quality measures
Last inspection: November 20, 2025Penalties, last 24 months: $24,668recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8806.
Staffing detail
- Registered nurses
- 1.12
- Licensed practical nurses
- 0.26
- Nurse aides
- 2.50
- Weekend nursing
- 3.66
Hours per resident per day.
Total staff turnover: 64%
Registered nurse turnover: 67%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
15.4%Steady
Residents with a fall causing major injury
2.9%Worsening
Residents with pressure ulcers (bedsores)
3.1%Steady
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
2.4%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
15.7%Improving
Residents whose ability to walk got worse
17.1%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
10.7%Worsening
Short-stay residents newly given an antipsychotic
3.6%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
28.1%Improving
Residents with depressive symptoms
5.6%Improving
Long-stay residents given the seasonal flu vaccine
72.7%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The home failed to ensure residents’ medications were free from unnecessary drugs. Cited April 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 757 — 42 CFR §483.45(d) — S/S: J
The home failed to provide enough food and fluids to keep residents healthy. Cited July 2024 — isolated incident, actual harm.
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F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The home failed to notify the resident and family in time before a transfer or discharge, including their right to appeal. Cited February 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 623 — 42 CFR §483.15 — S/S: E
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited April 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $24,668 was recorded.
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $47,149 in total fines.
- $24,668
Federal fine
Jul 11, 2024
- $22,481
Federal fine
Apr 9, 2024
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of WESTERN HOME COMMUNITIES · 6 homes · 3.5 stars avg
- Occupancy
- 31.8 residents on an average day (84% of 38 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 24 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.