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
Nursing home report
The Village of Ackley
Ackley, IA · Medicare-certified · 38 beds
Needs attention
Non-profitChain member
Data as of July 1, 2026
3 of 5 overall
The Village of Ackley in Ackley, IA has a 3-star overall rating, with 3-star health inspections and stronger 4-star staffing and quality scores. It also has a recent federal penalty, $24,668 in fines over the last 24 months, and reported nurse staffing of 3.72 hours per resident per day, below the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.7207 hrs/resident/day
Quality measures
Last inspection: March 12, 2026Penalties, last 24 months: $24,668recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.7207.
Staffing detail
- Registered nurses
- 1.08
- Licensed practical nurses
- 0.31
- Nurse aides
- 2.33
- Weekend nursing
- 3.39
Hours per resident per day.
Total staff turnover: 67%
Registered nurse turnover: 73%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
10%15%Worsening
Residents with a fall causing major injury
0%6.9%Worsening
Residents with pressure ulcers (bedsores)
4.4%5.1%Worsening
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
4.8%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
19%37.5%Worsening
Residents whose ability to walk got worse
—15%—
Long-stay residents on antianxiety or sleep medication
14.3%8.3%Improving
Short-stay residents newly given an antipsychotic
—9.4%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
26.5%20.9%Improving
Residents with depressive symptoms
3.7%3.7%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—72.7%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—100%—
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to provide enough food and fluids to keep residents healthy. Cited July 2024 — isolated incident, actual harm.
View the original federal record
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 make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — 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
- 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 · 3.7 stars avg
- Occupancy
- 28.9 residents on an average day (76% 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.