Nursing Home

The Village of Ackley

502 Butler Street, Ackley, IA 50601

Part of Western Home Communitiessee all 6 affiliated facilities

38 certified beds 29 residents per day on average

CMS Five-Star Quality Rating

3 out of 5 Stars

Overall rating

Health inspections

From the three most recent annual inspection cycles and recent complaint investigations.

Staffing

Based on nurse staffing hours relative to the care needs of this facility’s residents.

Quality measures

Based on clinical quality measures reported for residents, from assessments and Medicare claims.

Source: CMS Five-Star Quality Rating System. These are CMS's own ratings, shown exactly as published — CareRanks does not adjust or re-weight them. How CMS calculates these ratings ↗

Medicare Outcome Measures

Source: CMS Skilled Nursing Facility Quality Reporting Program. Rates are risk-standardized by CMS; the comparison category is CMS's own, shown exactly as published.

Clinical Quality Measures

Source: CMS MDS quality measures (four-quarter average).

Nurse Staffing

Nurse staffing per resident per day
3.7 hours

IA average: 3.8 hours · National: 3.9 hours

All nursing staff combined: RNs, LPNs/LVNs, and nurse aides.

Registered nurse (RN) time per resident per day
1.1 hours

IA average: 0.7 hours · National: 0.7 hours

RN hours only — the most highly trained nursing staff.

Weekend nurse staffing per resident per day
3.4 hours

IA average: 3.4 hours · National: 3.4 hours

Total nurse staffing on Saturdays and Sundays, when staffing typically dips.

Nursing staff turnover in the past year
66.7%

IA average: 44.0% · National: 45.8%

Share of this facility’s nursing staff who stopped working there over 12 months.

Reported by facilities through CMS's Payroll-Based Journal system. Facility values and the state/national averages are shown exactly as CMS publishes them. More staffing hours are generally better; lower turnover is generally better.

Penalties & Enforcement

2 fines totaling $47,149 in the recent inspection window (most recent: July 11, 2024).

Federal enforcement actions from CMS's penalty file: civil money penalties (fines) and denials of Medicare payment tied to health-inspection deficiencies.

Ownership

Ownership type
Non profit - Corporation
Chain
Western Home Communities
Who owns this facility — 25 entries in CMS's ownership records expand ↓
  • Zion Bancorporation Organization
    Mortgage interest (≥5%) since 07/03/1995
  • Enslin, John Individual
    Corporate director since 12/28/2023
  • Janssen, Ardelle Individual
    Corporate director since 02/20/2020
  • Lindaman, Jane Individual
    Corporate director since 11/02/2022
  • Neuberger, Brianne Individual
    Corporate director since 09/03/2020
  • Sietsema, Todd Individual
    Corporate director since 11/02/2022
  • Nederhoff, Taylor Individual
    Corporate officer since 11/13/2017
  • Western Home Services Inc Organization
    Operational/managerial control since 01/01/2022
  • Card, Tim Individual
    Operational/managerial control since 09/08/2020
  • Deford, Colin Individual
    Operational/managerial control since 02/01/2025

…and 15 more entries in CMS's ownership records for this facility.

From CMS's nursing-home ownership file. Roles and percentages are as reported to CMS by the facility; one person or entity can hold several roles.

Inspections & Fire Safety — 4 health (IA avg 6.5) · 4 fire (IA avg 3.6) · ⚠ 3 serious Details

33 deficiencies cited across recent inspection cycles, including ⚠ 3 serious (actual harm or immediate jeopardy). Most recent survey: March 12, 2026.

Most recent inspection cycle: 4 health deficiencies · IA average: 6.5 · National: 9.3

28 fire-safety deficiencies cited — most often emergency preparedness (10) and egress (8).

Most recent fire-safety inspection (2026-03-12): 4 deficiencies · IA average: 3.6 · National: 4.5

Sources: CMS health inspection reports (standard surveys and complaint investigations) and CMS Life Safety Code inspections (smoke barriers, sprinklers, exits, emergency preparedness). Averages are CMS-published state and national figures for the most recent inspection cycle.

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How The Village of Ackley compares nearby

Compared with the 8 other nursing homes within 25 miles — 9 facilities in all, CMS data only.

Among the 9 nursing homes within 25 miles, The Village of Ackley's overall star rating is 3★; the median among the 8 peers reporting it is 4★.

Measure This facility Nearby median Best nearby
Overall star rating reported by 8 of 8 nearby peers 3★ 4★ 5★
Health inspections reported by 8 of 8 nearby peers 3★ 4★ 5★
Staffing reported by 8 of 8 nearby peers 4★ 3.5★ 5★
Quality measures reported by 8 of 8 nearby peers 4★ 4★ 5★

The comparison group

Cohort: within 25 miles · CMS data period 2026-08 · method cohort-v1 · comparisons are never affected by claiming or payment. How nearby comparisons work

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