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The Village of Ackley

⌖ Ackley, IA · Hardin County
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Medicare overall rating 3 of 5 stars
Certified beds38
Medicare / MedicaidMedicare & Medicaid
OwnershipNon-profit (corporation)

About The Village of Ackley

The Village of Ackley is a 38-bed nonprofit nursing home in Ackley, IA. Medicare rates it 3 out of 5 stars overall (average); the average in Iowa is 3.1. At its last full inspection (Mar 2026), inspectors found 4 problems, fewer than the Iowa average of 6.5. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 3 hr 43 min a day with each resident, about the same as the Iowa average of 3 hr 49 min. About 67% of its nursing staff left in the past year. Medicare fined it $47,149 in the last three years.

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

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Key details

Facility nameThe Village Of Ackley
LocationHardin County, Iowa
Address502 Butler Street, Ackley, IA 50601 · Hardin County
CMS provider number165443
Ownership typeNon-profit (corporation)
Operating companyWestern Home Communities · 6 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJanuary 1, 2002 (24 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating3 of 5Average
Health inspections3 of 5Average
Quality measures4 of 5Above average
Staffing4 of 5Above average

Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

3 strengths and 2 things to ask about in Medicare's inspection, fine and staffing records for this home. 2 care-quality measures are worse than the state average in the rehab and long-term care section below.

Strengths

  • Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Nov 2025.
    Strength
  • Health citations at last inspection4 (Mar 2026)Iowa average: 6.5. Most citations are minor and corrected within weeks.
    Strength
  • Registered nurse time per resident1 hr 05 min a dayIowa average: 45 min
    Strength

About average

  • Nurse staffing per resident3 hr 43 min a dayIowa average: 3 hr 49 min
    About average

Things to ask about

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  • Fines and penalties2 fines totaling $47,149Federal penalties from the last three years, most recently in Jul 2024 (about 2 years ago). The national average is $30,972 per home.
    Ask about this
  • Nursing staff turnover67% a yearIowa average: 44%
    Worse than state average

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Iowa average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Short-term rehab

For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.

Medicare has not rated this part of the home’s care.

  • Newly given antipsychotic drugs9.4%State average: 2.1%
    Worse than average

Physical therapist time: about 1 minute per resident a day. That is less than the state average of 2 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 4 of 5 (above average)

  • Falls with a major injury4.8%State average: 3.8%
    Worse than average
  • Pressure sores (bedsores)3.4%State average: 4.2%
    About average
  • Given antipsychotic drugs15.7%State average: 19.5%
    About average
  • Hospital stays per 1,000 resident days0.4State average: 1.5
    Better than average

Source: Medicare (CMS) quality measures, compared with the Iowa average. Lower is better for every rate shown.

Who pays, and how full it is

Many residents here pay privately or through insurance. In Iowa, Medicaid pays for 50% of resident days at a typical home.

  • 43% Medicaid
  • 6% Medicare
  • 51% Private pay, insurance and other
Beds in use, on average39%Iowa typical: 79%
Cost of care per resident day$803Iowa typical: $311

Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

Ratings over time

Its overall Medicare rating is 3 stars now, down from 4 stars in January 2019. It has ranged from 1 to 5 stars and changed 11 times.

Overall rating3★
Health inspections3★
Staffing4★
Quality of care4★
Nurse hours per resident per day3.7
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201942453.4
Jan 202044443.4
Jan 202144–43.5
Jan 202233342.9
Jan 202333423.3
Jan 202422323.0
Feb 202511212.8
Feb 202611443.9
Sep 202633443.7

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

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Explore the area

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Family reviews

No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.