CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 1654432026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

The Village Of Ackley

502 Butler Street · Ackley, IA 50601 · Hardin County

CMS OVERALL RATING★★★☆☆3/5CMS field—not our score or recommendation
Certified beds38CMS provider file
Recent citation rows61current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12026-03-1242026-03-124
Cycle 22025-02-2742025-02-276
Cycle 32024-04-09252024-04-0918
02 / CITATION DETAIL

61 rows in the current release

3 rows carry G–L scope/severity codes; 1 carry J–L. 7 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-03-12 · HEALTHF0641Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Correction field: Deficient, Provider has date of correction · 2026-03-25
2026-03-12 · HEALTHF0812Severity D · isolated; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction field: Deficient, Provider has date of correction · 2026-03-25
2026-03-12 · FIREK0271Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Have exits that are accessible at all times.

Correction field: Deficient, Provider has date of correction · 2026-03-19
2026-03-12 · FIREK0293Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Have properly located and lighted "Exit" signs.

Correction field: Deficient, Provider has date of correction · 2026-03-13
2026-03-12 · FIREK0920Severity D · isolated; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Correction field: Deficient, Provider has date of correction · 2026-03-23
2026-03-12 · FIREK0923Severity E · pattern; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Correction field: Deficient, Provider has date of correction · 2026-03-13
2025-11-20 · HEALTHF0600Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction field: Deficient, Provider has date of correction · 2025-11-25 · complaint
2025-11-20 · HEALTHF0609Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Correction field: Deficient, Provider has date of correction · 2025-11-25 · complaint
2025-02-27 · HEALTHF0550Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Correction field: Deficient, Provider has date of correction · 2025-03-21 · complaint
2025-02-27 · HEALTHF0623Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Correction field: Deficient, Provider has date of correction · 2025-03-21
2025-02-27 · HEALTHF0644Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Correction field: Deficient, Provider has date of correction · 2025-03-21
2025-02-27 · HEALTHF0851Severity D · isolated; potential for more than minimal harm

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Correction field: Deficient, Provider has date of correction · 2025-03-21
2025-02-27 · FIREK0200Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

Meet other general requirements.

Correction field: Deficient, Provider has date of correction · 2025-03-01
2025-02-27 · FIREK0222Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Correction field: Deficient, Provider has date of correction · 2025-03-24
2025-02-27 · FIREK0271Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

Have exits that are accessible at all times.

Correction field: Deficient, Provider has date of correction · 2025-03-24
2025-02-27 · FIREK0291Severity E · pattern; potential for more than minimal harm

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

Correction field: Deficient, Provider has date of correction · 2025-03-03
2025-02-27 · FIREK0353Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2025-03-06
2025-02-27 · FIREK0355Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

Correction field: Deficient, Provider has date of correction · 2025-02-28
2024-07-11 · HEALTHF0580Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Correction field: Deficient, Provider has date of correction · 2024-08-10 · complaint
2024-07-11 · HEALTHF0584Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Correction field: Deficient, Provider has date of correction · 2024-08-10 · complaint
2024-07-11 · HEALTHF0689Severity G · isolated actual harm

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction field: Deficient, Provider has date of correction · 2024-08-10 · complaint
2024-07-11 · HEALTHF0692Severity G · isolated actual harm

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

Correction field: Deficient, Provider has date of correction · 2024-08-10 · complaint
2024-07-11 · HEALTHF0825Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide or get specialized rehabilitative services as required for a resident.

Correction field: Deficient, Provider has date of correction · 2024-08-10 · complaint
2024-07-11 · HEALTHF0842Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Correction field: Deficient, Provider has date of correction · 2024-08-10 · complaint
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2024-07-11Fine$24,6680
2024-04-09Fine$22,4810
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • ZION BANCORPORATIONOrganization · 5% OR GREATER MORTGAGE INTEREST
    NOT APPLICABLE · since 07/03/1995
  • ENSLIN, JOHNIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 12/28/2023
  • JANSSEN, ARDELLEIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 02/20/2020
  • LINDAMAN, JANEIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 11/02/2022
  • NEUBERGER, BRIANNEIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 09/03/2020
  • SIETSEMA, TODDIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 11/02/2022
  • NEDERHOFF, TAYLORIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 11/13/2017
  • WESTERN HOME SERVICES INCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/01/2022
  • CARD, TIMIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 09/08/2020
  • DEFORD, COLINIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 02/01/2025
  • KRAMER, SCOTTIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 10/21/2015
  • RICHTSMEIER, LYNNIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/19/2021
  • STINE, KERRIIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 05/01/2023
  • UBBEN, LISAIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 12/11/2007
  • A - 1 STAFFINGOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 04/01/2023
  • BCG HOLDINGS INCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 10/01/2024
  • BRIGHTON CONSULTING GROUP LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 10/01/2024
  • CATTAIL BCG LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 10/01/2024

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.72per resident day
RN hours1.08per resident day
Weekend nurse hours3.39per resident day
Staff turnover66.7%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the Iowa ledger →

No second facility in the same city met the directory rule.

BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.