Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-03-12 | 4 | 2026-03-12 | 4 |
| Cycle 2 | 2025-02-27 | 4 | 2025-02-27 | 6 |
| Cycle 3 | 2024-04-09 | 25 | 2024-04-09 | 18 |
NURSING HOME PUBLIC RECORD
502 Butler Street · Ackley, IA 50601 · Hardin County
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.
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-03-12 | 4 | 2026-03-12 | 4 |
| Cycle 2 | 2025-02-27 | 4 | 2025-02-27 | 6 |
| Cycle 3 | 2024-04-09 | 25 | 2024-04-09 | 18 |
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.
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2026-03-25Procure 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 · 2026-03-25Have exits that are accessible at all times.
Correction field: Deficient, Provider has date of correction · 2026-03-19Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2026-03-13Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2026-03-23Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2026-03-13Protect 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 · complaintTimely 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 · complaintHonor 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 · complaintProvide 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 · 2025-03-21Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Correction field: Deficient, Provider has date of correction · 2025-03-21Electronically 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 · 2025-03-21Meet other general requirements.
Correction field: Deficient, Provider has date of correction · 2025-03-01Add 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 · 2025-03-24Have exits that are accessible at all times.
Correction field: Deficient, Provider has date of correction · 2025-03-24Install emergency lighting that can last at least 1 1/2 hours.
Correction field: Deficient, Provider has date of correction · 2025-03-03Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-03-06Properly select, install, inspect, or maintain portable fire extinguishes.
Correction field: Deficient, Provider has date of correction · 2025-02-28Immediately 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 · complaintHonor 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 · complaintEnsure 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 · complaintProvide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2024-08-10 · complaintProvide or get specialized rehabilitative services as required for a resident.
Correction field: Deficient, Provider has date of correction · 2024-08-10 · complaintSafeguard 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 · complaintFine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-07-11 | Fine | $24,668 | 0 |
| 2024-04-09 | Fine | $22,481 | 0 |
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.
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
No second facility in the same city met the directory rule.
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.