The Village of Ackley
502 Butler Street, Ackley, IA, 50601
Yes. Federal inspectors cited 4 deficiencies against The Village of Ackley in Ackley, Iowa at its most recent standard inspection on 2026-03-12, 2 of them arising from complaints. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 2 times, totalling $47,149. Medicare rates it 3 out of 5 overall.
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2026-03-12 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2026-03-12 · standard survey · No actual harm, potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2025-11-20 · from a complaint · No actual harm, potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2025-11-20 · from a complaint · No actual harm, potential for more than minimal harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · F0623 · 2025-02-27 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2025-02-27 · from a complaint · No actual harm, potential for more than minimal harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · F0644 · 2025-02-27 · standard survey · No actual harm, potential for more than minimal harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · F0851 · 2025-02-27 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2024-07-11 · from a complaint · Actual harm to a resident
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · F0692 · 2024-07-11 · from a complaint · Actual harm to a resident
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · F0580 · 2024-07-11 · from a complaint · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0584 · 2024-07-11 · from a complaint · No actual harm, potential for more than minimal harm
Provide or get specialized rehabilitative services as required for a resident.
Quality of Life and Care Deficiencies · F0825 · 2024-07-11 · from a complaint · No actual harm, potential for more than minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · F0842 · 2024-07-11 · from a complaint · No actual harm, potential for more than minimal harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · F0757 · 2024-04-09 · standard survey · Immediate jeopardy to resident health or safety
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · F0803 · 2024-04-09 · standard survey · No actual harm, potential for more than minimal harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · F0804 · 2024-04-09 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2024-04-09 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2024-04-09 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · F0578 · 2024-04-09 · standard survey · No actual harm, potential for more than minimal harm
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
What Medicare has fined this home
Who owns The Village of Ackley
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| ZION BANCORPORATION | Organization | NOT APPLICABLE | since 07/03/1995 |
| ENSLIN, JOHN | Individual | NOT APPLICABLE | since 12/28/2023 |
| JANSSEN, ARDELLE | Individual | NOT APPLICABLE | since 02/20/2020 |
| LINDAMAN, JANE | Individual | NOT APPLICABLE | since 11/02/2022 |
| NEUBERGER, BRIANNE | Individual | NOT APPLICABLE | since 09/03/2020 |
| SIETSEMA, TODD | Individual | NOT APPLICABLE | since 11/02/2022 |
| NEDERHOFF, TAYLOR | Individual | NOT APPLICABLE | since 11/13/2017 |
| WESTERN HOME SERVICES INC | Organization | NOT APPLICABLE | since 01/01/2022 |
| CARD, TIM | Individual | NOT APPLICABLE | since 09/08/2020 |
| DEFORD, COLIN | Individual | NOT APPLICABLE | since 02/01/2025 |
| KRAMER, SCOTT | Individual | NOT APPLICABLE | since 10/21/2015 |
| RICHTSMEIER, LYNN | Individual | NOT APPLICABLE | since 08/19/2021 |
Part of the WESTERN HOME COMMUNITIES group.
Ask The Village of Ackley a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 165443.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction