Staffing
CMS publishes a 4-star staffing rating for this facility.
RN staffing was 1.08 hours per resident day in 2026Q1, calculated from CMS PBJ records.
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The Village of Ackley has 38 certified beds in Ackley, Iowa. The CMS overall rating is 3 of 5, compared with the Iowa average of 3.1. The CMS health inspection rating is 3 of 5, compared with the Iowa average of 2.8. The CMS staffing rating is 4 of 5. The latest standard health survey on Mar 12, 2026 lists 2 deficiencies, compared with the Iowa average of 3.7. CMS records a fine of $24,668 dated Jul 11, 2024. CMS records a fine of $22,481 dated Apr 9, 2024. Total nurse staffing is 3.72 hours per resident day in 2026Q1, compared with the Iowa average of 3.83.
Independent research from official CMS public records. No paid ranking. No Trust Hub quality score.
Research this nursing home using CMS and federal public records. CMS Certification Number 165443.
At a glance
3 of 5
3 of 5
4 of 5
4 of 5
No attached CMS ownership-change event.
These are CMS star ratings, not Trust Hub ratings. Missing evidence is shown as not reported, not as zero.
Quality & care evidence
Staffing, inspections, and fire safety are separate CMS evidence families below.
Ownership & management
Current ownership uses CURRENT OWNED_BY evidence only. UNKNOWN is not a former owner.
Showing 25 of 28 relationships from CMS/PECOS evidence.
These relationships were observed in an older snapshot. UNKNOWN does not mean former owner, previous owner, or that ownership ended.
Ownership change history
No CMS ownership-change event is currently attached to this profile in the Trust Hub research graph. That is not proof that ownership never changed.
Source freshness
Profile generated 2026-11-03. That timestamp is not CMS evidence freshness.
Methodology
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS. How CMS ratings and facility records are read
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
CMS designations
This CMS Certification Number appears in the latest CMS Nursing Home Provider Information extract of currently listed nursing homes.
CMS does not currently identify this nursing home as a Special Focus Facility or candidate in the loaded Provider Information extract.
CMS field value: (blank). Observed Aug 1, 2026.
CMS does not currently apply its abuse-icon designation to this facility in the loaded Provider Information extract.
CMS field value: N. Observed Aug 1, 2026.
Enrollment identity
These identifiers come from CMS SNF enrollment records linked to this CCN. They are not a substitute for the CMS Certification Number.
MDS quality measures
These MDS quality measures are individual CMS-published scores. They are not the CMS quality-measure star rating.
MDS source release 2026-08-01.
Fire-safety citations
These are fire-safety citations, not health deficiencies and not a count of fires.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 4-star staffing rating for this facility.
RN staffing was 1.08 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Mar 12, 2026 cited 2 deficiencies.
View inspection evidenceCMS-published records list 177 ownership or control parties.
View ownership evidenceCMS groups this facility with a chain covering 6 facilities across 1 states or territories.
View chain evidenceCMS records show a $24,668 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
113 currently connected nursing homes share this CMS organization identity with CLIFTONLARSONALLEN LLP.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · 5% OR GREATER MORTGAGE INTEREST
Association date reported to CMS: Jul 3, 1995
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across IA.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 25, 2021
Other facilities connected through this exact CMS organization identity: 0 across IA.
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 24, 2026
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across IA.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across IA.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across IA.
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 24, 2026
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across IA.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jun 30, 2023
Other facilities connected through this exact CMS organization identity: 0 across IA.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2019
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 3, 1995
Other facilities connected through this exact CMS organization identity: 0 across IA.
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Dec 28, 2023
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Feb 20, 2020
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Nov 2, 2022
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Sep 3, 2020
Individual · CORPORATE DIRECTOR
Association date reported to CMS: Nov 2, 2022
Individual · CORPORATE OFFICER
Association date reported to CMS: Nov 13, 2017
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 8, 2020
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Feb 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Oct 21, 2015
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 19, 2021
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: May 1, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Dec 11, 2007
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2022
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · 5% OR GREATER MORTGAGE INTEREST
Published ownership percentage: 41.5%
Association date reported to CMS: Jul 3, 1995
Other facilities connected through this exact CMS organization identity: 0 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2023
Other facilities connected through this exact CMS organization identity: 0 across IA.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 47 across IA, MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 66 across IA, MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 3 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 46 across IA, MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2023
Other facilities connected through this exact CMS organization identity: 1 across IA.
Organization · ADP OF THE SNF
Association date reported to CMS: Aug 25, 2021
Other facilities connected through this exact CMS organization identity: 114 across CA, CT, FL, IA, IL, KY, MA, MI, MN, NM, OH, PA, RI, TX, WI.
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 24, 2026
Organization · ADP OF THE SNF
Association date reported to CMS: Oct 1, 2024
Other facilities connected through this exact CMS organization identity: 45 across IA, MO.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2023
Other facilities connected through this exact CMS organization identity: 14 across CO, IA, MN, ND, NE, WI.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2022
Organization · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2023
Other facilities connected through this exact CMS organization identity: 2 across IA.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2025
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Chain context
Chain-level values describe this CMS-defined group, not any one facility. CMS Chain ID 887 is a grouping identifier, not a legal organization.
| Month | Facilities | Overall rating | Staffing rating |
|---|---|---|---|
| Wed Jul | 6 | 3.7 | 4.3 |
| Mon Jun | 6 | 3.8 | 4.2 |
| Fri May | 6 | 3.5 | 4.2 |
Nursing Home Chain Performance Measures, fixed version da2db00a-0f3d-40a9-a535-588ff1220c55. Membership comes separately from CMS Skilled Nursing Facility Enrollments.
View official CMS sourceInspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
No health-deficiency rows were deterministically linked to this inspection.
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 25, 2026)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 25, 2026)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 25, 2025)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 25, 2025)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 21, 2025)
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 21, 2025)
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 21, 2025)
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 10, 2024)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 10, 2024)
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 10, 2024)
Provide enough food/fluids to maintain a resident's health.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 10, 2024)
Provide or get specialized rehabilitative services as required for a resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 10, 2024)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Aug 10, 2024)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 4, 2024)
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 4, 2024)
Ensure each resident receives an accurate assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 4, 2024)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 4, 2024)
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.
Correction status: Deficient, Provider has date of correction (May 4, 2024)
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 4, 2024)
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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 4, 2024)
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 4, 2024)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 4, 2024)
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 4, 2024)
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 4, 2024)
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 4, 2024)
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 4, 2024)
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 17, 2023)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 17, 2023)
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 17, 2023)
Penalties & enforcement
Published fine amount: $24,668.00
Published fine amount: $22,481.00
Questions to ask
Facility history
13 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
RN staffing increased from 0.81 to 1.12 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
0.81 → 1.12
CMS · Reported in a source release · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
RN staffing decreased from 0.97 to 0.81 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
0.97 → 0.81
CMS · Reported in a source release · View related evidence
Total nurse staffing decreased from 4.51 to 3.86 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
4.51 → 3.86
CMS · Reported in a source release · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
CMS recorded a $24,668 civil monetary penalty.
CMS · Recorded event date · View related evidence
6 deficiencies were recorded. That includes 2 higher-severity deficiencies.
CMS · Recorded event date · View related evidence
13 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
CMS recorded a $22,481 civil monetary penalty.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 4 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.856 | 3.389 |
| RN categories | 1.313 | 0.495 |
Contract staff accounted for 7.8% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.042 lower than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 4.51 | 0.974 | 0.728 | 1.819 | 7.4% | 91 |
| 2025Q3 | 3.86 | 0.81 | 0.599 | 1.565 | 0% | 92 |
| 2025Q4 | 3.881 | 1.118 | 0.258 | 1.697 | 8.3% | 92 |
| 2026Q1 | 3.721 | 1.077 | 0.311 | 1.551 | 7.8% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
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