The Village of Ackley
502 Butler Street, Ackley, IA 50601
Ackley, Iowa · CMS verdict
The Village of Ackley reflects below-average quality on the federal five-star scale, below the Iowa state average of 3.1.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
The Village of Ackley in Ackley, Iowa holds a CMS overall rating of 1 of 5 stars and a PlainElderCare Quality & Compliance Index of 43 of 100 (grade F). Its CMS inspection record lists multiple deficiencies. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (heavier deficiency book)
Its CMS deficiency count sits in the heavier U.S. deficiency tercile (>31). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall star rating shown at the top of the page. How this is calculated.
How the 43 is built
Each segment is a dimension's weighted points toward the score, summing to 43.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
The Village of Ackley's heavier CMS deficiency book
Quality ratings
The rating comes from CMS's most recent Care Compare release (data as of April 2026). CMS rolls three sub-ratings into the overall star: health inspection, staffing, and quality measures. The chart below sets each of them against the Iowa average.
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Ackley, Iowa. Bed capacity and average daily census, where CMS reports them, are in Facility details below. Its ownership type, listed in Facility details, can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 76% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Same-ownership peers
Within Iowa, The Village of Ackley is one of 128 non profit - corporation nursing homes CMS rates. Its 1-star overall rating sits below the non profit - corporation-segment average of 3.3 stars, ahead of roughly 0% of same-ownership peers in the state. Peer comparisons within the same ownership type are more apples-to-apples than a state-wide average, since for-profit, non-profit, and government operators tend to differ systematically in staffing and reinvestment.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility; the counts are in Facility details below. CMS has levied enforcement penalties - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How The Village of Ackley's lower-tercile stars compare to Iowa
CMS five-star sub-ratings (0–5) for this facility against the Iowa facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Iowa state average. Higher is better on all four CMS measures.
Where The Village of Ackley ranks in Iowa
Among the 388 CMS-rated nursing homes in Iowa, The Village of Ackley’s 1-star overall rating is higher than 0% of them. The bars show how all Iowa homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
80 Iowa homes share this 1-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 38 |
| Residents | 29 |
| Ownership | Non profit - Corporation |
| County | Hardin |
| Penalties | 3 |
| Deficiencies | 38 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What families ask about The Village of Ackley's inspection record
What is the quality rating for The Village of Ackley? ▾
CMS rates The Village of Ackley at 1 out of 5 stars overall. How its three sub-ratings compare with the Iowa average is charted above.
How much does a nursing home cost per month in Iowa? ▾
The median cost for a semi-private nursing home room in Iowa is $9,277 per month ($111,325 annually). A private room averages $10,038 per month. Costs are from the CareScout 2025 survey.
What services does The Village of Ackley offer? ▾
CMS classifies The Village of Ackley as a skilled nursing facility. Care Compare does not itemize the services on offer; the facility itself is the source for that, and its capacity, census, and ownership are listed in Facility details above.
Does The Village of Ackley have any deficiencies or penalties? ▾
The Village of Ackley has multiple deficiencies and enforcement penalties recorded by CMS; the counts are in the Facility details table. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Iowa? ▾
In Iowa, alternatives include assisted living ($5,381/mo), home health aides ($7,836/mo), and adult day care ($1,614/mo).
Keep reading
Also see the Iowa elder-care overview and highest-rated states. Provider ID: 165443.
Read our methodology - how this data is sourced, computed, and verified.