CCN 165443 · Hardin County, Iowa
The Village of Ackley
502 Butler Street, Ackley, IA 50601
The Village of Ackley is a 38-bed nonprofit nursing home in Ackley, Iowa, first certified for Medicare or Medicaid in 2002. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 28.9 residents a day, about 76% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 38
- Average residents per day
- 28.9 (76.1% of beds)
- Ownership type
- Non profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Presbyterian Village
- Certified since
- Jan 1, 2002
- Chain or affiliated group
- Western Home Communities (6 facilities, chain average 3.7 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Iowa median | US median |
|---|---|---|---|
| Overall rating | 3 of 5 | State spread: 78 at 1, 61 at 2, 86 at 3, 69 at 4, 91 at 5 | |
| Health inspections | 3 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 4 of 5 | ||
| Total nurse hours per resident per day | 3.72 | 3.69 | 3.68 |
| RN hours per resident per day | 1.08 | 0.70 | 0.58 |
| Weekend nurse hours per resident per day | 3.39 | ||
| Nursing staff turnover | 66.7% | 41.9% | 44.9% |
| Occupancy (residents / beds) | 76.1% | 83.6% | 85.7% |
| Fines reported by CMS | 2 totaling $47,149 | ||
| Health deficiencies, latest standard survey | 4 (Mar 12, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). The Village of Ackley meets that part today: 3 stars overall, 3 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Zion BancorporationOrganization | Mortgage Interest | n/a | 07/03/1995 |
| Western Home Services IncOrganization | Operational / Managerial Control | n/a | 01/01/2022 |
| Card, TimIndividual | Operational / Managerial Control | n/a | 09/08/2020 |
| Deford, ColinIndividual | Operational / Managerial Control | n/a | 02/01/2025 |
| Kramer, ScottIndividual | Operational / Managerial Control | n/a | 10/21/2015 |
| Richtsmeier, LynnIndividual | Operational / Managerial Control | n/a | 08/19/2021 |
| Stine, KerriIndividual | Operational / Managerial Control | n/a | 05/01/2023 |
| Ubben, LisaIndividual | Operational / Managerial Control | n/a | 12/11/2007 |
Holders of a 5% or greater mortgage interest reported in the enrollment record: Zion Bancorporation.
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.