Iowa › Washington County › Washington
Halcyon House
1015 South Iowa Avenue, Washington, IA 52353
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 54 beds, Halcyon House serves Washington in Washington County, Iowa and has taken Medicare and Medicaid residents since 2003.
CMS gives it 4 of 5 stars overall, above the Iowa median of 3; the health inspection rating is 2, staffing 5 and quality measures 5.
Inspectors recorded 5 health deficiencies across the three most recent survey cycles (3, 1, 1 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 9.3 per 100 beds, fewer than the state median of 27.5.
CMS lists 1 penalty in the period covered: fines totalling $51K.
Reported nurse staffing is 4.3 hours per resident per day (0.9 RN), close to the Iowa median of 3.7; nursing staff turnover is 40.0%.
Compared with county, state and nation
| Measure | This facility | Washington Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 5 | 22 | 16 | 28.7 |
| Citations per 100 beds | 9.3 | 40.0 | 27.5 | 26.8 |
| Total nurse hours per resident day | 4.3 | 4.3 | 3.7 | 3.9 |
| RN hours per resident day | 0.9 | 0.9 | 0.7 | 0.7 |
| Nursing staff turnover | 40.0% | 40.0% | 41.9% | 45.8% |
| Fines listed | $51,006 | $51,006 | $0 | — |
County and state figures are medians across facilities (4 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 19 Mar 2026, 6 Mar 2025.
Severity mix: J ×1 D ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 19 Mar 2026 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 17 Apr 2026 |
| 14 Oct 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 29 Oct 2025 |
| 14 Oct 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 29 Oct 2025 |
| 28 Oct 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 20 Nov 2024 |
| 4 Apr 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 24 Apr 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 14 Oct 2025 | Fine | $51,006 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 40.0%, RNs 25.0%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 14.1% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.3% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.3% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.6% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.0% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 12.2% | 18.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Wesley Retirement Services Inc. Chain: Wesleylife (10 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Wesleylife | 5% or greater direct ownership interest | 100% | 09/21/2010 |
| Wesley Retirement Services Inc | Operational/managerial control | NOT APPLICABLE | 01/01/1966 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Washington County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| United Presbyterian Home | Washington | 55 | 5 | 4 | 5 | 22 | 40.0 | — | 17 Jul 2025 |
| Pleasantview Home | Kalona | 66 | 3 | 3 | 4 | 6 | 9.1 | — | 2 Apr 2026 |
| Parkview Manorabuse icon | Wellman | 62 | 1 | 1 | 1 | 46 | 74.2 | $93K | 16 Apr 2026 |
All 4 facilities in Washington County
Questions and answers
How many deficiencies has Halcyon House been cited for?
5 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Halcyon House been fined?
Yes. CMS lists fines totalling $51K in the period covered.
How does staffing at Halcyon House compare?
Reported total nurse staffing is 4.3 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Halcyon House?
It is part of the Wesleylife chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Wesleylife and Wesley Retirement Services Inc. Individual owners and managers are not listed on this site.
When was Halcyon House last inspected?
The most recent survey or investigation in the CMS record is dated 19 Mar 2026; the most recent standard health survey was 19 Mar 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.