Washington, IA

Halcyon House

4-star overall rating with 2-star inspections with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle

1015 South Iowa Avenue, Washington, IA

(319) 653-7264

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

54

Certified beds

Average residents

51

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Wesleylife

Operator or chain grouping

Approved since

2003-04-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.85

Registered nurse staffing

LPN hours / resident day

0.51

Licensed practical nurse staffing

Aide hours / resident day

3.13

Nurse aide staffing

Weekend hours

3.92

Weekend nurse staffing

RN turnover

21%

Annual RN turnover

Total nurse turnover

33%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.0
1.5
0.5 pts better
1.9
0.9 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.7
2.1
0.4 pts better
1.8
0.1 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
94.0%
6 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.1%
95.2%
2.9 pts better
95.5%
2.6 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 6.5%
3.7%
2.8 pts worse
3.3%
3.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 3.8%
4.0%
0.2 pts better
11.4%
7.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 2.1%
4.9%
2.8 pts better
5.4%
3.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 24.1%
20.6%
3.5 pts worse
19.6%
4.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 19.2%
19.8%
0.6 pts better
16.7%
2.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.2%
0.2 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 17.4%
18.5%
1.1 pts better
16.3%
1.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 16.2%
18.3%
2.1 pts better
14.9%
1.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.4%
1.7%
0.3 pts better
1.0%
0.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 2.2%
2.5%
0.3 pts better
1.7%
0.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 33.6%
26.0%
7.6 pts worse
19.8%
13.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 0.9%
4.3%
3.4 pts better
5.1%
4.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 87.6%
84.3%
3.3 pts better
81.7%
5.9 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 4.3%
13.1%
8.8 pts better
12.0%
7.7 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.9%
1.9 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 88.5%
73.3%
15.2 pts better
79.7%
8.8 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 8.8%
21.3%
12.5 pts better
23.9%
15.1 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-06 · Fire 2025-03-06

2 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2024-04-04 · Fire 2024-04-04

2 health deficiencies

Top issue: Pharmacy Service (1 deficiency)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2023-02-23 · Fire 2023-02-23

1 health deficiencies

Top issue: Nursing and Physician Services (1 deficiency)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-06

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-03-12

E · Potential for more than minimal harm 2025-03-06

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2025-03-07

E · Potential for more than minimal harm 2025-03-06

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-03-07

F · Potential for more than minimal harm 2024-04-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-15

F · Potential for more than minimal harm 2024-04-04

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-04-15

F · Potential for more than minimal harm 2024-04-04

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-04-15

E · Potential for more than minimal harm 2023-02-23

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-03-10

Inspection history

Recent health citations

J · Immediate jeopardy 2025-10-14

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-10-29

D · Potential for more than minimal harm 2025-10-14

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-10-29

D · Potential for more than minimal harm 2024-10-28

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-11-20

D · Potential for more than minimal harm 2024-04-04

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-04-24

D · Potential for more than minimal harm 2023-02-23

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2023-03-24

Penalties and ownership

What sits behind the stars

Ownership

Wesleylife

5% Or Greater Direct Ownership Interest · Organization

100% 10 facilities 2010-09-21
Albertson, Kermit

Corporate Director · Individual

0% 8 facilities 2018-01-01
Flanagan, Craig

Corporate Director · Individual

0% 4 facilities 2020-08-01
Gilroy, Abbey

Corporate Director · Individual

0% 7 facilities 2016-01-01
Hoeksema, Nicole

Corporate Director · Individual

0% 9 facilities 2021-03-01
Kretzinger, Robert

Corporate Officer · Individual

0% 10 facilities 2003-05-03
Lagree, Roger

Corporate Director · Individual

0% 7 facilities 2015-01-01
Marshall, Christine

W-2 Managing Employee · Individual

0% 1 facilities 2006-04-25
Rasmussen, Chad

Corporate Director · Individual

0% 8 facilities 2011-01-01
Ruch, Robert

Corporate Director · Individual

0% 8 facilities 2003-01-01
Stout, David

Corporate Director · Individual

0% 8 facilities 2002-12-19
Taylor, Christina

Corporate Director · Individual

0% 8 facilities 2018-01-01
Watson, Susan

Corporate Director · Individual

0% 8 facilities 2014-01-01
Wesley Retirement Services Inc

Operational/Managerial Control · Organization

0% 8 facilities 1966-01-01

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