Nursing homeActive
Halcyon House
1015 South Iowa Avenue, Washington, IA 52353319653726454 certified beds · 52 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2024
Deficiencies
5
● 0● 4● 1
Penalties · 3 yrs
$51,006
1 fine
Last survey
2026-03-19
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 2
Staffing 5
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-03-19 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2025-10-14 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2025-03-06 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2024-10-28 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-04-04 | Standard | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-17Record 165483-20260319-F698
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2025-10-29Record 165483-20251014-F684
F697Provide safe, appropriate pain management for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-29Record 165483-20251014-F697
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-11-20Record 165483-20241028-F760
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-24Record 165483-20240404-F658
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-10-14 | Civil money penalty | $51,006 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.87
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day4.25
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours3.79
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover40%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover25%
Facility
Iowa
National
Iowa 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.0% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.3% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 12.2% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 3.3% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 14.1% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.0% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 23.5% | 20.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Wesleylife Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Wesley Retirement Services Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Albertson, Kermit Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Flanagan, Craig Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Gilroy, Abbey Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hoeksema, Nicole Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kretzinger, Robert Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Lagree, Roger Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Marshall, Christine Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Rasmussen, Chad Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Ruch, Robert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Stout, David Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Taylor, Christina Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Watson, Susan Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Part of a chain
Wesleylife — 10 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.
No county cost figures on file for Washington.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| United Presbyterian Home Washington | 0.9 mi | 2025-07-17 | 050 |
| Parkview Home Wayland | 9.9 mi | 2025-06-12 | 0100 |
| Pleasantview Home Kalona | 13.9 mi | 2026-04-02 | 060 |
| Parkview Manor Wellman | 14.8 mi | 2026-04-16 | 0356 |
| Harvest Acres Nursing and Rehab Keota | 14.2 mi | 2026-05-19 | 0446 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |