Halcyon House (Washington, IA) has an overall 4-star rating, with strong staffing and quality scores at 5 stars each, but a weaker 2-star health inspection rating. It reported 4.25 nurse staffing hours per resident per day, slightly above the federal benchmark of 4.1, and had $0 in fines in the last 24 months.
Last inspection: March 19, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.255.
Staffing detail
Registered nurses
0.87
Licensed practical nurses
0.55
Nurse aides
2.83
Weekend nursing
3.79
Hours per resident per day.
Total staff turnover: 40%
Registered nurse turnover: 25%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
14.8%9.4%Improving
Residents with a fall causing major injury
4.4%6.4%Worsening
Residents with pressure ulcers (bedsores)
0%4.7%Worsening
Residents with a urinary tract infection
0%2.2%Worsening
Residents who lost too much weight
5.4%5.7%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.1%22.2%Worsening
Residents whose ability to walk got worse
12.6%15%Worsening
Long-stay residents on antianxiety or sleep medication
27%19.4%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
27.4%20.1%Improving
Residents with depressive symptoms
4.9%2.6%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—98.1%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—88.5%—
Short-stay residents given the pneumonia vaccine
93.9%78.1%Worsening
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The home failed to provide safe, appropriate dialysis care for a resident who needed it. Cited March 2026 — isolated incident, potential for harm.
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F-Tag 698 — 42 CFR §483.25(l) — S/S: D
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited October 2025 — isolated incident, potential for harm.
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F-Tag 697 — 42 CFR §483.25(k) — S/S: D
The nursing home failed to ensure residents were free from significant medication errors. Cited October 2024 — isolated incident, potential for harm.
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F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: D
The nursing home failed to provide services that met professional standards of quality. Cited April 2024 — isolated incident, potential for harm.
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F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
Ownership
Non profit - Corporation
Chain
Part of WESLEYLIFE · 10 homes · 3.9 stars avg
Occupancy
51.8 residents on an average day (96% of 54 beds)
Resident voice
Resident council
Medicare history
Certified for 23 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.