Halcyon House (Washington, IA) has an overall 4 out of 5 stars, with strong staffing and quality scores, but a lower 2-star health inspection rating. Reported nurse staffing is 4.43 hours per resident per day, above the federal benchmark of 4.1, and there were no 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 4.4329.
Staffing detail
Registered nurses
1.03
Licensed practical nurses
0.42
Nurse aides
2.98
Weekend nursing
3.97
Hours per resident per day.
Total staff turnover: 42%
Registered nurse turnover: 25%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
14.3%Improving
Residents with a fall causing major injury
5.5%Improving
Residents with pressure ulcers (bedsores)
1.3%Worsening
Residents with a urinary tract infection
3.3%Worsening
Residents who lost too much weight
2.2%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
14.1%Improving
Residents whose ability to walk got worse
15.4%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
24.8%Improving
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0.7%Improving
Residents with new or worsening incontinence
33.5%Improving
Residents with depressive symptoms
6%Worsening
Long-stay residents given the seasonal flu vaccine
98.1%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
88.5%Steady
Short-stay residents given the pneumonia vaccine
86.6%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.
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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.
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INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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Operator & ownership
Ownership
Non profit - Corporation
Chain
Part of WESLEYLIFE · 10 homes · 3.9 stars avg
Occupancy
49.3 residents on an average day (91% 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.