Halcyon House

1015 South Iowa Avenue · Washington, IA · 52353 · 3196537264

54 certified beds Non profit - Corporation Chain: Wesleylife Part of a CCRC

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection results are getting worse cycle over cycle, not better.
  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

Score breakdown

Inspection record 30% of score 52
Serious harm & abuse 20% 70
Staffing 20% 87
Federal penalties 15% 100
Trend 10% 18
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 2 of 5 Staffing: 5 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day4.433.48 min · 4.1 strong
RN hours / resident-day1.030.55–0.75
Weekend hours / resident-day3.97≈ weekday level
Nursing turnover / year42%median 45%
Fines (3-yr window)none

Inspection citations (5 in the current record)

  • Potential for harm · D March 19, 2026

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected April 17, 2026 · Quality of Life and Care

  • Immediate jeopardy · J October 14, 2025 · found via complaint

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

    Corrected October 29, 2025 · Quality of Life and Care

  • Potential for harm · D October 14, 2025 · found via complaint

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

    Corrected October 29, 2025 · Quality of Life and Care

  • Potential for harm · D October 28, 2024 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected November 20, 2024 · Pharmacy Service

  • Potential for harm · D April 4, 2024

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

    Corrected April 24, 2024 · Resident Assessment and Care Planning

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165483 · certified since April 1, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.