Halcyon House
1015 South Iowa Avenue, Washington, IA 52353 · Washington County · (319) 653-7264
54 certified beds, about 52 residents a day · Non profit - Corporation · Medicare and Medicaid since 2003
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165483 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 19, 2026, inspectors cited 1 health deficiency (the Iowa average is 6.5, the national average 9.2).
Of 5 health citations since April 2024, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $51,006 in the last three years; the largest was $51,006, and the latest is dated October 14, 2025.
Nurses and nurse aides worked 4.25 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.87 of those hours.
40.0% of nursing staff left within the year CMS measured (Iowa average 44.0%).
CMS links it to Wesleylife, an affiliated group of 10 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 5 health citations on file.
March 19, 2026Standard inspection · 1 citation
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on clinical record review, facility policy review, resident and staff interviews, the facility failed to conduct post assessment after resident received dialysis for 1 of 1 residents reviewed for dialysis (Resident #42). The facility reported a census of 50 residents.
October 14, 2025Complaint inspection · 2 citations
- J Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review, facility policy review, observation, resident and staff interviews, the facility failed to assess and implement interventions and communication with the provider in response to Resident #1's rising blood sugar levels. Resident #1 admitted to the facility on [DATE] at approximately 12:00 PM. Resident #1 list of diagnoses included type 1 diabetes, which required insulin several times a day. At 5:16 PM, facility staff completed a bedside glucose check with a result of 245 mg/dL (milligrams/deciliter). Resident #1 requested insulin be administered. The nursing staff reported to the resident the facility did not have an order for insulin. At 8:02 PM, a second bedside glucose check completed with a result of 324 mg/dL. Resident #1 reported symptoms of hyperglycemia which included cotton mouth, fruity breath, dizziness, brain fog, and unsteadiness. [...]
- D Provide safe, appropriate pain management for a resident who requires such services.
Inspectors wroteBased on clinical record review, facility policy review, resident and staff interviews, the facility failed to provide pain medication after a newly admitted resident reported a pain at 8 out of 10 for 1 of 3 residents (Resident #1) reviewed for pain. The facility reported a census of 52 residents.
March 6, 2025Standard inspection · 0 citations
October 28, 2024Complaint inspection · 1 citation
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on clinical record review, facility incident reports, and facility staff interview, the facility failed to administer two doses of insulin for 1 of 3 residents (Resident #1), and remove a transdermal pain patch prior to application of a new patch and notify physician and responsible party of the error for 1 of 3 residents (Resident #2) reviewed for medication administration. The facility reported a census of 51 residents.
April 4, 2024Standard inspection · 1 citation
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, clinical record review, policy review, and staff interview, staff combined medications without an order to do so during the administration of g-tube (gastrostomy tube-a tube inserted through the abdomen which brought nutrition and medications directly to the stomach) medications for 1 of 1 residents reviewed with a g-tube(Resident #10). The facility reported a census of 50 residents.
Fire safety inspections
8 fire safety citations on file: 2 on March 19, 2026, 3 on March 6, 2025, 3 on April 4, 2024.
Every fire safety citation8 citations
- E Inspect, test, and maintain automatic sprinkler systems.
- E Install corridor and hallway doors that block smoke.
- F Have simulated fire drills held at unexpected times.
- E Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| October 14, 2025 | Fine | $51,006 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.25 | 3.82 | 3.86 |
| Registered nurses | 0.87 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.79 | 3.37 | 3.42 |
| Nurse aides | 2.83 | ||
| Licensed practical nurses | 0.55 | ||
| Nursing staff turnover (share who left in a year) | 40.0% | 44.0% | 45.8% |
| Registered nurse turnover | 25.0% | 42.1% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.43 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.45 on weekdays and 3.79 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.04 in April to June 2025 to 4.25 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.25 | 0.87 | 4.45 | 3.79 | 4.8% | 0 of 90 | 52 |
| Oct to Dec 2025 | 4.43 | 1.03 | 4.61 | 3.97 | 3.6% | 0 of 92 | 49 |
| Jul to Sep 2025 | 4.49 | 0.85 | 4.71 | 3.92 | 0.9% | 0 of 92 | 51 |
| Apr to Jun 2025 | 3.04 | 0.69 | 3.21 | 2.63 | 0.0% | 30 of 91 | 51 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 14.1 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.3 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.3 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.7 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.0 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.2 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 16.0 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 5.6 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.9 | 2.1 | 1.8 |
Owners and operators
Legal business name: WESLEY RETIREMENT SERVICES INC. CMS links this home to Wesleylife, a group of 10 nursing homes averaging 3.7 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Wesleylife | 5% or greater direct ownership interest | Organization | 100% | 09/21/2010 |
| Marshall, Christine | W-2 managing employee | Individual | 04/25/2006 | |
| Albertson, Kermit | Corporate director | Individual | 01/01/2018 | |
| Flanagan, Craig | Corporate director | Individual | 08/01/2020 | |
| Gilroy, Abbey | Corporate director | Individual | 01/01/2016 | |
| Hoeksema, Nicole | Corporate director | Individual | 03/01/2021 | |
| Lagree, Roger | Corporate director | Individual | 01/01/2015 | |
| Rasmussen, Chad | Corporate director | Individual | 01/01/2011 | |
| Ruch, Robert | Corporate director | Individual | 01/01/2003 | |
| Stout, David | Corporate director | Individual | 12/19/2002 | |
| Taylor, Christina | Corporate director | Individual | 01/01/2018 | |
| Watson, Susan | Corporate director | Individual | 01/01/2014 | |
| Kretzinger, Robert | Corporate officer | Individual | 05/03/2003 | |
| Wesley Retirement Services Inc | Operational/managerial control | Organization | 01/01/1966 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on March 19, 2026: "Provide safe, appropriate dialysis care/services for a resident who requires such services."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on October 28, 2024: "Ensure that residents are free from significant medication errors."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on April 4, 2024: "Ensure services provided by the nursing facility meet professional standards of quality."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- United Presbyterian Home Washington, 0.9 mi · 5 of 5 stars · 22 citations
- Parkview Home Wayland, 9.9 mi · 5 of 5 stars · 10 citations
- Pleasantview Home Kalona, 13.9 mi · 3 of 5 stars · 6 citations
- Harvest Acres Nursing and Rehab Keota, 14.2 mi · 1 of 5 stars · 50 citations
- Parkview Manor Wellman, 14.8 mi · 1 of 5 stars · 46 citations
- Colonial Manors of Columbus Community Columbus Junction, 16.7 mi · 4 of 5 stars · 20 citations
- Sunrise Terrace Nursing & Rehabilitation Center Winfield, 17 mi · 5 of 5 stars · 1 citation
- Lone Tree Health Care Center Inc Lone Tree, 19.4 mi · 5 of 5 stars · 8 citations
Iowa contacts for a concern about a nursing home
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.
Common questions
- What is Halcyon House's Medicare star rating?
- CMS rates Halcyon House 4 out of 5 stars overall, with 2 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Halcyon House get at its last inspection?
- 1 health deficiency at the standard inspection on March 19, 2026. The Iowa average is 6.5.
- Has Halcyon House been fined?
- Yes. CMS lists 1 fine totaling $51,006 in the last three years.
- Does Halcyon House accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Halcyon House?
- CMS lists 14 owners and managers, and links the home to Wesleylife. Legal business name: WESLEY RETIREMENT SERVICES INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.