1203 E Washington Street, Washington, IA 52353 · Washington County · (319) 653-5473
55 certified beds, about 45 residents a day · Non profit - Corporation · Medicare and Medicaid since 2003
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165482 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on July 17, 2025, inspectors cited 2 health deficiencies (the Iowa average is 6.5, the national average 9.2).
Of 22 health citations since July 2022, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.35 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.64 of those hours.
35.1% of nursing staff left within the year CMS measured (Iowa average 44.0%).
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.
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 22 health citations on file.
Inspectors wroteBased on observation, clinical record review, policy review, and staff interviews, the facility failed to notify the provider when a resident with a pressure ulcer did not wear his ordered orthotic (referring to externally applied devices, primarily custom-made shoe inserts, designed to support the feet and correct structural and functional issues) shoes for 1 of 2 residents reviewed for pressure ulcers (Resident #10) and failed to notify the provider in a timely manner of a significant weight loss for 1 of 3 residents reviewed for nutrition (Resident #33). The facility reported a census of 49.
Inspectors wroteBased on clinical record review, review of unwitnessed fall reports, facility policy review, family and staff interviews, the facility failed to assess the appropriateness and effectiveness of a cushioned bolster used for fall prevention for 1 of 2 residents (Resident #31) using bolsters. The facility reported a census of 49 residents.
Inspectors wroteBased on observation, clinical record review, policy review, resident interview, and staff interview, the facility failed to provide foods at an appetizing temperature for 1 of 1 meals observed. The facility reported a census of 51 residents. Findings Include: 1. The Quarterly Minimum Data Set (MDS) assessment tool, dated 8/23/23, listed Resident #8's Brief Interview for Mental Status (BIMS) score as 13 out of 15, which indicated intact cognition. On 11/13/23 at 12:27 p.m., Resident #8 stated that in the evenings the soup was not hot. 2. The Quarterly MDS assessment tool, dated 8/30/23, listed Resident #33's BIMS score as 15 out of 15, which indicated intact cognition. On 11/13/23 at 1:13 p.m., Resident #33 stated lunch was cold half the time. 3. The Quarterly MDS assessment tool, dated 8/23/23, listed Resident #19's BIMS score as 15 out of 15, which indicated intact cognition. [...]
Inspectors wroteBased on observation, staff interview and facility policy the facility failed to maintain sanitary surfaces on the counter used for cutting meat to prevent possible cross-contamination of food for 14 of 36 residents served the meat option. The facility reported a census of 51.
Inspectors wroteBased on observations, clinical record review and staff interviews, the facility failed to provide adequate supervision to prevent hazards when a safety intervention was disarmed by staff. A confused, independently mobile resident came near an elevator, the wanderguard signaled the Elpas screen and a staff member disarmed the screen when the resident was not visualized. The resident then entered the elevator, exited into the basement and approximately 15 minutes later was inadvertently discovered by a staff member. The facility reported a census of 51 residents.
Inspectors wroteBased on clinical record review, staff interview, resident interview, and facility policy review the facility failed to protect residents from resident to resident altercations which included sexual gestures, physical touching, grabbing, and attempted hitting by Resident #51 for four of five residents reviewed for abuse (Resident #1, Resident #4, Resident #17, Resident #37), and also unidentified residents. The facility reported a census of 49 residents.
Inspectors wroteBased on review of clinical record, the facility assessment, call light logs, resident council meeting minutes and facility policy, and staff interview, the facility failed to assure sufficient staff available at all times to provide nursing and related services to meet the residents' needs for 2 of 24 residents reviewed (Residents #38 and #45). The facility reported a census of 49 residents. Findings. 1. The MDS (Minimum Data Set) Assessment tool, dated 5/11/22 listed diagnoses for Resident #38 which included high blood pressure, Non-Alzheimer's dementia, and urinary incontinence. The MDS documented the resident required limited assistance of 1 staff for personal hygiene, and extensive assistance of 1 staff for bathing. The MDS listed the resident's BIMS (Brief Interview for Mental Status) score as 2 out of 15, indicating severely impaired cognition. [...]
Inspectors wroteBased on observation, clinical record review, facility policy review, and staff interview, the facility failed to ensure no more than 14 hours elapsed between a substantial evening meal and breakfast the next morning. The facility reported a census of 49 residents.
Inspectors wroteBased on observation, staff interviews, and facility record review, facility staff failed to handle food and beverages in a sanitary manner showing an extended use of gloves in two of three dining rooms at the facility. The facility reported a census of 49 residents.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure appropriate hand hygiene and glove use when staff moved between resident rooms, collected trays, passed water, and during an observation of a catheter dressing change for one of one resident observed for a dressing change (Resident #34). The facility reported a census of 49 residents.
Inspectors wroteBased on clinical record review, observation, staff interview and facility policy review, the facility failed to treat the resident with dignity and respect by not keeping his urinary catheter bag covered for 1 of 3 residents (Resident #16). The facility reported a census of 49.
Inspectors wroteBased on clinical record review, observation, interview, and facility policy review, the facility failed to notify the physician in a timely manner following a resident who experienced a seizure and after a resident fell and sustained a hematoma to the forehead and multiple skin tears for two of four residents reviewed for notification of changes (Residents #3 and #11). The facility reported a census of 49 residents.
Inspectors wroteBased on clinical record review, facility policy review, and staff interview, the facility failed to provide a bed hold notice at the time of transfer for 1 of 2 residents reviewed for hospitalizations (Resident #4). The facility reported a census of 49 residents.
Inspectors wroteBased on clinical record review, facility policy review, and staff interview, the facility failed to provide a bed hold notice at the time of transfer for 1 of 2 residents reviewed for hospitalizations(Resident #4). The facility reported a census of 49 residents.
Inspectors wroteBased on clinical record review, facility policy review, and staff interviews, the facility failed to incorporate the recommendations from a PASRR determination into the resident's plan of care for 1 of 1 residents reviewed for PASRR(Resident #2). The facility reported a census of 49 residents.
Inspectors wroteBased on clinical record review, staff interview, and facility policy review, the facility failed to ensure a resident received medications per physician order following two episodes of seizures for one of 17 residents reviewed for professional standards of practice (Resident #3). The facility reported a census of 49 residents.
Inspectors wroteBased on clinical record review, facility policy review, and staff interview, the facility failed to assess and intervene after a change of condition for 1 of 2 residents reviewed for a hospital stay (Resident #45). The facility reported a census of 49 residents.
Inspectors wroteBased on observation, staff interview, and facility policy review, facility staff failed to lock an unattended medication cart when not in use for one of three medication carts observed. The facility identified 14 residents as cognitively impaired and ambulatory and/or able to self propel. The facility reported a census of 49 residents.
Inspectors wroteBased on observation, clinical record review, facility policy review, and staff interview, the facility failed to ensure the provision of routine medications for 1 of 6 resident observed during medication passes(Resident #11). The facility reported a census of 49 residents.
Inspectors wroteBased on clinical record review, facility policy review, and staff interview, the facility failed to ensure a residents did not receive a significant medication error for 1 of 1 residents reviewed for a significant medication error (Resident #4). The facility reported a census of 49 residents.
Inspectors wroteBased on clinical record review, facility policy review, and staff interview, the facility failed to notify residents and/or resident representatives of new positive cases of COVID-19 amongst staff and residents for 2 of 4 residents/resident representatives reviewed for COVID-19 notifications (Residents #12 and #45). The facility reported a census of 49 residents.
Inspectors wroteBased on staff interview, COVID-19 testing information, QSO 20-38-NH review, and facility policy review, the facility failed to ensure staff members who were not up-to-date on COVID-19 vaccinations were tested per community transmission level of COVID-19 for two of two staff reviewed for testing (Staff E and Staff I). The facility reported a census of 49 residents.
8 fire safety citations on file: 5 on November 28, 2023, 1 on July 14, 2022, 2 on June 10, 2021.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
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) | 4.35 | 3.82 | 3.86 |
| Registered nurses | 0.64 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.75 | 3.37 | 3.42 |
| Nurse aides | 2.97 | ||
| Licensed practical nurses | 0.73 | ||
| Nursing staff turnover (share who left in a year) | 35.1% | 44.0% | 45.8% |
| Registered nurse turnover | 42.9% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 2.96 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 4.59 on weekdays and 3.75 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.09 in April to June 2025 to 4.35 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 | 4.35 | 0.64 | 4.59 | 3.75 | 1.2% | 0 of 90 | 45 |
| Oct to Dec 2025 | 4.61 | 0.72 | 4.84 | 4.05 | 2.8% | 0 of 92 | 43 |
| Jul to Sep 2025 | 4.28 | 0.64 | 4.48 | 3.75 | 2.7% | 0 of 92 | 46 |
| Apr to Jun 2025 | 4.09 | 0.63 | 4.22 | 3.75 | 3.4% | 0 of 91 | 49 |
| 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.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Iowa, all employers | |||
| CNAs (nursing assistants) | $18.92 | $17.96 to $21.95 | 22,670 |
| LPNs and LVNs | $30.11 | $27.12 to $34.06 | 5,510 |
| Registered nurses | $37.80 | $32.83 to $41.32 | 34,420 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 7.9 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.9 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.0 | 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 | 10.7 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.3 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 8.7 | 19.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.4 | 2.1 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for United Presbyterian Home's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 51.5% · Iowa: 28 better, 21 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 16 eligible stays.
9.8% this home
No different from the national rate
US median of homes 10.7% · Iowa: 1 better, 1 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 25 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
US median of homes 7.1% · Iowa: 0 better, 0 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 12 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Iowa56.7% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 13 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Iowa0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 13 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Iowa1.8% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 13 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Iowa100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 6 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: UNITED PRESBYTERIAN HOME.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| United Presbyterian Home | Direct ownership interest | Organization | 01/01/1976 | |
| Drahota, Erin | Corporate director | Individual | 07/01/2024 | |
| Kleese, Amy | Corporate officer | Individual | 07/01/2024 | |
| Drahota, Erin | Operational/managerial control | Individual | 07/01/2024 | |
| Williams, Kara | Operational/managerial control | Individual | 08/01/2024 | |
| United Presbyterian Home | Adp of the SNF | Organization | 02/23/2026 | |
| Drahota, Erin | Adp of the SNF | Individual | 07/01/2024 | |
| Kleese, Amy | Adp of the SNF | Individual | 07/01/2024 | |
| Williams, Kara | Adp of the SNF | Individual | 01/08/2018 |
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.
Chosen from this home's own inspection record.
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