B

Halcyon House

1015 South Iowa Avenue, Washington, IA 52353
Score: 77 / 100

With a score of 77/100 and a B grade, Halcyon House is a well-regarded option in Washington, Iowa. The facility performs above average in most CMS categories, placing it in the 74th percentile statewide.

Staffing levels at Halcyon House exceed national averages, with 4.49 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 0.85 hours per resident per day also exceeds the national average of 0.7 hours.

Recent CMS inspections identified 5 deficiencies at Halcyon House, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide appropriate treatment and care according to orders, resident’s preferences and goals..

Score Breakdown

Overall CMS Rating 32 / 40 pts
4 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 20 / 20 pts
5 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.49 3.8 Above Average
Registered Nurses (RN) 0.85 0.7 Above Average
Licensed Practical Nurses (LPN) 0.51 0.7 Below Average
Certified Nursing Assistants (CNA) 3.13 2.4 Above Average
Weekend Total Nursing 3.92 3.8 Average
Weekend RN Hours 0.62 0.7 Below Average

🔍 Inspection & Deficiency History

5
Total Deficiencies
Oct 13, 2025
Most Recent Inspection
🟠 4 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0684 Severity J
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    Oct 13, 2025 · Quality of Life and Care Deficiencies
  • Tag 0697 Severity D
    Provide safe, appropriate pain management for a resident who requires such services.
    Oct 13, 2025 · Quality of Life and Care Deficiencies
  • Tag 0760 Severity D
    Ensure that residents are free from significant medication errors.
    Oct 27, 2024 · Pharmacy Service Deficiencies
  • Tag 0658 Severity D
    Ensure services provided by the nursing facility meet professional standards of quality.
    Apr 3, 2024 · Resident Assessment and Care Planning Deficiencies
  • Tag 0725 Severity D
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    Feb 22, 2023 · Nursing and Physician Services Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 0.9% 4.5% Better
Falls with major injury 6.5% 3.0% Worse
On antipsychotic medication 19.2% 14.5% Worse
Urinary tract infections 2.2% 2.5% Better
ADL decline (daily activities) 16.2% 14.0% Worse
Excessive weight loss 2.1% 7.5% Better
New/worsened incontinence 33.6% 45.0% Better

How This Grade Was Calculated

This facility's grade of B is based on a score of 77 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 4★ → 32 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 5★ → 20 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Non profit - Corporation
Certified Beds
54
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Mar 5, 2025
Deficiencies (Cycle 1)
2

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