Halcyon House
1015 South Iowa Avenue, Washington, IA 52353 · Washington County · 54 certified beds · avg 52 residents/day · certified since Apr 1, 2003
Part of chain: WESLEYLIFE (10 facilities, chain avg rating 3.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Oct 14, 2025 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Oct 29, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (5)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 19, 2026 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Oct 14, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Oct 14, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint |
| Oct 28, 2024 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| Apr 4, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 2 | 0 | D |
| 2025 | 2 | 1 | J ▲ |
| 2026 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $51,006.
| Date | Type | Amount / length |
|---|---|---|
| Oct 14, 2025 | Fine | $51,006 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Iowa avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.76 | 4.37 | 3.95 | top 29% in Iowa; top 17% in the U.S. |
| Registered Nurse hours | 0.98 | 0.85 | 0.69 | top 30% in Iowa; top 17% in the U.S. |
| Weekend total nurse staffing | 4.23 | 3.86 | 3.50 | top 28% in Iowa; top 17% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.60 | 0.51 | 0.48 | top 26% in Iowa; top 23% in the U.S. |
| Total nursing staff turnover (%) | 40.0 | 44.0 | 45.8 | top 43% in Iowa; top 36% in the U.S. |
| RN turnover (%) | 25.0 | 42.1 | 42.9 | top 27% in Iowa; top 20% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.25, RN 0.87, weekend 3.79. Staffing rating: 5/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Wesleylife | Organization | 5% or Greater Direct Ownership Interest | 100% | 09/21/2010 |
| Albertson, Kermit | Individual | Corporate Director | NOT APPLICABLE | 01/01/2018 |
| Flanagan, Craig | Individual | Corporate Director | NOT APPLICABLE | 08/01/2020 |
| Gilroy, Abbey | Individual | Corporate Director | NOT APPLICABLE | 01/01/2016 |
| Hoeksema, Nicole | Individual | Corporate Director | NOT APPLICABLE | 03/01/2021 |
| Kretzinger, Robert | Individual | Corporate Officer | NOT APPLICABLE | 05/03/2003 |
| Lagree, Roger | Individual | Corporate Director | NOT APPLICABLE | 01/01/2015 |
| Marshall, Christine | Individual | W-2 Managing Employee | NOT APPLICABLE | 04/25/2006 |
| Rasmussen, Chad | Individual | Corporate Director | NOT APPLICABLE | 01/01/2011 |
| Ruch, Robert | Individual | Corporate Director | NOT APPLICABLE | 01/01/2003 |
| Stout, David | Individual | Corporate Director | NOT APPLICABLE | 12/19/2002 |
| Taylor, Christina | Individual | Corporate Director | NOT APPLICABLE | 01/01/2018 |
| Watson, Susan | Individual | Corporate Director | NOT APPLICABLE | 01/01/2014 |
| Wesley Retirement Services INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/1966 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| United Presbyterian Home | 0.9 mi | Washington, IA | ★★★★★ | 4/5 | |
| Parkview Home | 9.9 mi | Wayland, IA | ★★★★★ | 5/5 | |
| Pleasantview Home | 13.9 mi | Kalona, IA | ★★★☆☆ | 3/5 | |
| Harvest Acres Nursing and Rehab | 14.2 mi | Keota, IA | ★☆☆☆☆ | 1/5 | |
| Parkview Manor | 14.8 mi | Wellman, IA | ★☆☆☆☆ | 1/5 | abuse |
| Colonial Manors of Columbus Community | 16.7 mi | Columbus Junction, IA | ★★★★☆ | 4/5 | |
| Sunrise Terrace Nursing & Rehabilitation Center | 17.0 mi | Winfield, IA | ★★★★★ | 4/5 | |
| Lone Tree Health Care Center INC | 19.4 mi | Lone Tree, IA | ★★★★★ | 4/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 165483.