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United Presbyterian Home
1203 E Washington Street, Washington, IA 52353 (opens Google Maps) · Washington County · (319) 653-5473· 55 certified beds · avg 45 residents/day · certified since May 1, 2003 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
4/5
Health inspection rating (on-site)
inspected Jul 17, 2025
1
Serious findings on record
most recent Jul 14, 2022
$0
Fines, last 3 years
5.64
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · Jul 14, 2022 · F-0600
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
▲ Actual harm, isolated · Jul 14, 2022 · F-0600
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Aug 10, 2022 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 22 inspection findings. Open the full record below to read every finding.
The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. F-0580
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. F-0689
The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. F-0804
View all 22 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 17, 2025 | D · Potential for more than minimal harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · F-0580 |
| Jul 17, 2025 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Nov 28, 2023 | E · Potential for more than minimal harm, pattern | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Nov 28, 2023 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Nov 28, 2023 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Jul 14, 2022 | ▲ G · Actual harm, isolated | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · F-0600 |
| Jul 14, 2022 | E · Potential for more than minimal harm, pattern | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · F-0725 |
| Jul 14, 2022 | E · Potential for more than minimal harm, pattern | The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. · F-0809 |
| Jul 14, 2022 | E · Potential for more than minimal harm, pattern | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Jul 14, 2022 | E · Potential for more than minimal harm, pattern | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Jul 14, 2022 | D · Potential for more than minimal harm, isolated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550 |
| Jul 14, 2022 | D · Potential for more than minimal harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · F-0580 |
| Jul 14, 2022 | D · Potential for more than minimal harm, isolated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623 |
| Jul 14, 2022 | D · Potential for more than minimal harm, isolated | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · F-0625 |
| Jul 14, 2022 | D · Potential for more than minimal harm, isolated | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. · F-0645 |
| Jul 14, 2022 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Jul 14, 2022 | D · Potential for more than minimal harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Jul 14, 2022 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689 |
| Jul 14, 2022 | D · Potential for more than minimal harm, isolated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755 |
| Jul 14, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0760 |
| Jul 14, 2022 | D · Potential for more than minimal harm, isolated | The facility did not report COVID-19 data to residents and their families as required. Facilities must keep residents and families informed about COVID-19 cases. · F-0885 |
| Jul 14, 2022 | D · Potential for more than minimal harm, isolated | The facility did not perform required COVID-19 testing on residents and staff. · F-0886 |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (3 → 2).
All citationsSerious citations (G–L)
2022
All citations: 17
Serious citations (G–L): 1
2023
All citations: 3
Serious citations (G–L): 0
2025
All citations: 2
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 17 | 1 | G ▲ |
| 2023 | 3 | 0 | E |
| 2025 | 2 | 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)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityIowa averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 5.64
Iowa average: 4.37
U.S. average: 3.95
Registered Nurse hours
This facility: 0.83
Iowa average: 0.85
U.S. average: 0.69
Weekend total nurse staffing
This facility: 4.86
Iowa average: 3.86
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Iowa avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.64 | 4.37 | 3.95 | top 6% in Iowa; top 6% in the U.S. |
| Registered Nurse hours | 0.83 | 0.85 | 0.69 | top 44% in Iowa; top 25% in the U.S. |
| Weekend total nurse staffing | 4.86 | 3.86 | 3.50 | top 7% in Iowa; top 8% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.43 | 0.51 | 0.48 | bottom 42% in Iowa; top 44% in the U.S. |
| Total nursing staff turnover (%) | 35.1 | 44.0 | 45.8 | top 30% in Iowa; top 24% in the U.S. |
| RN turnover (%) | 42.9 | 42.1 | 42.9 | bottom 49% in Iowa; bottom 49% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 4.35, RN 0.64, weekend 3.75.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.35 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 5/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for United Presbyterian Home. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| United Presbyterian Home | Organization | Direct Ownership Interest | NOT APPLICABLE | 01/01/1976 |
| Drahota, Erin | Individual | Corporate Director | NOT APPLICABLE | 07/01/2024 |
| Drahota, Erin | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2024 |
| Drahota, Erin | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2024 |
| Kleese, Amy | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2024 |
| Kleese, Amy | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2024 |
| United Presbyterian Home | Organization | ADP of the SNF | NOT APPLICABLE | 02/23/2026 |
| Williams, Kara | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/01/2024 |
| Williams, Kara | Individual | ADP of the SNF | NOT APPLICABLE | 01/08/2018 |
All 9 owning or managing parties CMS has on file are shown — none excluded.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Could I join residents for a meal to see the food quality and temperature for myself?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "What happens if a resident is hungry between meals or misses a mealtime — what food options are available?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
Also worth asking anywhere
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 35% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Halcyon House | 0.9 mi | Washington, IA | ★★★★☆ | 2/5 | |
| Parkview Home | 10.4 mi | Wayland, IA | ★★★★★ | 5/5 | |
| Pleasantview Home | 13.3 mi | Kalona, IA | ★★★☆☆ | 3/5 | |
| Parkview Manor | 14.6 mi | Wellman, IA | ★☆☆☆☆ | 1/5 | abuse |
| Harvest Acres Nursing and Rehab | 14.6 mi | Keota, IA | ★☆☆☆☆ | 1/5 | |
| Colonial Manors of Columbus Community | 16.1 mi | Columbus Junction, IA | ★★★★☆ | 4/5 | |
| Sunrise Terrace Nursing & Rehabilitation Center | 17.0 mi | Winfield, IA | ★★★★★ | 4/5 | |
| Lone Tree Health Care Center INC | 18.4 mi | Lone Tree, IA | ★★★★★ | 4/5 |
Facility data as of CMS processing date 2026-08-01. CCN 165482.