Medical emergency?Emergency? Call 911. Nearest emergency roomsNearest ERs

Nursing home

Halcyon House

Washington, Iowa · Washington County

  • 1015 South Iowa Avenue, Washington, IA 52353 · Directions
  • (319) 653‑7264
  • Medicare overall rating: 4 of 5 starsMedicare overall rating
  • Ownership: Non-profit – corporation
  • 5 health citations in its last 3 inspection cycles (most serious: level J), $51,006 in fines. See the inspection record

Summary

Halcyon House is a Medicare-certified nursing home in Washington, Iowa, with 54 certified beds. Medicare overall rating: 4 of 5 stars. Most recent standard health inspection: 2026-03-19, with 3 health deficiencies. Medicare lists 1 fine. Ownership: non-profit – corporation. Source: Medicare (CMS) Provider Information, data updated 2026-10-01.

What is a nursing home?

A nursing home (skilled nursing facility) gives 24-hour nursing care and help with daily activities. Some people stay for a short time to recover after a hospital stay (rehabilitation); others live there long term. The homes listed here are certified by Medicare and/or Medicaid and inspected by the state.

Official Medicare data

Everything on this page comes from Medicare (CMS) data updated 2026-10-01. It is information, not a recommendation. Call the nursing home and visit before you decide, and talk with your doctor.

In a medical emergency, call 911.

At a glance

Medicare overall rating: 4 of 5 starsMedicare overall rating
54Certified beds
Health inspections: 2 of 5 starsHealth inspections

Quick answers

Where is Halcyon House?
1015 South Iowa Avenue, Washington, IA 52353, in Washington County, Iowa.
What is the phone number of Halcyon House?
(319) 653-7264, as listed by Medicare (CMS).
What is the Medicare star rating of Halcyon House?
Medicare overall rating: 4 out of 5 stars (CMS data updated 2026-10-01).
Has Halcyon House been fined?
Medicare lists 1 fine totaling $51,006.
What did inspectors find at Halcyon House?
In its last three inspection cycles (April 4, 2024 to March 19, 2026), Medicare lists 5 health citations; the most serious was level J. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).

Medicare ratings, explained

Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.

Overall rating
Overall rating: 4 of 5 stars
Medicare’s summary of the three ratings below, from 1 star (much below average) to 5 stars (much above average).
Health inspections
Health inspections: 2 of 5 stars
Based on state health inspections and complaint investigations of about the last three years, compared with other nursing homes in the same state.
Staffing
Staffing: 5 of 5 stars
Based on how many hours nurses and aides spend with each resident per day (from payroll records) and how often staff leave.
Quality of resident care
Quality of resident care: 5 of 5 stars
Based on how residents do on measures such as falls with injury, pressure sores, getting better at moving around and going back to the hospital.
Short-stay residents (rehab)
Short-stay residents (rehab): 5 of 5 stars
Quality rating for people who stay a short time, usually to recover after a hospital stay.
Long-stay residents
Long-stay residents: 4 of 5 stars
Quality rating for people who live in the nursing home.

Inspections, fines and staffing

In its last three inspection cycles (April 4, 2024 to March 19, 2026), Halcyon House had 5 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 1 of them was level G or higher (actual harm or immediate jeopardy). It was fined $51,006 in total (1 fine, the latest on October 14, 2025). Nurse staffing is 4.37 hours per resident per day; the Iowa average is 3.86 and the national average is 3.90.

Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.

Inspection history: last three cycles

State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.

What the letters A to L mean
Scope and severity letters
SeriousnessIsolated (a few residents)Pattern (some)Widespread (many)
No actual harm, potential for minimal harmABC
No actual harm, potential for more than minimal harmDEF
Actual harm to residentsGHI
Immediate jeopardy to resident health or safetyJKL

Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.

Most recent cycle: March 19, 2026 — 3 health citations

Inspections in this cycle: October 14, 2025 (complaint investigation); March 19, 2026 (standard health inspection).

  • F0684 Level J October 14, 2025 · from a complaint · corrected October 29, 2025

    “Provide appropriate treatment and care according to orders, resident’s preferences and goals.”

    immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies

Show 2 less serious citations (levels A to F)
  • F0698 Level D March 19, 2026 · corrected April 17, 2026

    “Provide safe, appropriate dialysis care/services for a resident who requires such services.”

  • F0697 Level D October 14, 2025 · from a complaint · corrected October 29, 2025

    “Provide safe, appropriate pain management for a resident who requires such services.”

Previous cycle: March 6, 2025 — 1 health citation

Inspections in this cycle: October 28, 2024 (complaint investigation); March 6, 2025 (standard health inspection).

Show 1 citation (levels A to F, no actual harm)
  • F0760 Level D October 28, 2024 · from a complaint · corrected November 20, 2024

    “Ensure that residents are free from significant medication errors.”

Earlier cycle: April 4, 2024 — 1 health citation

Inspections in this cycle: April 4, 2024 (standard health inspection).

Show 1 citation (levels A to F, no actual harm)
  • F0658 Level D April 4, 2024 · corrected April 24, 2024

    “Ensure services provided by the nursing facility meet professional standards of quality.”

Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.

Full inspection reports on Medicare Care Compare →

Fire safety citations (8)
  • K0353 Level E March 19, 2026 · corrected April 7, 2026

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0363 Level E March 19, 2026 · corrected March 30, 2026

    “Install corridor and hallway doors that block smoke.”

  • K0712 Level F March 6, 2025 · corrected March 12, 2025

    “Have simulated fire drills held at unexpected times.”

  • K0232 Level E March 6, 2025 · corrected March 7, 2025

    “Have corridors or aisles that are unobstructed and are at least 8 feet in width.”

  • K0321 Level E March 6, 2025 · corrected March 7, 2025

    “Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”

  • K0353 Level F April 4, 2024 · corrected April 15, 2024

    “Inspect, test, and maintain automatic sprinkler systems.”

  • K0712 Level F April 4, 2024 · corrected April 15, 2024

    “Have simulated fire drills held at unexpected times.”

  • K0918 Level F April 4, 2024 · corrected April 15, 2024

    “Have generator or other power source capable of supplying service within 10 seconds.”

Fines and payment denials

Total fines over about the last three years: $51,006 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.

DatePenaltyAmount or length
October 14, 2025Fine$51,006

Source: Medicare (CMS) Penalties file, data updated October 1, 2026.

Staffing

Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.

MeasureThis homeIowaNational
Registered nurse (RN) hours per resident per day0.770.740.69
Licensed practical nurse (LPN) hours per resident per day0.810.560.86
Nurse aide hours per resident per day2.792.562.35
Total nurse staff hours per resident per day4.373.863.90
Total nurse staff hours per resident per day on the weekend3.933.383.43
RN hours per resident per day on the weekend0.610.510.48
Nursing staff turnover (per year)39.1%44.1%45.3%
RN turnover (per year)33.3%42.1%42.5%
Administrators who left in the last year1.00.40.5

Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.

Owners and operator

Part of a group of 10 nursing homes: Wesleylife.

Legal business name: Wesley Retirement Services Inc.

Owners and managers Medicare lists (2)
NameRoleShareSince
WesleylifeDirect owner100%September 21, 2010
Wesley Retirement Services IncManagement company (operational or managerial control)NOT APPLICABLEJanuary 1, 1966

Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.

Compare with other nursing homes

Key facts

TypeNursing home
Certified beds54
Average residents per day51.9
Takes part inMedicare and Medicaid
OwnershipNon-profit – corporation
Group or chain (affiliated entity)Wesleylife
Legal business nameWesley Retirement Services Inc
First approved by Medicare/Medicaid2003-04-01
Part of a continuing care retirement communityYes
Resident and family councilsResident council
Sprinklers in all required areasYes
Changed ownership in the last 12 monthsNo
Address1015 South Iowa Avenue, Washington, IA 52353
CountyWashington County
StateIowa
Phone(319) 653‑7264
CMS Certification Number165483
CorrectionsReport an error or suggest an update →

What to ask when you call or visit

A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.

  • Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
  • Can you see the latest state inspection report? Ask how any problems found were fixed.
  • How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
  • Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
  • What therapy (physical, occupational, speech) is offered, and how many days a week?
  • Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
  • What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
  • Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
  • Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
  • Visit more than once, including at a mealtime or in the evening, without an appointment.

Other nursing homes nearby

By straight-line distance (not driving distance).

Nearest hospital emergency rooms

Sources

  1. Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this provider
  3. Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  4. Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
  5. Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
  6. Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
  7. State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
  8. Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
  9. Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
  10. Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13