CCN 165483
Halcyon House
1015 South Iowa Avenue, Washington, IA 52353 · Washington County
- Ownership
- Non profit - Corporation
- Certified beds
- 54
- Residents per day
- 51.8
- Health citations
- 5
- Penalties
- 1
- Fines
- 1 · $51,006
Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Staffing hours
Reported hours per resident per day come from the Payroll-Based Journal figures in the Provider Information file. Case-mix and adjusted hours account for how much care CMS expects given the residents’ needs. State and U.S. figures are averages from the same release.
- Measure
- This home
- State
- U.S.
- Nurse aide
- 2.83
- 2.52
- 2.32
- LPN/LVN
- 0.55
- 0.56
- 0.86
- Registered nurse
- 0.87
- 0.74
- 0.69
- Total nurse staff
- 4.25
- 3.82
- 3.86
- Weekend total
- 3.79
- 3.37
- 3.42
- Weekend RN
- 0.60
- 0.51
- 0.48
Adjusted total nurse hours: 4.76. Adjusted RN hours: 0.98. Case-mix total: 3.43. Case-mix index: 1.253.
Total nursing staff turnover: 40.0%. RN turnover: 25.0%. Administrators who left: 1.
How to read staffing hours
Payroll-Based Journal figures in Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Fines and penalties
CMS reports 1 fine totaling $51,006, and 0 payment denials.
| Date | Type | Amount or days |
|---|
| October 14, 2025 | Fine | $51,006 |
Cycle 1 standard survey: March 19, 2026. Health deficiencies counted in cycle 1: 3. Cycle 1 total health score: 83.
Cycle 2 standard survey: March 6, 2025. Cycle 2/3 health deficiencies: 1. Total weighted health survey score: 63.25.
Penalties file and Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Health inspection citations
The Health Deficiencies file lists 5 citations for this home, including 1 at immediate jeopardy and 0 at actual harm. CMS may display some citations here that are not used in the health inspection rating, including citations under dispute.
March 19, 2026
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Standard survey · Cycle 1 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · April 17, 2026 |
October 14, 2025
2 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Complaint survey · Cycle 1 | J: isolated, immediate jeopardy to resident health or safety | Deficient, Provider has date of correction · October 29, 2025 |
| F697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Complaint survey · Cycle 1 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · October 29, 2025 |
October 28, 2024
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Complaint survey · Cycle 2 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · November 20, 2024 |
April 4, 2024
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Standard survey · Cycle 3 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · April 24, 2024 |
Health Deficiencies. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections