Nursing homes across Washington County, Iowa, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
United Presbyterian Home runs 4.35 nurse hours per resident day, about 13 percent above the national average of 3.86. Weekend coverage drops roughly 14 percent from its own weekday level, so ask how that plays out on a Saturday. Staff turnover sits at 35.1 percent against a national 45.8 percent, which matters for how well aides know your mother's routines. The current record shows 22 deficiencies, including one at the harm level and one abuse-related, with the most recent inspection in July 2025. This is a nonprofit with strong staffing and quality marks, but those two serious citations are the reason to read the inspection reports yourself before deciding.
Halcyon House sits in Washington, Iowa, with 54 certified beds and a nonprofit owner. The staffing numbers are strong, 4.25 nurse hours per resident day, roughly 10% above the national average, with weekend coverage dipping about 11% below weekdays. Turnover runs 40%, better than the 45.8% national figure, and CMS gives top marks for staffing and quality measures. The tension is in inspections: a 2/5 health inspection rating, five deficiencies on record, one serious enough to reach harm or jeopardy level. No abuse citations. The most recent inspection was March 2026. Good hands on deck, but the survey history is where the concern lives.
Pleasantview Home runs about 66 certified beds in Kalona under nonprofit ownership, and its nurse staffing sits roughly 10% above the national average at 4.26 hours per resident day. Weekends dip about 10% below its own weekday level, so coverage is thinnest when families tend to visit. Staff turnover lands at 46%, essentially matching the national figure, which means retention is ordinary rather than a standout strength. The current record shows six deficiencies, none at the harm level and none abuse-related, with the most recent inspection dated April 2026. Quality and staffing each earned four stars from CMS, while health inspections came in at three.
Parkview Manor runs on 2.80 nurse staffing hours per resident day, roughly 27% under the national average of 3.86, and weekends run about 8% thinner than weekdays. The inspection record shows 46 deficiencies, including six at the harm or jeopardy level and seven tied to abuse, with one fine totaling $93,473 and a last inspection dated August 2025. This is a for-profit corporation operating 62 certified beds, and the numbers behind each CMS rating, one star for health inspections, one for staffing, two for quality measures, point the same direction.