Show Inspection Reports
Total Health inspections
3
39% below Iowa average
Iowa average:
4.9
Last Health inspection on Jul 2025
Primarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
United Presbyterian Home
United Presbyterian Home is a Nursing Home in Iowa
United Presbyterian Home is a Nursing Home in Iowa
United Presbyterian Home
United Presbyterian Home is a Nursing Home in Iowa
United Presbyterian Home is a Nursing Home in Iowa
United Presbyterian Home is a life plan community located in Washington, Iowa, providing quality residential services to senior adults and their families on a 35-acre campus. Established in 1947, it offers a variety of living arrangements and levels of service to meet diverse needs. Residents can enjoy a wide range of activities and amenities, ensuring a fulfilling lifestyle.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
55
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
87.1%
Residents per day (avg)
49
Occupancy rate
87.1%
Residents per day (avg)
49
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Private pay
100% of new residents, often for short stays.
Typical stay
1 - 2 years
Finances and operations
Voluntary non-profit home
Church
Home revenue
$9.5M
Operating deficit
-$937.4K
Voluntary non-profit home
Church
Home revenue
$9,481,911.00
Operating deficit
$-937,354.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.3M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$10.4M
55-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
20 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
Occupancy Rate
89%
Occupied Beds
49 of 55
Percentage of available beds currently in use by residents.
License Status
ActiveFacility Type
Free Standing NF/SNF
License Date
April 6, 2005
Additional licensing details
License number:
920303
CMS Certification Number:
165482
Certification type:
FALSE
County:
Washington
Ownership & operating entity
United Presbyterian Home is administrated by Kara Williams.
Care Services
Nursing Services
Rehabilitation Services
Independent Living
Skilled Nursing
Contact Information
Email:
[email protected]
Fax:
3196535474
Amenities & Lifestyle
Programs & Activities
Specific Programs
Activities, Home Health Services, Wellness & Fitness, Spiritual Wellness, Guest Accommodations, Speech, Physical, & Occupation Therapy, Salon & Spa Services, Dining Services, UP with Kids Daycare, Membership Options, Class Schedule
Operating Hours
Monday-Friday: 7 AM – 4 PM, Saturday: 8 AM – Noon
Inspection History
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
17 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Latest inspection
Date:August 25, 2025
33 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Compare Nursing Homes around Iowa
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Akron Care Center, INC
+15%
+10%
+30%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 510017716
45
No
CITY OF AKRON
98.1%
$4,650,730.00
$2,144,112.00
46.1%
42.00
4.7098
-
4
-
+15%+10%+30%
United Presbyterian Home
-59%
+13%
+15%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 523532198
201
No
UNITED PRESBYTERIAN HOME
87.1%
$7,872,954.00
$4,340,464.00
55.1%
48.90
4.8592
-
22
1
-59%+13%+15%
Accura HealthCare of Carlisle
-40%
+36%
+7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 500478733
46
No
AMERICAN HEALTHCARE ASSOCIATES INC
80.5%
$4,098,046.00
$2,453,646.00
59.9%
38.90
5.8515
-
17
2
-40%+36%+7%
Accura Healthcare of Spirit Lake
-8%
-12%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 513601000
85
No
-
66.6%
$7,053,735.00
$3,009,392.00
42.7%
65.20
4.2922
1
21
1
-8%
0%
-12%
Accura Healthcare of Lake City, LLC
-33%
+20%
-7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 514499701
46
No
ACCURA HEALTHCARE OF THE HEARTLAND LLC
70.4%
$2,045,587.00
$969,532.00
47.4%
39.80
5.1665
4
39
4
-33%+20%-7%
Akron Care Center, INC
Type of care:
SNF
AL
Community:
IA 510017716
Bed Count:
45
Pets Allowed:
No
Operator:
CITY OF AKRON
CCN:
165595
Occupancy:
98.1%
Home Revenue:
$4,650,730.00
Payroll Costs:
$2,144,112.00
Payroll %:
46.1%
Avg Residents/Day:
42.00
Overall Rating:
Adj Nurse Hours:
4.7098
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
+15%
+15%
Staffing vs State Avg:
+10%
+10%
Occupancy vs State Avg:
+30%
+30%
United Presbyterian Home
Type of care:
SNF
AL
Community:
IA 523532198
Bed Count:
201
Pets Allowed:
No
Operator:
UNITED PRESBYTERIAN HOME
CCN:
165482
Occupancy:
87.1%
Home Revenue:
$7,872,954.00
Payroll Costs:
$4,340,464.00
Payroll %:
55.1%
Avg Residents/Day:
48.90
Overall Rating:
Adj Nurse Hours:
4.8592
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
22
Severe Citations:
1
RN share vs State Avg:
-59%
-59%
Staffing vs State Avg:
+13%
+13%
Occupancy vs State Avg:
+15%
+15%
Accura HealthCare of Carlisle
Type of care:
SNF
AL
Community:
IA 500478733
Bed Count:
46
Pets Allowed:
No
Operator:
AMERICAN HEALTHCARE ASSOCIATES INC
CCN:
165311
Occupancy:
80.5%
Home Revenue:
$4,098,046.00
Payroll Costs:
$2,453,646.00
Payroll %:
59.9%
Avg Residents/Day:
38.90
Overall Rating:
Adj Nurse Hours:
5.8515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
17
Severe Citations:
2
RN share vs State Avg:
-40%
-40%
Staffing vs State Avg:
+36%
+36%
Occupancy vs State Avg:
+7%
+7%
Accura Healthcare of Spirit Lake
Type of care:
SNF
AL
Community:
IA 513601000
Bed Count:
85
Pets Allowed:
No
CCN:
165528
Occupancy:
66.6%
Home Revenue:
$7,053,735.00
Payroll Costs:
$3,009,392.00
Payroll %:
42.7%
Avg Residents/Day:
65.20
Overall Rating:
Adj Nurse Hours:
4.2922
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
21
Severe Citations:
1
RN share vs State Avg:
-8%
-8%
Staffing vs State Avg:
0%
Occupancy vs State Avg:
-12%
-12%
Accura Healthcare of Lake City, LLC
Type of care:
SNF
AL
Community:
IA 514499701
Bed Count:
46
Pets Allowed:
No
Operator:
ACCURA HEALTHCARE OF THE HEARTLAND LLC
CCN:
165082
Occupancy:
70.4%
Home Revenue:
$2,045,587.00
Payroll Costs:
$969,532.00
Payroll %:
47.4%
Avg Residents/Day:
39.80
Overall Rating:
Adj Nurse Hours:
5.1665
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
4
Citations:
39
Severe Citations:
4
RN share vs State Avg:
-33%
-33%
Staffing vs State Avg:
+20%
+20%
Occupancy vs State Avg:
-7%
-7%Places of interest near United Presbyterian Home
Washington, IA 523532198
Washington, IA 523532198
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
104
Total Staff
72
Employees
32
Contractors
22,273
Total Hours (Quarter)
33
Avg Staff/Day
7.4
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 5 | 8.2 | Yes |
| Licensed Practical Nurse | 10 | 10.2 | Yes |
| Certified Nursing Assistant | 55 | 7.8 | Yes |
Staff by Category
Administration ⓘ
2 staff
6.8hs shift avg
Nursing Staff ⓘ
72 staff
8hs shift avg
Physicians & Practitioners ⓘ
3 staff
8hs shift avg
Therapy Services ⓘ
20 staff
4.2hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
3 staff
2.6hs shift avg
Dietary Services ⓘ
2 staff
7.5hs shift avg
Other Services ⓘ
2 staff
7.5hs shift avg
Contractor Analysis
10%
of total hours from contractors
2,237 contractor hours this quarter
Certified Nursing Assistant: 9
Registered Nurse: 1
Licensed Practical Nurse: 2
Feeding Assistant: 2
Speech Language Pathologist: 3
Physical Therapy Aide: 1
Respiratory Therapy Technician: 6
Physical Therapy Assistant: 1
Qualified Social Worker: 3
Occupational Therapy Aide: 1
Medical Director: 1
Diagnostic X-ray Services Staff: 1
Occupational Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 46 | 9 | 55 | 12,739 | 91 | 100% | 7.8 |
| Licensed Practical Nurse | 8 | 2 | 10 | 2,670 | 91 | 100% | 10.2 |
| Registered Nurse | 4 | 1 | 5 | 1,332 | 89 | 98% | 8.2 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 968 | 64 | 70% | 8 |
| Physical Therapist | 7 | 0 | 7 | 617 | 82 | 90% | 4.3 |
| Speech Language Pathologist | 0 | 3 | 3 | 571 | 67 | 74% | 4.3 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 448 | 60 | 66% | 7.5 |
| Dietitian | 1 | 0 | 1 | 447 | 58 | 64% | 7.7 |
| Other Dietary Services Staff | 1 | 0 | 1 | 430 | 59 | 65% | 7.3 |
| Physical Therapy Aide | 0 | 1 | 1 | 295 | 59 | 65% | 5 |
| Physical Therapy Assistant | 0 | 1 | 1 | 266 | 54 | 59% | 4.9 |
| Respiratory Therapy Technician | 0 | 6 | 6 | 159 | 56 | 62% | 2.1 |
| Occupational Therapy Aide | 0 | 1 | 1 | 101 | 13 | 14% | 7.8 |
| Qualified Social Worker | 0 | 3 | 3 | 89 | 34 | 37% | 2.6 |
| Feeding Assistant | 0 | 2 | 2 | 78 | 38 | 42% | 2 |
| Diagnostic X-ray Services Staff | 0 | 1 | 1 | 21 | 3 | 3% | 7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 20 | 3 | 3% | 6.8 |
| Medical Director | 0 | 1 | 1 | 14 | 13 | 14% | 1.1 |
Health Inspection History
Total Health citations
22
Near Iowa average
Iowa average:
21.7
7.33 citations per inspection (avg)
Citations origin
Citations can result from standard inspections or complaint-based investigations.
Standard inspections
22 citations
Complaint investigations
1 citations
Breakdown of citations
Critical Health citations
0
100% below Iowa average
Iowa average:
0.6
Serious Health citations
1
11% above Iowa average
Iowa average:
0.9
Moderate Health citations
21
Minor Health citations
0
Citations history (last 3 years)
Quality of Care moderate citation
Jul 17, 2025
Corrected
Resident Rights moderate citation
Jul 17, 2025
Corrected
Nutrition moderate citation
Nov 28, 2023
Corrected
Nutrition moderate citation
Nov 28, 2023
Corrected
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: Non-Profit Corporation
Resident Census by Payment Source
49
Total Residents
Medicare
2
(4.1%)
ⓘ
Medicaid
23
(46.9%)
ⓘ
Private Pay/Other
24
(49%)
ⓘ
Programs & Services
Residents' Group
ⓘ
CCRC
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
8.3
19% better than Iowa average
Iowa average:
10.2
Functional decline score
19.0
12% better than Iowa average
Iowa average:
21.6
Long-Stay Resident Measures
Daily care & independence
Need for Help with Daily Activities Increased
16.4%
13% below Iowa average.
Walking Ability Worsened
15.1%
23% below Iowa average.
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
25.6%
3% below Iowa average.
Safety & clinical stability
Falls with Major Injury
7.3%
102% above Iowa average.
High Risk Residents with Pressure Ulcers
2.2%
51% below Iowa average.
Urinary Tract Infection
2.8%
14% above Iowa average.
Emotional & behavioral wellbeing
Depressive Symptoms
6.1%
58% above Iowa average.
Antipsychotic Use
12.9%
32% below Iowa average.
Preventive care
Pneumococcal Vaccine
100.0%
6% above Iowa average.
Influenza Vaccine
100.0%
5% above Iowa average.
Nutrition & physical health
Lost Too Much Weight
0.7%
86% below Iowa average.Short-stay resident measures
Pneumococcal Vaccine
97.2%
14% better than Iowa average
Antipsychotic medication increase
0.0%
100% better than Iowa average Financial Trends
Historical financial and operational data for United Presbyterian Home based on CMS SNF Cost Reports.
Occupancy Rate
87.1%
↓ 1.6pp vs 2022
Net Income
-$937,354
↑ ~$295K vs 2022
Total Payroll
$5,297,072
↑ ~$1.0M vs 2022
Profit Margin
-11.9%
↑ 5.5pp vs 2022
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