Occupancy rate
89%
In line with Iowa averagePrimarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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Nursing Home
United Presbyterian Home
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
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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
89.1%
Residents per day (avg)
49
Occupancy rate
89.1%
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 community
Operated by a church.
Home revenue
$9.5M
Operating deficit
-$937.4K
Voluntary non-profit community
Operated by a 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
In line with Iowa averageOccupied beds
49 / 55
Average residents
51 per day
License details
Facility type
Free Standing Nf/snf
Status
Active
Issuance
April 6, 2005
County:
Washington
Additional licensing details
License number:
920303
CMS Certification Number:
165482
Certification type:
FALSE
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
Show Inspection Reports
Latest inspection
Date:August 25, 2025
33 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for United Presbyterian Home
The most recent inspection on August 19, 2025, found the facility to be in substantial compliance based on an accepted plan of correction following the July 14, 2025 survey, which had deficiencies. Earlier inspections showed a pattern of issues related primarily to resident care communication, such as failure to notify providers about significant health changes, and environmental safety concerns including accident hazards and food sanitation. Complaint investigations were mostly unsubstantiated, though some facility-reported incidents related to supervision and food safety were substantiated in late 2023. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility appears to be addressing prior deficiencies through plans of correction, with the most recent findings indicating improvement.
Health Inspection History
Inspections
Total health inspections
3
Iowa average 4.9
Last Health inspection on Jul 2025
Total health citations
22
Iowa average 21.7
Citations per inspection
7.33
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
21 of 22 citations resulted from standard inspections; and 1 of 22 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
1
1
11% worse than Iowa averageIowa average: 0.9
0 critical citations
1 serious citation
21 moderate citations
0 minor citations
Citations history (last 3 years)
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jul 17, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jul 17, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Jul 17, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Jul 17, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Nov 28, 2023
Issues related to food quality, meal service, and resident's nutritional needs.
Nov 28, 2023
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Nov 28, 2023
Issues related to food quality, meal service, and resident's nutritional needs.
Nov 28, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Akron Care Center, INC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Akron
45
98.1%
+30%
4.71
+10%
0
4
0
42
City Of Akron
$4,7M
$2,1M
46.1%
165595
United Presbyterian Home
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
-
201
87.1%
+15%
4.86
+13%
0
22
1
49
United Presbyterian Home
$7,9M
$4,3M
55.1%
165482
Accura HealthCare of Carlisle
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Carlisle
46
80.5%
+7%
5.85
+36%
0
17
2
39
American Healthcare Associates Inc
$4,1M
$2,5M
59.9%
165311
Accura Healthcare of Spirit Lake
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Spirit Lake
85
66.6%
-12%
4.29
0%
1
21
1
65
-
$7,1M
$3,0M
42.7%
165528
Accura Healthcare of Lake City, LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Lake City
46
70.4%
-7%
5.17
+20%
4
39
4
40
Accura Healthcare Of The Heartland Llc
$2,0M
$1,0M
47.4%
165082
Places of interest near United Presbyterian Home
Washington, IA 523532198
Washington, IA 523532198
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
104
Employees
72
Contractors
32
Staff to resident ratio
2.12:1
6% better than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
33
Average shift
7.4 hours
0% compared with Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
22,273
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
5
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
55
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
10%
2,237 contractor hours this quarter
Certified Nursing Assistant: 9
Respiratory Therapy Technician: 6
Speech Language Pathologist: 3
Qualified Social Worker: 3
Licensed Practical Nurse: 2
Feeding Assistant: 2
Registered Nurse: 1
Physical Therapy Aide: 1
Physical Therapy Assistant: 1
Occupational Therapy Aide: 1
Medical Director: 1
Diagnostic X-ray Services Staff: 1
Occupational Therapy Assistant: 1
Staff by category
| 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 |
55 Certified Nursing Assistant
% of Days
100%
10 Licensed Practical Nurse
% of Days
100%
5 Registered Nurse
% of Days
98%
2 Clinical Nurse Specialist
% of Days
70%
7 Physical Therapist
% of Days
90%
3 Speech Language Pathologist
% of Days
74%
1 Administrator
% of Days
70%
1 Nurse Practitioner
% of Days
68%
1 Mental Health Service Worker
% of Days
66%
1 Dietitian
% of Days
64%
1 Other Dietary Services Staff
% of Days
65%
1 Physical Therapy Aide
% of Days
65%
1 Physical Therapy Assistant
% of Days
59%
6 Respiratory Therapy Technician
% of Days
62%
1 Occupational Therapy Aide
% of Days
14%
3 Qualified Social Worker
% of Days
37%
2 Feeding Assistant
% of Days
42%
1 Diagnostic X-ray Services Staff
% of Days
3%
1 Occupational Therapy Assistant
% of Days
3%
1 Medical Director
% of Days
14%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
49 residents
Residents by payment source
Medicare
2 residents (4.1%)
Medicaid
23 residents (46.9%)
Private pay or other
24 residents (49%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
CCRC
Part of a Continuing Care Retirement Community offering multiple care levels
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.3
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.3
19% better than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
19.0
12% better than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
16.4%
Percent of long-stay residents whose need for help with daily activities has increased
16.4%
13% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
15.1%
Percent of long-stay residents whose ability to move independently worsened
15.1%
23% better than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.6%
In line with Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
7.3%
Percent of long-stay residents experiencing one or more falls with major injury
7.3%
102% worse than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.2%
Percent of long-stay high risk residents with pressure ulcers
2.2%
51% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.8%
Percent of long-stay residents with a urinary tract infection
2.8%
14% worse than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
0.7%
Percent of long-stay residents who lose too much weight
0.7%
86% better than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
6.1%
Percent of long-stay residents who have depressive symptoms
6.1%
58% worse than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
12.9%
Percent of long-stay residents who received an antipsychotic medication
12.9%
32% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.2%
14% better than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa averageIowa average: 1.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
Loading trend charts...
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