United Presbyterian Home

Nursing Home, Assisted Living, Home Care, Hospice Care, Independent Living, Respite Care & Skilled Nursing · Washington, IA

CMS overall rating

1203 East Washington, Washington, Ia 523532198 View map

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United Presbyterian Home accepts private pay.

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United Presbyterian Home accepts private pay.

Overview of United Presbyterian Home

The United Presbyterian Home operates a 55-bed skilled nursing unit as part of its 35-acre continuing care retirement campus in Washington, Iowa. The facility coordinates billing through Medicare and Medicaid, offering options for people recovering from short-term hospital stays as well as those needing long-term residential placements. Stays here average about 171 days, and visitors will find the local neighborhood highly walkable, scoring an 81 out of 100 for foot travel.

Residents get around 4 hours and 52 minutes of direct daily care from the on-floor nursing staff and nurse aides. To minimize travel for medical checkups, the team partners with specialized therapists to offer physical, occupational, and speech therapy right on campus. The property also runs an independent home health service for residents transitioning back to apartments, cottages, or studios, and features a wellness center equipped with an indoor walking track and a warm water therapy pool.

Reviews by state inspectors over the last 16 years have consistently monitored environmental management, staff supervision, and clinical documentation to ensure regulatory safety guidelines are met.

Prospective families can reach out to the admissions office to check on current bed availability, learn about the campus home health services, or schedule a tour of the grounds. The main desk can also explain the entry paperwork and outline how Medicaid or Medicare applies to the community’s different care programs.

Facility Direct Line (319) 653-5473 info@uphome.org

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

4h 52m per day

vs avg

1 of 6 metrics below state avg

Standout metric LPN / LVN is +33% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	43m per day	■ Avg State avg: 44m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	45m per day	▲ 33% State avg: 34m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	3h 8m per day	▲ 24% State avg: 2h 32m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	4h 3m per day	▲ 21% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	1m per day	▼ 36% State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	36m per day	▲ 19% State avg: 30m per day · National avg: 28m per day

Capacity and availability

171 days

55-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

21 years in operation

A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

Walk Score: 81 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate

89%

Higher than the Iowa average: 75.4%

Occupied beds

49 / 55

Average occupied beds in Iowa homes 51 beds

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility

StatusActive

IssuanceApril 6, 2005

ExpirationApril 6, 2027

CountyWashington

License Number920303

CMS Certification Number165482

Certification TypeFALSE

United Presbyterian Home is administered by Kara Williams.

Rehabilitation Services

Email kwilliams@uphome.org

Fax3196535474

Activities

Touring HoursMonday-Friday: 7 AM – 4 PM, Saturday: 8 AM – Noon

Since 2010 · 16 years of data 56 deficiencies 17 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2010 vs. Iowa state average

Overall vs. IA average

Latest Inspection August 25, 2025

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	IA Average	vs. IA Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	56	27	This facility has 107% more total deficiencies than a typical Iowa assisted living residence (56 vs. IA avg 27).↑ 107% worse
Deficiencies per year Average deficiencies per year since 2010.	3.5	1.7	This facility has 106% more deficiencies per year than a typical Iowa assisted living residence (3.5 vs. IA avg 1.7).↑ 106% worse
Deficiencies per inspection Average deficiencies per inspection.	3.3	1.8	This facility has 83% more deficiencies per inspection than a typical Iowa assisted living residence (3.3 vs. IA avg 1.8).↑ 83% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	IA Average	vs. IA Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	17	15	This facility has had 13% more total inspections than the Iowa average (17 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↑ 13% more

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

The August 19, 2025 plan of correction accepted a credible allegation of substantial compliance, certifying the facility with no new deficiencies.
The July 14–17, 2025 inspections found three deficiencies involving failure to notify providers about pressure ulcer care and weight loss, plus inadequate fall prevention measures with bolsters.
The November 28, 2023 annual and complaint inspections substantiated inadequate supervision causing resident elopement, cold food service, and unsanitary food prep surfaces.

Show Inspection Reports

Inspections since 2022

Total health inspections 3

State average N/A

Last Health inspection on Jul 2025

Total health citations

State average N/A

Citations per inspection

7.33

State average N/A

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 4 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

1 serious citation State average: N/A

21 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 4 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

Total staff 91

Employees 70

Contractors 21

Staff to resident ratio 1.86 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 32

Average shift 7.4 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 21,735

Nursing staff breakdown

8 hours

10.3 hours

8 hours

Contractor staffing

1,539 contractor hours this quarter

Registered Nurse: 3 Physical Therapy Aide: 3 Speech Language Pathologist: 2 Respiratory Therapy Technician: 2 Physical Therapy Assistant: 2 Feeding Assistant: 2 Licensed Practical Nurse: 1 Medical Director: 1 Qualified Social Worker: 1 Occupational Therapy Assistant: 1 Occupational Therapy Aide: 1 Diagnostic X-ray Services Staff: 1 Other Physician: 1

Staff by category


Certified Nursing Assistant	41	0	41	12,450	92	100%	8
Licensed Practical Nurse	8	1	9	2,986	92	100%	10.3
Registered Nurse	4	3	7	1,370	91	99%	8
Clinical Nurse Specialist	2	0	2	992	64	70%	8
Physical Therapist	10	0	10	561	86	93%	3.3
Administrator	1	0	1	504	63	68%	8
Nurse Practitioner	1	0	1	504	63	68%	8
Other Dietary Services Staff	1	0	1	471	62	67%	7.6
Dietitian	1	0	1	438	58	63%	7.6
Mental Health Service Worker	1	0	1	429	57	62%	7.5
Speech Language Pathologist	0	2	2	389	68	74%	4.4
Physical Therapy Aide	0	3	3	187	59	64%	2.8
Occupational Therapy Aide	0	1	1	112	20	22%	5.6
Respiratory Therapy Technician	0	2	2	85	35	38%	2.2
Physical Therapy Assistant	0	2	2	76	29	32%	2.6
Feeding Assistant	0	2	2	65	39	42%	1.7
Qualified Social Worker	0	1	1	62	26	28%	2.4
Occupational Therapy Assistant	0	1	1	20	5	5%	4
Diagnostic X-ray Services Staff	0	1	1	18	3	3%	6
Medical Director	0	1	1	15	14	15%	1.1
Other Physician	0	1	1	2	1	1%	2

41 Certified Nursing Assistant

% of Days 100%

9 Licensed Practical Nurse

% of Days 100%

7 Registered Nurse

% of Days 99%

2 Clinical Nurse Specialist

% of Days 70%

10 Physical Therapist

% of Days 93%

1 Administrator

% of Days 68%

1 Nurse Practitioner

% of Days 68%

1 Other Dietary Services Staff

% of Days 67%

1 Dietitian

% of Days 63%

1 Mental Health Service Worker

% of Days 62%

2 Speech Language Pathologist

% of Days 74%

3 Physical Therapy Aide

% of Days 64%

1 Occupational Therapy Aide

% of Days 22%

2 Respiratory Therapy Technician

% of Days 38%

2 Physical Therapy Assistant

% of Days 32%

2 Feeding Assistant

% of Days 42%

1 Qualified Social Worker

% of Days 28%

1 Occupational Therapy Assistant

% of Days 5%

1 Diagnostic X-ray Services Staff

% of Days 3%

1 Medical Director

% of Days 15%

1 Other Physician

% of Days 1%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 8.3

19% better than State average

State average: 10.2

Functional decline score 19.0

12% better than State average

State average: 21.6

Long-stay resident measures

Above average State avg: 3.3

Need for Help with Daily Activities Increased 16.4%

13% better than State average

State average: 18.8%

Walking Ability Worsened 15.1%

23% better than State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 25.6%

In line with State average

State average: 26.2%

Falls with Major Injury 7.3%

102% worse than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers 2.2%

51% better than State average

State average: 4.4%

Urinary Tract Infection 2.8%

14% worse than State average

State average: 2.5%

Lost Too Much Weight 0.7%

86% better than State average

State average: 5.0%

Depressive Symptoms 6.1%

58% worse than State average

State average: 3.9%

Antipsychotic Use 12.9%

32% better than State average

State average: 19.0%

Pneumococcal Vaccine 100.0%

6% better than State average

State average: 94.4%

Influenza Vaccine 100.0%

5% better than State average

State average: 95.3%

Hospitalizations per 1,000 days 1.01

32% better than State average

State average: 1.48

ED visits per 1,000 days 2.77

33% worse than State average

State average: 2.09

Short-stay resident measures

Pneumococcal Vaccine 97.2%

14% better than State average

State average: 85.1%

Antipsychotic medication increase 0.0%

100% better than State average

State average: 1.8%

Breakdown by payment type

Private pay

100% of new residents, often for short stays.

Typical stay 1 - 2 years

Total residents 49

Medicare

4.1% of residents

Medicaid

46.9% of residents

Private pay or other

49% of residents

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.

Financial Trends

Historical financial and operational data for United Presbyterian Home from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 87.1% ↓ 1.6pp vs 2022

Net Patient Income -$2.5M ↑ ~$272.3K vs 2022

Payroll Costs $5.3M ↑ ~$1.0M vs 2022

Operating Margin -32.3% ↑ 7.6pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	93.7%	93.6%	98.2%	90.9%	92.8%	94.8%	93.2%	90.1%	91.9%	88.9%	88.4%	88.6%	87.1%
Beds	194	194	194	194	194	194	194	201	201	201	201	201	201
Net Income	$415,246	$1,086,336	-$672,264	-$381,309	-$574,690	$1,002,362	$1,324,896	-$1,278,514	-$242,742	$1,048,255	$323,923	-$1,232,498	-$937,354
Gross Revenue	$5,121,860	$5,279,451	$5,276,734	$5,366,504	$5,294,179	$5,711,680	$5,975,822	$6,472,198	$6,956,208	$6,732,016	$7,079,353	$7,061,382	$7,872,954
Operating Expenses	$5,839,597	$6,687,988	$6,747,563	$6,647,158	$6,772,600	$6,841,917	$7,282,061	$8,669,438	$8,414,780	$8,165,190	$8,714,038	$9,879,948	$10,419,265
Net Patient Income	-$801,384	-$1,533,591	-$1,548,929	-$1,299,487	-$1,492,818	-$1,186,964	-$1,415,726	-$2,280,532	-$1,533,233	-$1,491,708	-$1,676,948	-$2,818,566	-$2,546,311
Net Patient Revenue	$5,038,213	$5,154,397	$5,198,634	$5,347,671	$5,279,782	$5,654,953	$5,866,335	$6,388,906	$6,881,547	$6,673,482	$7,037,090	$7,061,382	$7,872,954
Payroll Costs	$2,721,546	$2,886,691	$2,980,359	$3,219,574	$3,367,442	$3,387,738	$3,551,135	$4,120,857	$4,020,738	$4,110,028	$3,906,776	$4,288,324	$5,297,072
Operating Margin %	-15.9%	-29.8%	-29.8%	-24.3%	-28.3%	-21.0%	-24.1%	-35.7%	-22.3%	-22.4%	-23.8%	-39.9%	-32.3%
Medicare %	1.7%	1.7%	1.8%	2.4%	0.9%	1.4%	1.1%	2.0%	1.6%	1.7%	1.7%	1.0%	0.9%
Medicaid %	13.4%	11.9%	11.5%	11.1%	9.9%	10.5%	11.3%	10.0%	10.1%	11.5%	12.0%	11.5%	12.9%
Private %	84.9%	86.4%	86.7%	86.5%	89.2%	88.0%	87.6%	88.0%	88.3%	86.8%	86.3%	87.6%	86.2%
Net Patient Revenue/Day	$76	$78	$75	$83	$80	$84	$89	$97	$102	$102	$108	$109	$123
Cost/Day	$88	$101	$97	$103	$103	$102	$110	$132	$125	$125	$134	$152	$163
Avg Length of Stay	181.1 days	186.8 days	201.0 days	160.0 days	235.7 days	231.5 days	239.3 days	155.4 days	193.2 days	163.0 days	197.0 days	189.0 days	170.7 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$7.9M

Net patient income

-$2.5M

Nonprofit Nonprofit Corporation

Net patient revenue

$7.9M

Net patient income

-$2.5M

Other income

$1.6M

Payroll costs

$5.3M 67.3% of net patient revenue

Other operating costs

$5.1M

Total costs

$10.4M

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Most new residents arrive under private pay (100% of admissions), and a typical private pay stay runs around 1 - 2 years.

Coverage residents most often arrive under.

Private pay 100%

Coverage residents most often leave under.

Medicare 6%

Private pay 94%

0.0 miles from city center Estimated distance in miles from Washington's city center to United Presbyterian Home's address, calculated via Google Maps.

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The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.


Friendship Village	NH AL IL MC SNF	Waterloo	-	72	-	52	2 Bed / 3 Bed
Mount Carmel Bluffs	NH IL MC	Dubuque (South Switch Junction)	-	60	-	2	1 Bed / 2 Bed
United Presbyterian Home	NH AL HC HOS IL RC SNF	-	-	55	-	81	-
Calvin Community	NH AL IL MC SNF	Des Moines (Beaverdale)	-	59	-	61	1 Bed
Thornton Heights Assisted Living	NH AL	Lansing (Main Street)	-	26	-	14	1 Bed / 2 Bed

Nursing Home Explorer

Is United Presbyterian Home in a walkable area?

United Presbyterian Home has a walk score of 81. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of United Presbyterian Home?

According to IA state health department records, United Presbyterian Home's license number is 920303.

When does United Presbyterian Home's license expire?

According to IA state health department records, United Presbyterian Home's license expires on April 6, 2027.

What is the occupancy rate at United Presbyterian Home?

United Presbyterian Home's occupancy is 89%.

What is the best email address for United Presbyterian Home?

The team at United Presbyterian Home can be reached at kwilliams@uphome.org.

Does United Presbyterian Home operate as a for-profit or non-profit?

United Presbyterian Home is registered as a non-profit in IA.

Who is the administrator of United Presbyterian Home?

Kara Williams is the administrator of United Presbyterian Home.

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United Presbyterian Home

Overview of United Presbyterian Home

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Contact Information

Amenities & Lifestyle

Contact United Presbyterian Home

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

41 Certified Nursing Assistant

9 Licensed Practical Nurse

7 Registered Nurse

2 Clinical Nurse Specialist

10 Physical Therapist

1 Administrator

1 Nurse Practitioner

1 Other Dietary Services Staff

1 Dietitian

1 Mental Health Service Worker

2 Speech Language Pathologist

3 Physical Therapy Aide

1 Occupational Therapy Aide

2 Respiratory Therapy Technician

2 Physical Therapy Assistant

2 Feeding Assistant

1 Qualified Social Worker

1 Occupational Therapy Assistant

1 Diagnostic X-ray Services Staff

1 Medical Director

1 Other Physician

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Private pay

Facility Characteristics

Programs & Services

Residents Group

CCRC

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Primarily short stays

Admissions

Discharges

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