Halcyon House
Halcyon House in Washington, IA — inspection on October 14, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
jeopardy to resident health or safety
or if something needs stat to community.c.
All medications must have an ICD 10 (International Classification of Diseases, 10th Revision, a diagnostic and procedure coding system) code written next to the medication in order for the pharmacy to enter those diagnosis. If not, we will be responsible to enter the diagnosis.d.
After medications have been put in by the pharmacy the NURSE must go under orders and confirm them to be correct from here we can change the time or ensure a stop date is in place.
Nurse must ensure that the time has been changed from the default of - as directed by pharmacy.
However, the pharmacy CANNOT see what we have changed and they also need us to put that information on the fax sheet and send it over to them so moving forward it all matches. e.
Community will need to enter all house orders/standing orders.
Pharmacy will not do this.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
10/14/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Halcyon House
1015 South Iowa Avenue Washington, IA 52353
SUMMARY STATEMENT OF DEFICIENCIES
During an interview on 10/8/25 at 12:15 PM, the Medical Director stated Resident #1 was admitted for skilled nursing after a hospitalization for heart failure.
The Medical Director stated he would expect the facility to call either the discharging hospital pharmacist and/or provider or his on-call group right away if a resident is experiencing pain so it can be treated.
During an interview on 10/13/25 at 9:34 AM, the DON stated the expectation for Resident #1 was not met on the day of admission from the hospital on [DATE].
Review of the facility policy, titled Pain Evaluation and Management, origination 7/2016, last revised 10/2025 revealed a Protocol statement, which declared: It is the policy of [company name redacted] that all residents have the right to appropriate pain assessment and pain management.
All resident will be evaluated for indicators of a history of pain on admission, quarterly, with a significant change in status and with the new onset of potential pain or discomfort.
Data will be collected through resident interview, staff interviews and observations.
The Procedure section directed, in part:#8. If the resident has a diagnosis which could cause pain or discomfort, and they show no sign or symptoms of pain or discomfort, continue to reassess for indicators of pain and behavioral changes.#9.
Notify PCP (primary care provider) of pain assessment findings if pain is indicated to start or change pain management program as necessary with on-going evaluation of effectiveness of medications prescribed.#10.
Follow prescribed orders for pain management - documenting for PRN medications using provided pain scale of 0-10.
Facility ID: