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Nursing HomeMedicaid Top Rated

United Presbyterian Home

Strong Medicare quality ratings; families often praise beautiful, well-maintained facilities. Still worth an in-person visit.

1203 E Washington Street, Washington, IA 5235359 bedsLicensed & Active
5/5
Medicare
Inspection
Quality
Staffing
Google rating
4.4/5

based on 40 Google reviews

5
4
3
2
1
United Presbyterian Home Nursing Home in Washington, IA — Street View
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What this means for your family

United Presbyterian Home is widely praised for its beautiful grounds and friendly, competent staff, making it a comfortable choice for many residents. However, families should be aware of a recent report regarding a lack of administrative support during end-of-life transitions; we recommend asking management specifically about their bereavement and communication protocols to ensure they align with your expectations.

Google Reviews

Google Reviews

40 reviews on Google
United Presbyterian Home is generally viewed as a welcoming and well-maintained community, with many reviewers praising the beautiful facilities and friendly staff. While most feedback is positive regarding the atmosphere and care, at least one family member expressed significant disappointment regarding a perceived lack of empathy and communication following a resident's passing.

Quality Themes

Tap a score for details
Food10.0Staff8.0Clean9.0ActivitiesN/AMedsN/AMemoryN/AComms2.0Value2.0

Strengths

  • Beautiful, well-maintained facilities
  • Friendly and helpful staff
  • Cozy, community-oriented atmosphere
  • Good variety of living options

Concerns

  • Lack of empathy or communication from management after a resident's death

Rating Trends

Tap a year to see what changed

2344.52017(8)4.62018(10)4.02019(13)5.02020(4)4.72021(3)3.72022(3)5.02026(1)

Distribution · 42 analyzed

5
26
4
9
3
5
2
1
1
1

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1Since many people describe this facility as a cozy and community-oriented atmosphere, what kind of social activities or group outings do you host to keep residents connected?
  • 2How does the management team ensure that families are kept closely informed and supported, especially during difficult transitions or after a resident passes away?
  • 3With the high ratings for your staff's friendliness, how do you ensure that this level of personal care remains consistent across all shifts?
  • 4Can you walk me through the protocol for handling medical emergencies or sudden changes in a resident's health during the night?
  • 5How do you approach the billing and pricing structure to ensure families feel they are receiving great value for the care provided?
  • 6What steps is the facility taking to address the recent state violations and continue improving your health inspection outcomes?

Personalized based on this facility's data


Key Review Excerpts

My mother is living here in the care facility at 103 years of age. She was in one of the facility's self living apartments before that. It has been a wonderful place for her to live.

Long-term resident's family · 2018★★★★

Not once did anyone from the office stop by to offer condolences or give any kind of direction about the house. We had to initiate any kind of contact. That gives the impression that all they care about is getting their huge amounts of money!

Cottage resident's family member · 2022☆☆☆☆

A great place to visit friends and have a good Saturday meal

Visitor · 2018★★★★★
Source: 40 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.72hrs
96%
Registered nurses for medical care
Total Nursing
4.61hrs
OK
All nurses + aides combined
Staff Turnover
36%
Lower is better (< 30% = good)
RN Turnover
25%
Lower is better (< 30% = good)

RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
4/ 5
Better Than Avg

12

measures

Worse Than Avg

2

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility8.2%
Better than Avg
Here
8.2%
US
15.5%
IA
19.4%
Washington
16.7%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility15.0%
Better than Avg
Here
15.0%
US
19.4%
IA
25.9%
Washington
20.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
IA
93.9%
Washington
94.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility11.3%
Better than Avg
Here
11.3%
US
14.4%
IA
17.6%
Washington
14.4%
😔

Residents with depression symptoms

↓ Lower is better
This Facility6.4%
Mixed vs Avgs
Here
6.4%
US
12.1%
IA
4.1%
Washington
7.6%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
IA
95.3%
Washington
96.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.5%
Better than Avg
Here
98.5%
US
81.8%
IA
84.1%
Washington
82.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
IA
2.0%
Washington
1.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
Well below state avg (6.2)
1 complaint-triggered

United Presbyterian Home has significant recurring deficiencies across multiple care areas, with families filing at least one complaint about accident prevention that prompted an inspection. The facility struggles most with fire safety systems, accident prevention, resident communication requirements, and food safety standards. While all violations show correction dates, concerning patterns persist - particularly accident hazards appearing in three separate surveys and fire safety issues recurring across multiple inspections, suggesting ongoing operational challenges.

Jul 17, 2025Routine
2
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Nov 28, 2023Routine
7
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0711Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

0363Potential for harm · Pattern

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nov 28, 2023Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Jul 14, 2022Routine
18
0600Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0809Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0625Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0885Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Report COVID19 data to residents and families.

0886Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Perform COVID19 testing on residents and staff.

Jun 10, 2021Routine
2
0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
26deficiencies
Aug 25, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Jul 17, 2025Inspection
Clean

Fed violations: 2, State violations: 0

Sep 17, 2024Inspection
Clean

Fed violations: 0, State violations: 0

Aug 22, 2024Inspection
Clean

Fed violations: 1, State violations: 0

Dec 15, 2023Inspection
Clean

Fed violations: 0, State violations: 0

Nov 28, 2023Inspection
Clean

Fed violations: 3, State violations: 0

Nov 23, 2022Inspection
Clean

Fed violations: 0, State violations: 0

Oct 3, 2022Inspection
Clean

Fed violations: 1, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

United Presbyterian Home

Organization Type

nonprofit

Ownership & Management

Owners

United Presbyterian Home

Owner · Organization

Key personnel

Drahota, ErinOfficer / DirectorKleese, AmyOfficer / DirectorDrahota, ErinManagerWilliams, KaraManagerUnited Presbyterian HomeAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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