United Presbyterian Home
1203 East Washington Street, Washington, IA 52353


United Presbyterian Home is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 165482. The address is 1203 East Washington Street, Washington, IA 52353. The zip code is 52353. The phone number is 3196535473.


United Presbyterian Home · 1203 East Washington Street, Washington, IA 52353

Federal Provider Number 165482
Provider Name UNITED PRESBYTERIAN HOME
Address 1203 EAST WASHINGTON STREET
WASHINGTON, IA 52353
Phone Number 3196535473
SSA County Code 910
County Name Washington
Ownership Type Non profit - Corporation
Certified Beds 52
Certified Beds Residents 52
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name UNITED PRESBYTERIAN HOME
Date First Approved to Provide Medicare Medicaid Services 05/01/2003
Continuing Care Retirement Community true
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council None
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 3
Health Inspection Rating 2
Quality Measure Rating 4
Staffing Rating 4
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.59423
Reported LPN Staffing Hours per Resident per Day 0.42212
Reported RN Staffing Hours per Resident per Day 0.66346
Reported Licensed Staffing Hours per Resident per Day 1.08558
Reported Total Nurse Staffing Hours per Resident per Day 3.67981
Reported Physical Therapist Staffing Hours per Resident Per Day 0.02885
Expected CNA Staffing Hours per Resident per Day 2.38899
Expected LPN Staffing Hours per Resident per Day 0.56766
Expected RN Staffing Hours per Resident per Day 0.8584
Expected Total Nurse Staffing Hours per Resident per Day 3.81504
Adjusted CNA Staffing Hours per Resident per Day 2.6645
Adjusted LPN Staffing Hours per Resident per Day 0.6172
Adjusted RN Staffing Hours per Resident per Day 0.57751
Adjusted Total Nurse Staffing Hours per Resident per Day 3.88801
Cycle 1 Total Number of Health Deficiencies 7
Cycle 1 Number of Standard Health Deficiencies 7
Cycle 1 Health Deficiency Score 68
Cycle 1 Standard Survey Health Date 02/02/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 68
Cycle 2 Total Number of Health Deficiencies 2
Cycle 2 Number of Standard Health Deficiencies 2
Cycle 2 Number of Complaint Health Deficiencies 2
Cycle 2 Health Deficiency Score 16
Cycle 2 Standard Health Survey Date 02/25/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 16
Cycle 3 Total Number of Health Deficiencies 2
Cycle 3 Number of Standard Health Deficiencies 2
Cycle 3 Health Deficiency Score 16
Cycle 3 Standard Health Survey Date 04/02/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 16
Total Weighted Health Survey Score 42
Number of Substantiated Complaints 1
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · United Presbyterian Home

Owner Name Role Association Date
CUDDLEBACK, JAMES (Individual) DIRECTOR since 01/01/2009
DRAHOTA, ERIN (Individual) MANAGING EMPLOYEE since 11/01/2010
DUNLAP, SANDRA (Individual) DIRECTOR since 01/01/1984
KRUMMEL, FORREST (Individual) DIRECTOR since 01/01/2003
LLOYD, JAMES (Individual) DIRECTOR since 01/22/2003
MAUPIN, DAVID (Individual) DIRECTOR since 01/01/2006
MOORE, MICHAEL (Individual) DIRECTOR since 01/22/2003
MOORE, MICHAEL (Individual) MANAGING EMPLOYEE since 03/15/1976
SCHMIDT, RICHARD (Individual) DIRECTOR since 01/22/2003
STALEY, JOHN (Individual) DIRECTOR since 01/22/2003
STEWART, WILLIAM (Individual) DIRECTOR since 01/01/2006
THORNE, JOHN (Individual) DIRECTOR since 01/22/2003
TORPEY, JOANN (Individual) DIRECTOR since 08/01/2012
UNITED PRESBYTERIAN HOME (Organization) OPERATIONAL/MANAGERIAL CONTROL since 01/01/1966
WALKER, BRUCE (Individual) DIRECTOR since 01/22/2003

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