Nursing HomeInspections

Northcrest Specialty Care

Nursing home in Waterloo, IA

Medicare & Medicaid certified2★ overall (CMS)

Call (319) 234-4423Send a messageMap ↗

Public-record details

Address
2001Health Street, Waterloo, IA 50703
Phone
(319) 234-4423
Listed under
Nonprofit, No fines in 3 years
Medicare CCN
165165
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
4 of 5
Quality measures rating
4 of 5
Certified beds
94
Average residents per day
86
Ownership
Nonprofit, corporation
Legal business name
Care Initiatives
Chain
Care Initiatives (43 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Feb 1, 1992
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 165165. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Feb 12, 2026. CMS lists 29 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 30, 2024 to Feb 12, 2026): 10 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Feb 12, 2026Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Feb 12, 2026Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Feb 12, 2026Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Feb 12, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Feb 12, 2026Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Feb 12, 2026Have policies on smoking.
Environmental
D
Potential for more than minimal harm, isolated
Feb 12, 2026Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental
E
Potential for more than minimal harm, pattern
Jun 4, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Jan 30, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Jan 30, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jan 30, 2025Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jan 30, 2025Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 29. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.29 hours
Registered nurse (RN) time per resident per day
0.68 hours
Nurse aide time per resident per day
1.96 hours
Total nurse staffing on weekends
2.97 hours
Nursing staff turnover (yearly)
47%
RN turnover (yearly)
62%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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