Northcrest Specialty Care
Nursing home in Waterloo, IA
Medicare & Medicaid certified2★ overall (CMS)
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
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.
| Inspection | Citation | Severity |
|---|---|---|
| Feb 12, 2026 | Honor 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. | D |
| Feb 12, 2026 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D |
| Feb 12, 2026 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D |
| Feb 12, 2026 | Ensure each resident receives an accurate assessment. | D |
| Feb 12, 2026 | Provide and implement an infection prevention and control program. | D |
| Feb 12, 2026 | Have policies on smoking. | D |
| Feb 12, 2026 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E |
| Jun 4, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| Jan 30, 2025 | Ensure each resident receives an accurate assessment. | D |
| Jan 30, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| Jan 30, 2025 | Provide enough food/fluids to maintain a resident's health. | D |
| Jan 30, 2025 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
Fines and payment denials
CMS records no fines or payment denials for this facility in the last three years.
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
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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