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HomeIowaNorthcrest Specialty Care

Northcrest Specialty Care

2001Health Street, Waterloo, IA 507033192344423
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
4/5
Quality
4/5
Beds
94
certified

How Northcrest Specialty Care Compares in Iowa

Facility results compared with averages for CMS-certified nursing homes in Iowa. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
2/5
IA average
3.1/5
Below state average
Health inspection rating
2/5
IA average
2.8/5
Below state average
Staffing rating
4/5
IA average
3.6/5
Above state average
Nursing hours per resident
3.29 hrs/day
IA average
3.81 hrs/day
Below state average
RN hours per resident
0.68 hrs/day
IA average
0.74 hrs/day
Close to state average
Staff turnover
46.7%
IA average
44.1%
Close to state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 overall CMS rating is below the Iowa average of 3.1/5.
Its 2/5 health inspection rating is below the Iowa average of 2.8/5.
Reported nursing time is 3.29 hours per resident per day, below the state average of 3.81.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
19
deficiency citations
Inspected Jan 30, 2025
Most recent cycle
7
deficiency citations
Inspected Feb 12, 2026
The most recent cycle recorded 12 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$7,148/mo
Iowa median
Private Room
$8,091/mo
Iowa median
Black Hawk County 65+
22,443
17.1% of county
County Population
131,041
Black Hawk County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Northcrest Specialty Care is a 2-star Medicare and Medicaid certified nursing home in Waterloo, Iowa with 94 certified beds. It has been operating since 1992. Its overall CMS rating is 2 out of 5.

Beds
94
Avg Residents/Day
86.2
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Feb 1, 1992
Sprinklers
Yes
Council
Resident
County
Black Hawk
Last Inspection
Feb 12, 2026
Deficiencies (Cycle 1)
7
Weighted Score
51.0
Infection Citations
0

Deficiency Citations (32)

F0919Potential for Harm

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey: Feb 12, 2026Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Feb 12, 2026Corrected: NoCycle: 1
F0636Potential for Harm

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Survey: Feb 12, 2026Corrected: NoCycle: 1
F0640Potential for Harm

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Survey: Feb 12, 2026Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Feb 12, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 12, 2026Corrected: NoCycle: 1
F0926Potential for Harm

Have policies on smoking.

Survey: Feb 12, 2026Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Jun 4, 2025Corrected: NoCycle: 2
F0812Potential for Harm

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

Survey: Jan 30, 2025Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 30, 2025Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Jan 30, 2025Corrected: NoCycle: 2
F0684Potential for Harm

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

Survey: Jan 30, 2025Corrected: NoCycle: 2
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Jan 30, 2025Corrected: NoCycle: 2
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Jan 30, 2025Corrected: NoCycle: 2
F0887Potential for Harm

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Survey: Jan 30, 2025Corrected: NoCycle: 2
F0684Actual Harm

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

Survey: Oct 1, 2024Corrected: NoCycle: 2
F0697Potential for Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey: Apr 11, 2024Corrected: NoCycle: 3
F0565Potential for Harm

Honor the resident's right to organize and participate in resident/family groups in the facility.

Survey: Jan 30, 2024Corrected: NoCycle: 3
F0585Potential for Harm

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Survey: Jan 30, 2024Corrected: NoCycle: 3
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Jan 30, 2024Corrected: NoCycle: 3
F0801Potential for Harm

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Survey: Jan 30, 2024Corrected: NoCycle: 3
F0919Potential for Harm

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey: Jan 30, 2024Corrected: NoCycle: 3
F0550Potential for Harm

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

Survey: Jan 30, 2024Corrected: NoCycle: 3
F0578Potential for Harm

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Survey: Jan 30, 2024Corrected: NoCycle: 3
F0584Potential for Harm

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.

Survey: Jan 30, 2024Corrected: NoCycle: 3
F0636Potential for Harm

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Survey: Jan 30, 2024Corrected: NoCycle: 3
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jan 30, 2024Corrected: NoCycle: 3
F0689Potential for Harm

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

Survey: Jan 30, 2024Corrected: NoCycle: 3
F0641Minimal Harm

Ensure each resident receives an accurate assessment.

Survey: Jan 30, 2024Corrected: NoCycle: 3
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Jul 13, 2023Corrected: NoCycle: 3

+ 2 more deficiencies

Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.96 hrs
National avg: 2.32 hrs
LPN0.64 hrs
National avg: 0.86 hrs
RN0.68 hrs
National avg: 0.69 hrs
Total Nursing3.29 hrs
National avg: 3.86 hrs
Weekend Total2.97 hrs
National avg: 0.00 hrs
Physical Therapist0.06 hrs
National avg: 0.07 hrs
Total Turnover
46.7%
RN Turnover
61.9%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Non profit - Corporation
Recent Change
No

Owners & Managers (25)

NameRoleTypeOwnership %Since
CARE INITIATIVES5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Aug 1, 2012
COMPUTERSHARE CORPORATE TRUST COMPANY, NA5% OR GREATER MORTGAGE INTERESTOrganizationN/AJan 1, 2025
BEAL, MICHAELCORPORATE DIRECTORIndividualN/AJun 1, 2020
BOWEN, LANECORPORATE DIRECTORIndividualN/AJan 1, 2021
CAROTHERS, MARY JANECORPORATE DIRECTORIndividualN/AJan 1, 2023
CHILDS, KEVINCORPORATE DIRECTORIndividualN/AApr 1, 2023
CORLESS, PETERCORPORATE DIRECTORIndividualN/AJan 1, 2025
KREIN, KEITHCORPORATE DIRECTORIndividualN/AJan 1, 2022
RUST, ELIZABETHCORPORATE DIRECTORIndividualN/AJan 1, 2023
STURM, DENISECORPORATE DIRECTORIndividualN/AJan 1, 2021
UPMEYER, LINDACORPORATE DIRECTORIndividualN/AJan 1, 2022
BEAL, MICHAELCORPORATE OFFICERIndividualN/AJun 1, 2020
DIXON, DAVIDCORPORATE OFFICERIndividualN/AJun 1, 2016
DRAKE, EMILYCORPORATE OFFICERIndividualN/AJan 4, 2023
GILYARD, TANYACORPORATE OFFICERIndividualN/AMay 23, 2025
KUHN, JERAMYCORPORATE OFFICERIndividualN/AJun 25, 2008
MCDYER, JESSICACORPORATE OFFICERIndividualN/AFeb 22, 2023
VOLM, JOHANNACORPORATE OFFICERIndividualN/AJan 1, 2021
ADAMS, RUSSELLOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2024
BAEDKE, CHARISSAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2024
BODE, JESSEOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 18, 2023
BEAL, MICHAELINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/ASep 15, 2025
COMPUTERSHARE CORPORATE TRUST COMPANY, NAADP OF THE SNFOrganizationN/AAug 5, 2025
ADAMS, RUSSELLADP OF THE SNFIndividualN/AAug 5, 2025
BODE, JESSEADP OF THE SNFIndividualN/AAug 5, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Northcrest Specialty Care and nearby alternatives.

All Iowa facilities
Northcrest Specialty Care
Waterloo, IACurrent facility
CMS
2/5
Health
2/5
Staffing
4/5
Recorded fines: None
Harmony Waterloo
Waterloo, IA3.7 miAbuse flag
CMS
1/5
Health
1/5
Staffing
3/5
Recorded fines: $95,440
Ravenwood Specialty Care
Waterloo, IA3.9 mi
CMS
1/5
Health
1/5
Staffing
4/5
Recorded fines: None
Friendship Village Retirement
Waterloo, IA3.9 mi
CMS
5/5
Health
4/5
Staffing
5/5
Recorded fines: None
Pillar of Cedar Valley
Waterloo, IA4.5 mi
CMS
1/5
Health
2/5
Staffing
3/5
Recorded fines: None
Pinnacle Specialty Care
Cedar Falls, IA6.0 mi
CMS
2/5
Health
2/5
Staffing
3/5
Recorded fines: $8,362
The Suites at Western Home Communities
Cedar Falls, IA6.2 mi
CMS
5/5
Health
4/5
Staffing
5/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Northcrest Specialty Care
Waterloo, IA · Current facility
—2/52/54/5None recorded
Harmony Waterloo
Waterloo, IA
3.7 mi1/51/53/5$95,440
Ravenwood Specialty Care
Waterloo, IA
3.9 mi1/51/54/5None recorded
Friendship Village Retirement
Waterloo, IA
3.9 mi5/54/55/5None recorded
Pillar of Cedar Valley
Waterloo, IA
4.5 mi1/52/53/5None recorded
Pinnacle Specialty Care
Cedar Falls, IA
6.0 mi2/52/53/5$8,362
The Suites at Western Home Communities
Cedar Falls, IA
6.2 mi5/54/55/5None recorded

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Northcrest Specialty Care?▾
Northcrest Specialty Care has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 4/5, and quality measures rating of 4/5. This facility is rated below average.
How much does Northcrest Specialty Care cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Iowa is $7,148/month for a semi-private room and $8,091/month for a private room (Genworth/CareScout 2024). Northcrest Specialty Care participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Northcrest Specialty Care had any health inspection violations?▾
Northcrest Specialty Care had 7 deficiency citations in its most recent health inspection (Feb 12, 2026). The current CMS dataset records no fines for this facility.
What are the staffing levels at Northcrest Specialty Care?▾
Northcrest Specialty Care provides 3.29 total nursing staff hours per resident per day, including 0.68 RN hours, 0.64 LPN hours, and 1.96 nurse aide hours. The total staff turnover rate is 46.7%.
How many beds does Northcrest Specialty Care have?▾
Northcrest Specialty Care has 94 certified beds with an average of 86.2 residents per day, resulting in approximately 92% occupancy. The facility is Non profit - Corporation owned and is part of the Care Initiatives chain.
Are there other nursing homes near Northcrest Specialty Care?▾
Yes. This page lists 6 nearby nursing homes in Iowa, including 4 in Waterloo. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.

Part of Care Initiatives

This chain operates 43 facilities. View all →