CMS data snapshot: July 2026
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.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
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.
Make sure that a working call system is available in each resident's bathroom and bathing area.
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.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide safe, appropriate pain management for a resident who requires such services.
Honor the resident's right to organize and participate in resident/family groups in the facility.
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.
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Make sure that a working call system is available in each resident's bathroom and bathing area.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
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.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
+ 2 more deficiencies
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| CARE INITIATIVES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Aug 1, 2012 |
| COMPUTERSHARE CORPORATE TRUST COMPANY, NA | 5% OR GREATER MORTGAGE INTEREST | Organization | N/A | Jan 1, 2025 |
| BEAL, MICHAEL | CORPORATE DIRECTOR | Individual | N/A | Jun 1, 2020 |
| BOWEN, LANE | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2021 |
| CAROTHERS, MARY JANE | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2023 |
| CHILDS, KEVIN | CORPORATE DIRECTOR | Individual | N/A | Apr 1, 2023 |
| CORLESS, PETER | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2025 |
| KREIN, KEITH | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2022 |
| RUST, ELIZABETH | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2023 |
| STURM, DENISE | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2021 |
| UPMEYER, LINDA | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2022 |
| BEAL, MICHAEL | CORPORATE OFFICER | Individual | N/A | Jun 1, 2020 |
| DIXON, DAVID | CORPORATE OFFICER | Individual | N/A | Jun 1, 2016 |
| DRAKE, EMILY | CORPORATE OFFICER | Individual | N/A | Jan 4, 2023 |
| GILYARD, TANYA | CORPORATE OFFICER | Individual | N/A | May 23, 2025 |
| KUHN, JERAMY | CORPORATE OFFICER | Individual | N/A | Jun 25, 2008 |
| MCDYER, JESSICA | CORPORATE OFFICER | Individual | N/A | Feb 22, 2023 |
| VOLM, JOHANNA | CORPORATE OFFICER | Individual | N/A | Jan 1, 2021 |
| ADAMS, RUSSELL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 1, 2024 |
| BAEDKE, CHARISSA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 1, 2024 |
| BODE, JESSE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 18, 2023 |
| BEAL, MICHAEL | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | N/A | Sep 15, 2025 |
| COMPUTERSHARE CORPORATE TRUST COMPANY, NA | ADP OF THE SNF | Organization | N/A | Aug 5, 2025 |
| ADAMS, RUSSELL | ADP OF THE SNF | Individual | N/A | Aug 5, 2025 |
| BODE, JESSE | ADP OF THE SNF | Individual | N/A | Aug 5, 2025 |
Compare CMS ratings and recorded fines for Northcrest Specialty Care and nearby alternatives.
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.
This chain operates 43 facilities. View all →