Northcrest Specialty Care
2001health Street · Waterloo, IA · 50703 · 3192344423
94 certified beds Non profit - Corporation Chain: Care Initiatives
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.28 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.70 | 0.55–0.75 |
| Weekend hours / resident-day | 2.92 | ≈ weekday level |
| Nursing turnover / year | 51% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (32 in the current record)
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Potential for harm · D February 12, 2026
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected March 14, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 12, 2026
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected March 14, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 12, 2026
Ensure each resident receives an accurate assessment.
Corrected March 14, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 12, 2026
Provide and implement an infection prevention and control program.
Corrected March 14, 2026 · Infection Control
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Potential for harm · E February 12, 2026
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected March 14, 2026 · Environmental
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Potential for harm · D February 12, 2026
Have policies on smoking.
Corrected March 14, 2026 · Environmental
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Potential for harm · D February 12, 2026 · found via complaint
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.
Corrected March 14, 2026 · Resident Rights
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Potential for harm · D June 4, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 3, 2025 · Quality of Life and Care
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Potential for harm · D January 30, 2025
Ensure each resident receives an accurate assessment.
Corrected March 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 30, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 1, 2025 · Quality of Life and Care
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Potential for harm · D January 30, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected March 1, 2025 · Quality of Life and Care
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Potential for harm · E January 30, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 1, 2025 · Nutrition and Dietary
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Potential for harm · E January 30, 2025
Provide and implement an infection prevention and control program.
Corrected March 1, 2025 · Infection Control
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Potential for harm · D January 30, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected March 1, 2025 · Infection Control
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Potential for harm · D January 30, 2025
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.
Corrected March 1, 2025 · Infection Control
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Actual harm · G October 1, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 14, 2024 · Quality of Life and Care
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Potential for harm · D April 11, 2024 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected May 11, 2024 · Quality of Life and Care
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Potential for harm · E January 30, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected February 29, 2024 · Resident Rights
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Potential for harm · D January 30, 2024
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.
Corrected February 29, 2024 · Resident Rights
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Potential for harm · E January 30, 2024
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.
Corrected February 29, 2024 · Resident Rights
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Potential for harm · D January 30, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 29, 2024 · Quality of Life and Care
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Potential for harm · E January 30, 2024
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.
Corrected February 29, 2024 · Nutrition and Dietary
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Potential for harm · D January 30, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected February 29, 2024 · Resident Rights
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Potential for harm · D January 30, 2024 · found via complaint
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.
Corrected February 29, 2024 · Resident Rights
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Potential for harm · D January 30, 2024 · found via complaint
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected February 29, 2024 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165165 · certified since February 1, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.