Federal inspection record · CMS data as of October 1, 2026
Northcrest Specialty Care
2001Health Street, Waterloo, IA · (319) 234-4423
- Certified beds
- 94
- Residents per day
- 88
- Ownership
- Non-Profit
- Chain
- Care Initiatives
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 1, 1992
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Northcrest Specialty Care carries 60 inspection points. That is fewer than 28% of Iowa's 385 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–7 pts
- 4★ 7–21 pts
- 3★ 21–41 pts
- 2★ 41–86.5 pts
- 1★ over 86.5 pts
Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
33 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Resident Rights8E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
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.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
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.
- D
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.
Quality of Life and Care7E
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning7D
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Ensure each resident receives an accurate assessment.
- D
Ensure each resident receives an accurate assessment.
- D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- B
Ensure each resident receives an accurate assessment.
Infection Control4E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
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.
Environmental3E
- E
Make sure that a working call system is available in each resident's bathroom and bathing area.
- D
Have policies on smoking.
- E
Make sure that a working call system is available in each resident's bathroom and bathing area.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
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.
Pharmacy Service1D
- D
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspection history
2026-02-12
11 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2025-01-30
9 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-01-30
13 health deficiencies · 15 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 27 min of nursing staff time a day, 37 min of it from a registered nurse.
This home
3 h 27 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 43% of nursing staff and 53% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts worse | 1.8 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts worse | 2.8 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.1 pts better | 99.3% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.6 pts worse | 92.2% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.5 pts better | 0.4% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.4 pts better | 0.8% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.4 pts worse | 5.8% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.4 pts better | 19.6% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.6 pts worse | 22.4% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.4 pts better | 8.8% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.6 pts better | 12.0% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2.1 pts worse | 3.5% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.7 pts better | 0.7% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.1 pts worse | 30.1% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.3 pts better | 3.8% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine11.1 pts better | 95.1% | 84.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit4.1 pts better | 8.9% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts worse | 2.8% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine16.8 pts better | 91.2% | 74.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission5.8 pts better | 14.9% | 20.7% | 23.4% |
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Who owns and runs it
25 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Care Initiatives | 5% Or Greater Direct Ownership Interest · Organization | 100% | 43 facilities |
| Adams, Russell | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Adams, Russell | Adp Of The SNF · Individual | 0% | 2 facilities |
| Baedke, Charissa | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Beal, Michael | Corporate Director · Individual | 0% | 43 facilities |
| Beal, Michael | Corporate Officer · Individual | 0% | 43 facilities |
| Beal, Michael | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 43 facilities |
| Bode, Jesse | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bode, Jesse | Adp Of The SNF · Individual | 0% | 1 facilities |
| Bowen, Lane | Corporate Director · Individual | 0% | 44 facilities |
| Carothers, Mary Jane | Corporate Director · Individual | 0% | 43 facilities |
| Childs, Kevin | Corporate Director · Individual | 0% | 43 facilities |
| Computershare Corporate Trust Company, Na | 5% Or Greater Mortgage Interest · Organization | 0% | 59 facilities |
| Computershare Corporate Trust Company, Na | Adp Of The SNF · Organization | 0% | 59 facilities |
| Corless, Peter | Corporate Director · Individual | 0% | 43 facilities |
| Dixon, David | Corporate Officer · Individual | 0% | 44 facilities |
| Drake, Emily | Corporate Officer · Individual | 0% | 43 facilities |
| Gilyard, Tanya | Corporate Officer · Individual | 0% | 42 facilities |
| Krein, Keith | Corporate Director · Individual | 0% | 43 facilities |
| Kuhn, Jeramy | Corporate Officer · Individual | 0% | 43 facilities |
| Mcdyer, Jessica | Corporate Officer · Individual | 0% | 43 facilities |
| Rust, Elizabeth | Corporate Director · Individual | 0% | 43 facilities |
| Sturm, Denise | Corporate Director · Individual | 0% | 43 facilities |
| Upmeyer, Linda | Corporate Director · Individual | 0% | 43 facilities |
| Volm, Johanna | Corporate Officer · Individual | 0% | 29 facilities |
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Fire safety
17 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness11F
- F
Develop Emergency Preparedness policies and procedures.
- F
Address subsistence needs for staff and patients.
- F
Establish procedures for tracking staff and patients during an emergency.
- F
Establish policies and procedures including evacuation.
- F
Provide emergency officials' contact information.
- F
Provide primary/alternate means for communication.
- F
Establish emergency prep training and testing.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Conduct risk assessment and an All-Hazards approach.
- F
Address patient/client population and determine types of services needed.
Smoke2F
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous2F
- F
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Egress1F
- F
Have exits that are accessible at all times.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
·
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