Waterloo, IA
2-star overall rating with 2-star inspections with 10 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
1410 West Dunkerton Road, Waterloo, IA
(319) 291-2509
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
0 / 5
Resident outcomes and process measures
Quick facts
Beds
114
Certified beds
Average residents
136
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
1997-03-13
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.42
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.65
Licensed practical nurse staffing · state 0.57 · national 0.87
Aide hours / resident day
1.89
Nurse aide staffing · state 2.53 · national 2.35
Total nurse hours
2.95
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.06
RN + LPN hours · state 1.30 · national 1.54
Weekend hours
2.54
Weekend nurse staffing · state 3.35 · national 3.43
Weekend RN hours
0.21
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.54
CMS adjusted RN staffing hours
Adjusted total hours
3.85
CMS adjusted total nurse staffing hours
Case-mix index
1.05
Higher values indicate more complex resident acuity
RN turnover
15%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
40%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Program rank
3,226
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
45.37
Composite VBP score used to determine payment impact.
Payment multiplier
0.9986
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Healthcare-associated infections
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Total nurse turnover
5.97
Baseline 76.72% · Performance 43.14% · Measure score 5.97 · Achievement 5.03 · Improvement 5.97
Adjusted total nurse staffing
3.1
Baseline 3.35 hours · Performance 3.96 hours · Measure score 3.1 · Achievement 3.1 · Improvement 2.02
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.8% |
10.72%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 28 · Observed rate 10.71% · Lower 95% interval 6.52% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 10 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 0.61 |
1.02
0.4 pts better
|
|
| Drug regimen review with follow-up | Not Available |
95.27%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Falls with major injury | Not Available |
0.77%
|
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly. |
| Discharge self-care score | Not Available |
53.69%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Discharge mobility score | Not Available |
50.94%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Pressure ulcers or injuries, new or worsened | Not Available |
2.29%
|
Numerator Not Available · Denominator 10 · Adjusted rate Not Available · Too few residents or stays to report publicly. |
| Healthcare-associated infections requiring hospitalization | Not Available |
7.12%
|
Not Available · Eligible stays 10 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 180 |
| Staff flu vaccination coverage | 36.84% |
42%
5.2 pts worse
|
Numerator 91 · Denominator 247 |
| Discharge function score | Not Available |
56.45%
|
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly. |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.5
About the same
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.1 · Expected 1.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.5 |
2.1
0.4 pts worse
|
1.8
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.3 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 67.0% |
94.0%
27 pts worse
|
93.4%
26.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 55.7% · Q2 65.9% · Q3 70.1% · Q4 75.7% · 4Q avg 67.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.3% |
95.2%
1.9 pts worse
|
95.5%
2.2 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.8% |
3.7%
0.9 pts better
|
3.3%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 3.1% · Q3 3.7% · Q4 2.9% · 4Q avg 2.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 20.4% |
4.0%
16.4 pts worse
|
11.4%
9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.8% · Q2 24.8% · Q3 21.9% · Q4 22.2% · 4Q avg 20.4% |
| Percentage of long-stay residents who lose too much weight | 3.1% |
4.9%
1.8 pts better
|
5.4%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 2.5% · Q3 3.2% · Q4 4.1% · 4Q avg 3.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 42.2% |
20.6%
21.6 pts worse
|
19.6%
22.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 39.7% · Q2 42.1% · Q3 42.7% · Q4 44.0% · 4Q avg 42.2% |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 11.2% |
18.5%
7.3 pts better
|
16.3%
5.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 5.1% · Q3 13.5% · Q4 13.3% · 4Q avg 11.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 13.5% |
18.3%
4.8 pts better
|
14.9%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.9% · Q2 10.3% · Q3 13.8% · Q4 16.7% · 4Q avg 13.5% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.1% |
1.7%
0.6 pts better
|
1.0%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.9% · Q3 1.7% · Q4 0.8% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.2% |
2.5%
2.3 pts better
|
1.7%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.7% · 4Q avg 0.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.0% |
26.0%
7 pts better
|
19.8%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.5% · Q2 21.7% · Q3 15.9% · Q4 19.0% · 4Q avg 19.0% |
| Percentage of long-stay residents with pressure ulcers | 2.3% |
4.3%
2 pts better
|
5.1%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 3.9% · Q4 4.0% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 70.7% |
84.3%
13.6 pts worse
|
81.7%
11 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 70.7% |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Top issue: Environmental (4 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Pharmacy Service (1 deficiency)
8 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)
Fire safety
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2025-09-10
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-09-10
Fire Safety
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2025-09-10
Fire Safety
Use approved construction type or materials.
Corrected 2024-11-12
Fire Safety
Meet other general requirements.
Corrected 2024-10-16
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-10-09
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-10-09
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2024-10-09
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2024-10-09
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-08-30
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-08-29
Fire Safety
Use approved construction type or materials.
Corrected 2023-08-08
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-07-07
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-08-08
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-07-07
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-07-06
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-07-06
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-01-20
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-01-20
Health
Respond appropriately to all alleged violations.
Corrected 2026-01-20
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2025-12-01
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-12-01
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2025-12-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-12-01
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-12-01
Health
Ensure that residents are free from significant medication errors.
Corrected 2025-12-01
Health
Keep all essential equipment working safely.
Corrected 2025-12-01
Health
Provide and implement an infection prevention and control program.
Corrected 2024-10-31
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2024-10-31
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-10-31
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-10-31
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-31
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-31
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2024-10-31
Health
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected 2024-10-31
Health
Provide bedrooms that have direct access to an exit hallway.
Corrected 2024-10-31
Health
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Corrected 2024-10-31
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-10-31
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2023-07-21
Health
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-07-21
Penalties and ownership
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Direct Ownership Interest · Organization
W-2 Managing Employee · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Corporate Officer · Individual
Operational/Managerial Control · Individual
Nearby options
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2-star overall rating with 2-star inspections with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
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4-star overall rating with 4-star inspections with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Cedar Falls, IA
3-star overall rating with 2-star inspections with $129,025 in total fines with 7 recent health deficiencies with 10 fire-safety deficiencies in the latest cycle
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