ElderGrade
B

72.8/100

Above average

Northcrest Specialty Care

2001Health Street, Waterloo, IA 50703

CMS 2/5 stars #5 of 12 in Black Hawk County (319) 234-4423
Certified beds
94
Occupancy
92%
Ownership
Non-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

21.8/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -4.2 for 29 total citations against a national median of 17

Staffing

20/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.97 total nurse hours per resident per day (national median 3.77)
  • 0.68 RN hours per resident per day
  • Weekend staffing drops 10% against weekdays

Staff stability

9/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 47% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.29 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.68 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.97 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 46.70%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 32 citations

Last standard health inspection: February 12, 2026 (6 months ago).

E Feb 12, 2026 F0919

Environmental Deficiencies

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

No actual harm, potential for more than minimal harm

D Feb 12, 2026 F0584 From a complaint

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

D Feb 12, 2026 F0636

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

D Feb 12, 2026 F0640

Resident Assessment and Care Planning Deficiencies

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

No actual harm, potential for more than minimal harm

D Feb 12, 2026 F0641

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

No actual harm, potential for more than minimal harm

D Feb 12, 2026 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Feb 12, 2026 F0926

Environmental Deficiencies

Have policies on smoking.

No actual harm, potential for more than minimal harm

D Jun 4, 2025 F0677 From a complaint

Quality of Life and Care Deficiencies

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

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of CARE INITIATIVES, which operates 43 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
COMPUTERSHARE CORPORATE TRUST COMPANY, NA Organization 5% OR GREATER MORTGAGE INTEREST
BEAL, MICHAEL Individual CORPORATE DIRECTOR
BOWEN, LANE Individual CORPORATE DIRECTOR
CAROTHERS, MARY JANE Individual CORPORATE DIRECTOR
CHILDS, KEVIN Individual CORPORATE DIRECTOR
CORLESS, PETER Individual CORPORATE DIRECTOR
KREIN, KEITH Individual CORPORATE DIRECTOR
RUST, ELIZABETH Individual CORPORATE DIRECTOR
STURM, DENISE Individual CORPORATE DIRECTOR
UPMEYER, LINDA Individual CORPORATE DIRECTOR
BEAL, MICHAEL Individual CORPORATE OFFICER
DIXON, DAVID Individual CORPORATE OFFICER

What families say

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Common questions about Northcrest Specialty Care

What is the ElderGrade for Northcrest Specialty Care? +

Northcrest Specialty Care holds an ElderGrade of B (72.8 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Northcrest Specialty Care? +

Residents receive an average of 3.29 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Northcrest Specialty Care been cited for harming residents? +

Yes. 1 of the 32 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Northcrest Specialty Care accept Medicaid? +

Yes, Northcrest Specialty Care is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.