Northcrest Specialty Care

Name: Northcrest Specialty Care
Address: 2001Health Street, Waterloo, IA, 50703, US
Telephone: 3192344423

2001health Street, Waterloo, IA 50703 · Black Hawk County · 94 certified beds · avg 86 residents/day · certified since Feb 1, 1992

Part of chain: CARE INITIATIVES (43 facilities, chain avg rating 2.9★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.97

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Oct 1, 2024 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Oct 14, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (29)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Feb 12, 2026	E · Potential for harm, repeated	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.
Feb 12, 2026	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Feb 12, 2026	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Feb 12, 2026	D · Potential for harm, one-off	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Feb 12, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Feb 12, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 12, 2026	D · Potential for harm, one-off	The facility did not have policies on smoking.
Jun 4, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Jan 30, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jan 30, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 30, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jan 30, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jan 30, 2025	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Jan 30, 2025	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Jan 30, 2025	D · Potential for harm, one-off	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Oct 1, 2024	▲ G · Actual harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Apr 11, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint
Jan 30, 2024	E · Potential for harm, repeated	The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council.
Jan 30, 2024	E · Potential for harm, repeated	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Jan 30, 2024	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Jan 30, 2024	E · Potential for harm, repeated	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Jan 30, 2024	E · Potential for harm, repeated	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint
Jan 30, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Jan 30, 2024	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Jan 30, 2024	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Jan 30, 2024	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · from a complaint
Jan 30, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Jan 30, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Jan 30, 2024	B · Minimal risk, repeated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 7).

Year	Citations	Serious (G–L)	Worst severity that year
2024	14	1	G ▲
2025	8	0	E
2026	7	0	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Iowa avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.97	4.37	3.95	bottom 36% in Iowa; top 41% in the U.S.
Registered Nurse hours	0.83	0.85	0.69	top 46% in Iowa; top 25% in the U.S.
Weekend total nurse staffing	3.58	3.86	3.50	bottom 41% in Iowa; top 38% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.36	0.51	0.48	bottom 28% in Iowa; bottom 45% in the U.S.
Total nursing staff turnover (%)	46.7	44.0	45.8	bottom 39% in Iowa; bottom 45% in the U.S.
RN turnover (%)	61.9	42.1	42.9	bottom 23% in Iowa; bottom 19% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.29, RN 0.68, weekend 2.97. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Care Initiatives	Organization	5% or Greater Direct Ownership Interest	100%	08/01/2012
Adams, Russell	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2024
Adams, Russell	Individual	ADP of the SNF	NOT APPLICABLE	08/05/2025
Baedke, Charissa	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2024
Beal, Michael	Individual	Corporate Director	NOT APPLICABLE	06/01/2020
Beal, Michael	Individual	Corporate Officer	NOT APPLICABLE	06/01/2020
Beal, Michael	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	09/15/2025
Bode, Jesse	Individual	Operational/Managerial Control	NOT APPLICABLE	12/18/2023
Bode, Jesse	Individual	ADP of the SNF	NOT APPLICABLE	08/05/2025
Bowen, Lane	Individual	Corporate Director	NOT APPLICABLE	01/01/2021
Carothers, Mary Jane	Individual	Corporate Director	NOT APPLICABLE	01/01/2023
Childs, Kevin	Individual	Corporate Director	NOT APPLICABLE	04/01/2023
Computershare Corporate Trust Company, Na	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	01/01/2025
Computershare Corporate Trust Company, Na	Organization	ADP of the SNF	NOT APPLICABLE	08/05/2025
Corless, Peter	Individual	Corporate Director	NOT APPLICABLE	01/01/2025
Dixon, David	Individual	Corporate Officer	NOT APPLICABLE	06/01/2016
Drake, Emily	Individual	Corporate Officer	NOT APPLICABLE	01/04/2023
Gilyard, Tanya	Individual	Corporate Officer	NOT APPLICABLE	05/23/2025
Krein, Keith	Individual	Corporate Director	NOT APPLICABLE	01/01/2022
Kuhn, Jeramy	Individual	Corporate Officer	NOT APPLICABLE	06/25/2008

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"How soon after admission is a full assessment completed, and how are the findings shared with the family?"
"How do you make sure resident assessments are completed and submitted to the state on time?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What are your smoking rules, and how do you keep residents who smoke — and everyone around them — safe?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Harmony Waterloo	3.7 mi	Waterloo, IA	★☆☆☆☆	1/5	abuse
Ravenwood Specialty Care	3.9 mi	Waterloo, IA	★☆☆☆☆	1/5
Friendship Village Retirement	3.9 mi	Waterloo, IA	★★★★★	4/5
Pillar of Cedar Valley	4.5 mi	Waterloo, IA	★☆☆☆☆	2/5
Pinnacle Specialty Care	6.0 mi	Cedar Falls, IA	★★☆☆☆	2/5
The Suites at Western Home Communities	6.2 mi	Cedar Falls, IA	★★★★★	5/5
Martin Health Center, INC	6.3 mi	Cedar Falls, IA	★★★★★	4/5
Newaldaya Lifescapes	6.6 mi	Cedar Falls, IA	★★☆☆☆	2/5
Harmony House Health Care Center	7.0 mi	Waterloo, IA	★☆☆☆☆	1/5	SFF
Cedar Falls Health Care Center	7.5 mi	Cedar Falls, IA	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Waterloo →

Facility data as of CMS processing date 2026-08-01. CCN 165165.

The Care File

Visit checklist — Northcrest Specialty Care

2001health Street, Waterloo, IA 50703 · 3192344423

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Most serious findings on record:

▲ Oct 1, 2024 (F-0684, Actual harm, one-off): The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Questions for the administrator:

☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "How soon after admission is a full assessment completed, and how are the findings shared with the family?"
☐ "How do you make sure resident assessments are completed and submitted to the state on time?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What are your smoking rules, and how do you keep residents who smoke — and everyone around them — safe?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 165165 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)