Nursing homes in Waterloo, IA
6 Medicare- or Medicaid-certified facilities in Waterloo, of which 1 currently carries the federal abuse flag. Black Hawk County overall has 12 certified facilities (county average rating 2.6/5). Across the 6 rated facilities here the average CMS overall rating is 1.8/5, against 3.09/5 across the 379 rated facilities elsewhere in Iowa.
Local staffing, inspection dates and questions to ask →
In Waterloo
How to read this table: "Overall" is the CMS star rating, which combines inspections, staffing, and quality measures from resident assessments and claims; "Inspection" is the on-site health inspection rating — the most independent signal, and the one CMS grades on a curve against other facilities in the same state. Flags are federal abuse citations and Special Focus status.
| Facility | Location | Overall | Inspection | Staffing | Flags | Fines (3y) | Beds |
|---|---|---|---|---|---|---|---|
| Friendship Village Retirement | Waterloo | ★★★★★ | 4/5 | 5/5 | — | 72 | |
| Harmony House Health Care Center | Waterloo | ★☆☆☆☆ | 1/5 | 2/5 | SFF | $48,825 | 65 |
| Harmony Waterloo | Waterloo | ★☆☆☆☆ | 1/5 | 3/5 | abuse | $95,440 | 88 |
| Northcrest Specialty Care | Waterloo | ★★☆☆☆ | 2/5 | 4/5 | — | 94 | |
| Pillar of Cedar Valley | Waterloo | ★☆☆☆☆ | 2/5 | 3/5 | — | 114 | |
| Ravenwood Specialty Care | Waterloo | ★☆☆☆☆ | 1/5 | 4/5 | — | 176 |
What to check in Waterloo
These figures cover the 6 facilities in this city, excluding nearby alternatives. They describe published records, not current vacancies or a recommendation.
All bars start at zero. Exact values and supporting details remain below.
Both averages use the same 6 facilities, with equal weight per facility. 0 facilities are excluded because one or both values are unavailable. These are CMS case-mix-adjusted measures, not the hours any individual resident is guaranteed to receive.
Weekend staffing is lower than the all-week figure at 6 of these 6. Ask how weekend coverage and response times are maintained. This difference alone does not establish unsafe care.
- How recent is the inspection evidence? CMS marks 0 facilities here as having a most recent health inspection more than two years ago in this release. Ask for the latest inspection report and what has changed since it.
- Can the facility accept your payment arrangement? 6 of 6 facilities here are listed with Medicaid certification. Certification does not establish an available bed, your eligibility or the amount you will owe. Confirm directly and request an itemized written quote.
Check the facility-level figures behind this summary
| Facility | All-week hours | Weekend hours | Latest standard health survey |
|---|---|---|---|
| Friendship Village Retirement | 5.78 | 5.30 | Nov 17, 2025 |
| Harmony House Health Care Center | 3.51 | 3.28 | Aug 6, 2025 |
| Harmony Waterloo | 3.32 | 3.01 | Jan 14, 2026 |
| Northcrest Specialty Care | 3.97 | 3.58 | Feb 12, 2026 |
| Pillar of Cedar Valley | 3.77 | 3.21 | Nov 17, 2025 |
| Ravenwood Specialty Care | 3.71 | 3.41 | Nov 17, 2025 |
Hours use the same adjusted basis as the chart. A dash means unavailable. Survey dates are the latest standard health surveys reported in this CMS file; complaint investigations may have different dates. Calculation and verification details.
Nearby alternatives (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Pinnacle Specialty Care | 3.4 mi | Cedar Falls, IA | ★★☆☆☆ | 2/5 | |
| The Suites at Western Home Communities | 3.5 mi | Cedar Falls, IA | ★★★★★ | 5/5 | |
| Martin Health Center, INC | 4.8 mi | Cedar Falls, IA | ★★★★★ | 4/5 | |
| Newaldaya Lifescapes | 5.1 mi | Cedar Falls, IA | ★★☆☆☆ | 2/5 | |
| Cedar Falls Health Care Center | 5.8 mi | Cedar Falls, IA | ★★☆☆☆ | 2/5 | |
| Denver Sunset Home | 7.3 mi | Denver, IA | ★★★★☆ | 4/5 | |
| Parkview Manor Care Center | 12.7 mi | Reinbeck, IA | ★☆☆☆☆ | 1/5 | |
| Woodland Terrace | 12.8 mi | Waverly, IA | ★★★★★ | 3/5 | |
| Laporte City Specialty Care | 13.6 mi | La Porte City, IA | ★★★★☆ | 4/5 |
Distances are straight-line from the Waterloo area, based on CMS-published coordinates — driving distance will be longer. Inspection quality varies a lot even within one county: check each facility's page for what inspectors actually found.