The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2024 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Friendship Village Retirement
Waterloo, IA · Medicare-certified · 72 beds
In good standing
Non-profit
5 of 5 overall
Friendship Village Retirement in Waterloo has a 5-star overall rating, with 5 stars for staffing and 4 stars for health inspections, and reported nurse staffing of 4.45 hours per resident day versus the 4.1-hour federal benchmark. It had $0 in fines over the last 24 months; its quality measures rating is 3 stars, and recent inspection areas cited included accident hazards/supervision and food/menu standards.
Facility ratings
Health inspections
Staffing
4.4473 hrs/resident/day
Quality measures
Last inspection: November 17, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.4473.
Staffing detail
- Registered nurses
- 0.79
- Licensed practical nurses
- 0.88
- Nurse aides
- 2.78
- Weekend nursing
- 4.01
Hours per resident per day.
Total staff turnover: 29%
Registered nurse turnover: 25%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
14.9%Improving
Residents with a fall causing major injury
8%Steady
Residents with pressure ulcers (bedsores)
0%Steady
Residents with a urinary tract infection
2.6%Steady
Residents who lost too much weight
2.6%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
18.4%Improving
Residents whose ability to walk got worse
13.8%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
31.3%Improving
Short-stay residents newly given an antipsychotic
1.3%Improving
Residents with a long-term catheter
6.4%Worsening
Residents with new or worsening incontinence
28.8%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
96.8%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited August 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2023 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited November 2025 — isolated incident, potential for harm.
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F-Tag 641 — 42 CFR §483.20(g) — S/S: D
The nursing home failed to coordinate resident assessments with required screening and make needed service referrals. Cited October 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 644 — 42 CFR §483.20 — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
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- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 68.8 residents on an average day (96% of 72 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 57 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.