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
Data as of July 1, 2026
5 of 5 overall
Overall rating: 5 of 5 stars. Friendship Village Retirement in Waterloo has strong staffing, with 4.78 nurse hours per resident per day above the 4.1 federal benchmark, no fines in the last 24 months, a 4-star health inspection rating, and a lower 2-star quality measures rating.
Facility ratings
Health inspections
Staffing
4.7781 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 4.7781.
Staffing detail
- Registered nurses
- 0.81
- Licensed practical nurses
- 0.87
- Nurse aides
- 3.09
- Weekend nursing
- 4.38
Hours per resident per day.
Total staff turnover: 28%
Registered nurse turnover: 23%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
18.2%11.6%Improving
Residents with a fall causing major injury
11.1%3.5%Improving
Residents with pressure ulcers (bedsores)
0%1.9%Worsening
Residents with a urinary tract infection
3.2%0%Improving
Residents who lost too much weight
2%6.7%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
22.2%14%Improving
Residents whose ability to walk got worse
15.7%9.6%Improving
Long-stay residents on antianxiety or sleep medication
32%28.9%Improving
Short-stay residents newly given an antipsychotic
2.9%0%Improving
Residents with a long-term catheter
7.1%6.8%No change
Residents with new or worsening incontinence
28.4%24.7%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—96.8%—
Short-stay residents given the pneumonia vaccine
100%100%No change
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.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 65.7 residents on an average day (91% of 72 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 58 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.