The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
Northcrest Specialty Care
Waterloo, IA · Medicare-certified · 94 beds
In good standing
Non-profitChain member
2 of 5 overall
Northcrest Specialty Care in Waterloo, IA has a 2-star overall rating, with a 2-star health inspection rating, 3-star staffing, and 4-star quality measures. Nurse staffing is 3.28 hours per resident per day versus the 4.1-hour federal benchmark, with no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.276 hrs/resident/day
Quality measures
Last inspection: February 12, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.276.
Staffing detail
- Registered nurses
- 0.70
- Licensed practical nurses
- 0.58
- Nurse aides
- 2.00
- Weekend nursing
- 2.92
Hours per resident per day.
Total staff turnover: 51%
Registered nurse turnover: 76%
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
20.8%17%Improving
Residents with a fall causing major injury
2.9%0%Improving
Residents with pressure ulcers (bedsores)
5.4%1.3%Improving
Residents with a urinary tract infection
2.9%0%Improving
Residents who lost too much weight
5.1%1.8%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.9%12.3%No change
Residents whose ability to walk got worse
21.5%24.2%Worsening
Long-stay residents on antianxiety or sleep medication
16.9%19%Worsening
Short-stay residents newly given an antipsychotic
0%3.8%Worsening
Residents with a long-term catheter
2.3%3.5%Worsening
Residents with new or worsening incontinence
35.6%34.2%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
—85.7%—
Long-stay residents given the pneumonia vaccine
98.5%98.5%No change
Short-stay residents given the seasonal flu vaccine
—76.6%—
Short-stay residents given the pneumonia vaccine
81%94.1%Improving
What the inspectors found
The nursing home failed to ensure a working call system was available in each resident’s bathroom and bathing area. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 919 — 42 CFR §483.90 — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2025 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2025 — 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 provide needed care and help with daily activities for residents who could not do them on their own. Cited January 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of CARE INITIATIVES · 43 homes · 3.1 stars avg
- Occupancy
- 87.2 residents on an average day (93% of 94 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 34 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.