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Nursing Homes · Medicare certified

Northcrest Specialty Care

2001Health Street · Waterloo, IA 50703 · 94 certified beds

(319) 234-4423

NPI 1063484780 (opens in a new tab)

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About Northcrest Specialty Care

Northcrest Specialty Care is a nursing home in Waterloo, Iowa. Its capacity is 94 beds, above the Black Hawk County median of 72 for nursing homes. It is run by a nonprofit operator and is part of Care Initiatives. It is Medicare certified. Its public inspection record shows 32 citations, the most recent on February 12, 2026. Enforcement records show no fine or payment denial against it. Nurse staffing averages 3.46 hours per resident per day. It is one of 6 nursing homes listed in Waterloo. Its public records were last updated in October 2026.

Public record

CMS Care Compare, updated October 2026

Certification

Medicare-certified.

Ratings

Overall

2.0

Staffing

4.0

Quality measures

4.0

CMS Care Compare, October 2026.

Inspection history (32)

Records from July 2023 to February 2026.

  • February 12, 2026

    Tag F0584

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 14, 2026.

  • February 12, 2026

    Tag F0636

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 14, 2026.

  • February 12, 2026

    Tag F0926

    Have policies on smoking.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 14, 2026.

  • February 12, 2026

    Tag F0640

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 14, 2026.

  • February 12, 2026

    Tag F0919

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 14, 2026.

  • February 12, 2026

    Tag F0641

    Ensure each resident receives an accurate assessment.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 14, 2026.

  • February 12, 2026

    Tag F0880

    Provide and implement an infection prevention and control program.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 14, 2026.

  • June 4, 2025

    Tag F0677

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 3, 2025.

  • January 30, 2025

    Tag F0641

    Ensure each resident receives an accurate assessment.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 1, 2025.

  • January 30, 2025

    Tag F0684

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 1, 2025.

  • January 30, 2025

    Tag F0692

    Provide enough food/fluids to maintain a resident's health.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 1, 2025.

  • January 30, 2025

    Tag F0812

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 1, 2025.

  • January 30, 2025

    Tag F0883

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 1, 2025.

  • January 30, 2025

    Tag F0880

    Provide and implement an infection prevention and control program.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 1, 2025.

  • January 30, 2025

    Tag F0887

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 1, 2025.

  • October 1, 2024

    Tag F0684

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Severity G: isolated, actual harm. Corrected October 14, 2024.

  • April 11, 2024

    Tag F0697

    Provide safe, appropriate pain management for a resident who requires such services.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 11, 2024.

  • January 30, 2024

    Tag F0550

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 29, 2024.

  • January 30, 2024

    Tag F0919

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 29, 2024.

  • January 30, 2024

    Tag F0801

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 29, 2024.

See the source data on data.cms.gov (opens in a new tab)

Penalties

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing

3.46 nurse hours per resident per day in Q2 2026, up from 3.28 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

Non profit

Part of Care Initiatives, a chain of 43 nursing homes.

Average CMS star ratings across the chain: 3.0 overall, 2.7 for health inspections, 3.9 for staffing, 3.7 for quality measures.

Typical cost

CareScout Cost of Care Survey, 2025

This provider's prices aren't public. Here is what the same care typically costs in Iowa.

Nursing Homes

Iowa median$9,277/mo

What Medicaid pays nursing homes

This is what Iowa Medicaid pays a nursing home for each resident per day. It is not what a family pays privately, but it shows what the state treats as the cost of a day of care.

Median facility daily rate

$307.06per day

About $9,335 a month.

Median we calculated from the state's own facility rate file, January 1, 2026. Based on 381 facilities.

Nearby alternatives

Other licensed providers in Waterloo.

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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