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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.

  • January 30, 2024

    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 February 29, 2024.

  • January 30, 2024

    Tag F0677

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

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

  • January 30, 2024

    Tag F0641

    Ensure each resident receives an accurate assessment.

    Severity B: pattern, no actual harm, potential for minimal harm. Corrected February 29, 2024.

  • January 30, 2024

    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 February 29, 2024.

  • January 30, 2024

    Tag F0656

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

  • January 30, 2024

    Tag F0585

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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

  • January 30, 2024

    Tag F0689

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

  • January 30, 2024

    Tag F0578

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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

  • January 30, 2024

    Tag F0565

    Honor the resident's right to organize and participate in resident/family groups in the facility.

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

  • July 13, 2023

    Tag F0609

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 10, 2023.

  • July 13, 2023

    Tag F0658

    Ensure services provided by the nursing facility meet professional standards of quality.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 10, 2023.

  • July 13, 2023

    Tag F0686

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 10, 2023.

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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Northcrest Specialty Care in Waterloo, IA · Inspections page 2 · ElderCareCosts