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Nursing homeFAID #4119

Northcrest Specialty Care

2001Health Street, WATERLOO, IA, 50703

(319) 234-4423

94 licensed beds

★★★★★2/5CMS Five-Star overall2/5 health inspections4/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

2001health Street

Waterloo, IA 50703

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

165165

Care type

Nursing home

County

Black Hawk

Facility name

Northcrest Specialty Care

Street address

2001Health Street

City / state / ZIP

Waterloo, IA 50703

Phone

(319) 234-4423

About this facility — Northcrest Specialty Care

Northcrest Specialty Care is a Medicare/Medicaid-certified skilled nursing facility in Waterloo, Iowa. It is licensed for 94 beds — well above the median for skilled nursing facilities in Iowa (57 beds).

It is one of 13 senior care facilities in Waterloo and 389 skilled nursing facilities across Iowa. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Northcrest Specialty Care 46 times across 11 inspections in the last three years, including 2 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Care Initiatives

Ownership type

Non profit - Corporation

Registered owners & officers

Care Initiatives

Direct owner — 100% stake — since 2012

Adams, Russell

Operational control · Additional disclosable party — since 2024

Baedke, Charissa

Operational control — since 2024

Beal, Michael

Director · Officer · Owner of a disclosable party — since 2020

Bode, Jesse

Operational control · Additional disclosable party — since 2023

Bowen, Lane

Director — since 2021

Carothers, Mary Jane

Director — since 2023

Childs, Kevin

Director — since 2023

Computershare Corporate Trust Company, Na

Mortgage holder · Additional disclosable party — since 2025

Corless, Peter

Director — since 2025

Dixon, David

Officer — since 2016

Drake, Emily

Officer — since 2023

Gilyard, Tanya

Officer — since 2025

Krein, Keith

Director — since 2022

Kuhn, Jeramy

Officer — since 2008

Mcdyer, Jessica

Officer — since 2023

Rust, Elizabeth

Director — since 2023

Sturm, Denise

Director — since 2021

Upmeyer, Linda

Director — since 2022

Volm, Johanna

Officer — since 2021

Regulatory standing

Federal court records

18 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1992-02-01

CMS overall rating

2 of 5 stars

Health deficiencies

7 at the last standard inspection

Federal fines

None on record

Last standard inspection

2026-02-12

Nurse staffing

3.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$556 per day (≈ $16,900/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

60% Medicaid · 9% Medicare · 31% private/other

Occupancy

87% (fiscal year 2023)

Vs. state median

63% above the IA median of $342/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.

2026-02-12Health inspectionComplaint-triggered7 citations

F-0584

D · No harm foundFrom a complaint

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.

Corrected 2026-03-14

F-0636

D · No harm found

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

Corrected 2026-03-14

F-0640

D · No harm found

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

Corrected 2026-03-14

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2026-03-14

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-03-14

F-0919

E · No harm found

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

Corrected 2026-03-14

F-0926

D · No harm found

Have policies on smoking.

Corrected 2026-03-14

2025-06-04Health inspectionComplaint-triggered1 citation

F-0677

D · No harm foundFrom a complaint

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

Corrected 2025-07-03

6 earlier / fire-safety inspections (38 citations)

2025-01-30Health inspection7 citations

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2025-03-01

F-0684

D · No harm found

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

Corrected 2025-03-01

F-0692

D · No harm found

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

Corrected 2025-03-01

F-0812

E · No harm foundFood safety

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

Corrected 2025-03-01

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-03-01

F-0883

D · No harm found

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

Corrected 2025-03-01

F-0887

D · No harm found

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.

Corrected 2025-03-01

2024-10-01Health inspectionComplaint-triggered1 citation

F-0684

G · Actual harmFrom a complaint

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

Corrected 2024-10-14

2024-04-11Health inspectionComplaint-triggered1 citation

F-0697

D · No harm foundFrom a complaint

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

Corrected 2024-05-11

2024-01-30Health inspectionComplaint-triggered12 citations

F-0550

D · No harm foundFrom a complaint

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

Corrected 2024-02-29

F-0565

E · No harm found

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

Corrected 2024-02-29

F-0578

D · No harm found

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.

Corrected 2024-02-29

F-0584

D · No harm foundFrom a complaint

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.

Corrected 2024-02-29

F-0585

E · No harm found

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.

Corrected 2024-02-29

F-0636

D · No harm foundFrom a complaint

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

Corrected 2024-02-29

F-0641

B · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-02-29

F-0656

D · No harm foundFrom a complaint

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

Corrected 2024-02-29

F-0677

E · No harm foundFrom a complaint

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

Corrected 2024-02-29

F-0689

D · No harm found

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

Corrected 2024-02-29

F-0801

E · No harm foundFood safety

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.

Corrected 2024-02-29

F-0919

E · No harm foundFrom a complaint

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

Corrected 2024-02-29

2025-01-30Fire-safety inspection2 citations

K-0271

F · No harm found

Have exits that are accessible at all times.

Corrected 2025-02-07

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-02-07

2024-01-30Fire-safety inspection15 citations

E-0004

F · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-02-07

E-0006

F · No harm found

Conduct risk assessment and an All-Hazards approach.

Corrected 2024-02-07

E-0007

F · No harm found

Address patient/client population and determine types of services needed.

Corrected 2024-02-07

E-0013

F · No harm found

Develop Emergency Preparedness policies and procedures.

Corrected 2024-02-07

E-0015

F · No harm found

Address subsistence needs for staff and patients.

Corrected 2024-02-07

E-0018

F · No harm found

Establish procedures for tracking staff and patients during an emergency.

Corrected 2024-02-07

E-0020

F · No harm found

Establish policies and procedures including evacuation.

Corrected 2024-02-07

E-0031

F · No harm found

Provide emergency officials' contact information.

Corrected 2024-02-07

E-0032

F · No harm found

Provide primary/alternate means for communication.

Corrected 2024-02-07

E-0036

F · No harm found

Establish emergency prep training and testing.

Corrected 2024-02-07

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2024-02-07

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-03-05

K-0741

F · No harm found

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-02-07

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-02-07

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-02-07

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 165165.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 46 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-08-31

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered