CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 1650812026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Friendship Village Retirement

600 Park Lane · Waterloo, IA 50702 · Black Hawk County

CMS OVERALL RATING★★★★★5/5CMS field—not our score or recommendation
Certified beds72CMS provider file
Recent citation rows25current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-11-1712025-11-173
Cycle 22024-10-0922024-10-093
Cycle 32023-08-1052023-08-1011
02 / CITATION DETAIL

25 rows in the current release

1 rows carry G–L scope/severity codes; 0 carry J–L. 5 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2025-11-17 · HEALTHF0641Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Correction field: Deficient, Provider has date of correction · 2025-11-18
2025-11-17 · FIREK0372Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Correction field: Deficient, Provider has date of correction · 2025-10-06
2025-11-17 · FIREK0920Severity D · isolated; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Correction field: Deficient, Provider has date of correction · 2025-10-24
2025-11-17 · FIREK0921Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

Correction field: Deficient, Provider has date of correction · 2025-09-25
2024-10-09 · HEALTHF0641Severity B · pattern; potential for minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Correction field: Deficient, Provider has date of correction · 2024-10-10
2024-10-09 · HEALTHF0644Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Correction field: Deficient, Provider has date of correction · 2024-10-10
2024-10-09 · FIREK0321Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Correction field: Deficient, Provider has date of correction · 2024-10-22
2024-10-09 · FIREK0363Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Correction field: Deficient, Provider has date of correction · 2024-10-16
2024-10-09 · FIREK0920Severity E · pattern; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Correction field: Deficient, Provider has date of correction · 2024-10-22
2024-07-16 · HEALTHF0689Severity G · isolated actual harm

Quality of Life and Care Deficiencies

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

Correction field: Past Non-Compliance · 2024-01-26 · complaint
2024-07-16 · HEALTHF0919Severity D · isolated; potential for more than minimal harm

Environmental Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2024-07-31 · complaint
2023-08-10 · HEALTHF0600Severity D · isolated; potential for more than minimal harm

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Correction field: Deficient, Provider has date of correction · 2023-08-30
2023-08-10 · HEALTHF0803Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Correction field: Deficient, Provider has date of correction · 2023-08-30 · complaint
2023-08-10 · HEALTHF0812Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2023-08-30 · complaint
2023-08-10 · FIREK0321Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Correction field: Deficient, Provider has date of correction · 2023-08-25
2023-08-10 · FIREK0355Severity F · widespread; potential for more than minimal harm

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

Correction field: Deficient, Provider has date of correction · 2023-09-17
2023-08-10 · FIREK0363Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Correction field: Deficient, Provider has date of correction · 2023-08-25
2023-08-10 · FIREK0372Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Correction field: Deficient, Provider has date of correction · 2023-09-17
2023-08-10 · FIREK0711Severity F · widespread; potential for more than minimal harm

Miscellaneous Deficiencies

Provide a written emergency evacuation plan.

Correction field: Deficient, Provider has date of correction · 2023-09-17
2023-08-10 · FIREK0712Severity F · widespread; potential for more than minimal harm

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Correction field: Deficient, Provider has date of correction · 2023-09-17
2023-08-10 · FIREK0741Severity F · widespread; potential for more than minimal harm

Miscellaneous Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2023-08-25
2023-08-10 · FIREK0761Severity F · widespread; potential for more than minimal harm

Miscellaneous Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2023-09-17
2023-08-10 · FIREK0781Severity D · isolated; potential for more than minimal harm

Miscellaneous Deficiencies

Have restrictions on the use of portable space heaters.

Correction field: Deficient, Provider has date of correction · 2023-09-17
2023-08-10 · FIREK0918Severity F · widespread; potential for more than minimal harm

Gas, Vacuum, and Electrical Systems Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2023-09-17
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • FRIENDS OF FAITH RETIREMENT HOMES, INCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    100% · since 08/15/1968
  • BAUER, RICKIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2024
  • GILLEN, STEVENIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2024
  • GRADY, JIMIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2024
  • HLAD, TOMIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2024
  • JURGENSEN, CHRISTINAIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/04/2025
  • KIEWIET, RONALDIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2024
  • SMITH, ROBERTIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2024
  • UHLENHOPP, ELLENIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 05/17/2021
  • ANDERSON, CRAIGIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/01/2024
  • MORRIS, BRADIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/01/2024
  • NARDINI, JAYIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/01/2024
  • RYGH, CHRISTOPHERIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/01/2024
  • TURNER, SHERYLIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 10/12/2024
  • FRIENDS OF FAITH RETIREMENT HOMES, INCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 08/15/1968
  • ADAMS, SALLYIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 04/04/2016
  • ANDERSON, CRAIGIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/01/2024
  • BAUER, RICKIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 01/01/2024

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours4.78per resident day
RN hours0.81per resident day
Weekend nurse hours4.38per resident day
Staff turnover28.3%CMS reported field
06 / LOCAL RECORDS

Other published facilities nearby

Open the Waterloo ledger →
Harmony House Health Care Center65 beds · CMS overall 1/539 citation rowsHarmony Waterloo88 beds · CMS overall 1/557 citation rowsNorthcrest Specialty Care94 beds · CMS overall 2/546 citation rowsPillar Of Cedar Valley114 beds · CMS overall 1/541 citation rowsRavenwood Specialty Care176 beds · CMS overall 1/567 citation rows
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.