01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-02-12 | 7 | 2026-02-12 | 0 |
| Cycle 2 | 2025-01-30 | 9 | 2025-01-30 | 2 |
| Cycle 3 | 2024-01-30 | 13 | 2024-01-30 | 15 |
CMS CCN 1651652026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Northcrest Specialty Care
2001Health Street · Waterloo, IA 50703 · Black Hawk County
Certified beds94CMS provider file
Recent citation rows46current 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.
02 / CITATION DETAIL
46 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 8 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-02-12 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-03-14 · complaint2026-02-12 · HEALTHF0636Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Correction field: Deficient, Provider has date of correction · 2026-03-142026-02-12 · HEALTHF0640Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Correction field: Deficient, Provider has date of correction · 2026-03-142026-02-12 · 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 · 2026-03-142026-02-12 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-03-142026-02-12 · HEALTHF0919Severity E · pattern; 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 · 2026-03-142026-02-12 · HEALTHF0926Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Have policies on smoking.
Correction field: Deficient, Provider has date of correction · 2026-03-142025-06-04 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-07-03 · complaint2025-01-30 · 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 · 2025-03-012025-01-30 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-03-012025-01-30 · HEALTHF0692Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Correction field: Deficient, Provider has date of correction · 2025-03-012025-01-30 · 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 · 2025-03-012025-01-30 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-03-012025-01-30 · HEALTHF0883Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Correction field: Deficient, Provider has date of correction · 2025-03-012025-01-30 · HEALTHF0887Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-03-012025-01-30 · FIREK0271Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Have exits that are accessible at all times.
Correction field: Deficient, Provider has date of correction · 2025-02-072025-01-30 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-02-072024-10-01 · HEALTHF0684Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-10-14 · complaint2024-04-11 · HEALTHF0697Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Correction field: Deficient, Provider has date of correction · 2024-05-11 · complaint2024-01-30 · FIREE0004Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2024-02-072024-01-30 · FIREE0006Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Correction field: Deficient, Provider has date of correction · 2024-02-072024-01-30 · FIREE0007Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Address patient/client population and determine types of services needed.
Correction field: Deficient, Provider has date of correction · 2024-02-072024-01-30 · FIREE0013Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop Emergency Preparedness policies and procedures.
Correction field: Deficient, Provider has date of correction · 2024-02-072024-01-30 · FIREE0015Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Correction field: Deficient, Provider has date of correction · 2024-02-0703 / 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.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CARE INITIATIVESOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 08/01/2012
- COMPUTERSHARE CORPORATE TRUST COMPANY, NAOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 01/01/2025
- BEAL, MICHAELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/01/2020
- BOWEN, LANEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- CAROTHERS, MARY JANEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- CHILDS, KEVINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2023
- CORLESS, PETERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- KREIN, KEITHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- RUST, ELIZABETHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- STURM, DENISEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- UPMEYER, LINDAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- BEAL, MICHAELIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/01/2020
- DIXON, DAVIDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/01/2016
- DRAKE, EMILYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/04/2023
- GILYARD, TANYAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/23/2025
- KUHN, JERAMYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/25/2008
- MCDYER, JESSICAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/22/2023
- VOLM, JOHANNAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2021
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 hours3.29per resident day
RN hours0.68per resident day
Weekend nurse hours2.97per resident day
Staff turnover46.7%CMS reported field
06 / LOCAL RECORDS
Open the Waterloo ledger →Other published facilities nearby
Friendship Village Retirement72 beds · CMS overall 5/525 citation rowsHarmony House Health Care Center65 beds · CMS overall 1/539 citation rowsHarmony Waterloo88 beds · CMS overall 1/557 citation rowsPillar Of Cedar Valley114 beds · CMS overall 1/541 citation rowsRavenwood Specialty Care176 beds · CMS overall 1/567 citation rows