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B
Good

Northcrest Specialty Care

2001Health Street · Waterloo, IA 50703

3192344423 · Non profit - Corporation

94 beds81.1 residents146 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
B
Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Northcrest Specialty Care receives an overall staffing grade of B (Good). With 3.5119 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.6999 HPRD, below the recommended 0.75. It is 0.38 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 12.74% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (1)

⚠️RN staffing (0.6999 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (4)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.5119hrs/resident/day▼ 0.38
CMS benchmark: 3.48
RN HPRD
0.6999hrs/resident/day▲ 0.02
Recommended: 0.75
Weekend Drop-off
12.74%
3.6431 weekday → 3.179 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.4005hrs/resident/day
Direct care aides
LPN HPRD
0.5322hrs/resident/day
Licensed practical nurses
Consistency
0.2993std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Black Hawk County Average-0.24 HPRD
3.76
03.51 HPRD
vs. Iowa State Average-0.30 HPRD
3.82
03.51 HPRD
vs. National Average-0.38 HPRD
3.90
03.51 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Northcrest Specialty Care ★
Waterloo · This facility
—
B
3.51190.6999★★☆☆☆
Harmony Waterloo
Waterloo
3.7 mi
B
3.51050.6267★★★☆☆
Ravenwood Specialty Care
Waterloo
3.9 mi
C
3.26430.6668★★★☆☆
Friendship Village Retirement
Waterloo
3.9 mi
A
5.20740.7867★★★★★
Pillar of Cedar Valley
Waterloo
4.5 mi
D
2.95440.4161★★☆☆☆
Pinnacle Specialty Care
Cedar Falls
6 mi
C
3.47460.5824★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

7
Inspections
29
Total Deficiencies
$0
Fines Assessed
Jun 4, 2025Health
1 deficiency cited
▼
Jan 30, 2025Health
7 deficiencies cited
▼
Oct 1, 2024Health
1 deficiency cited· Includes actual harm
▼
Apr 11, 2024Health
1 deficiency cited
▼
Jan 30, 2024Health
12 deficiencies cited
▼
Jul 13, 2023Health
3 deficiencies cited
▼
Oct 13, 2022Health
4 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.