Care Considered Care, Considered.

← All IA nursing homes

Northcrest Specialty Care

Waterloo, IA · Medicare and Medicaid-certified nursing home (CCN 165165) · 94 certified beds

CMS overall rating: 2★ (state average 3.07★ — below state average)
Health inspection: 2 · Quality measures: 4 · Staffing: 4
Federal fines: none on current record
Phone: (319) 234-4423 · Verify on Medicare Care Compare ↗

Northcrest Specialty Care has a CMS overall star rating of 2 out of 5, which is below the Iowa state average of 3.07. Its health inspection rating is 2 out of 5, while its staffing rating is 4 out of 5.

Northcrest Specialty Care reports 3.29 total nurse hours per resident per day, including 0.68 RN hours per resident per day, with a staffing star rating of 4 out of 5. Nursing staff turnover is reported at 46.7 percent.

Northcrest Specialty Care has no federal fines on record, with 0 fines totaling $0.00 and no payment denials. CMS does not display an abuse icon for this facility, and it is not listed in the Special Focus program.

Overall rating vs. benchmarks
Northcrest Specialty … Northcrest Specialty …: 2★ 2★ IA average IA average: 3.07★ 3.07★ Care Initiatives chain avg Care Initiatives chain avg: 2.9★ 2.9★

About this facility

Northcrest Specialty Care is a 94-bed Medicare and Medicaid certified nursing home in Waterloo, Iowa (Black Hawk County), operating under non-profit corporation ownership since first approval in 1992. On average, 86.2 residents live at the facility.

According to CMS Care Compare, Northcrest Specialty Care holds an overall star rating of 2 out of 5, which is below the Iowa state average of 3.07. The health inspection rating is 2 out of 5, the quality measure (QM) rating is 4 out of 5, and the staffing rating is 4 out of 5.

Nurse staffing data reported to CMS shows total nurse hours of 3.29 per resident per day, including 0.68 RN hours per resident per day. Nursing staff turnover is reported at 46.7%.

On penalties: CMS records show no federal fines on record (0 fines totaling $0.00) and no payment denials for this facility.

No abuse icon is displayed for this facility on CMS Care Compare, and it is not currently listed in the Special Focus Facility program.

Northcrest Specialty Care is part of the Care Initiatives chain, which operates 43 facilities nationally with an average chain rating of 2.9 out of 5. CMS records do not indicate a change in ownership within the last 12 months.

This profile is based on CMS Care Compare data; families should verify current details directly with Medicare Care Compare and the facility.

Questions families ask

What is this nursing home's CMS overall star rating and how does it compare to the state average?

Northcrest Specialty Care has an overall rating of 2 out of 5, which is below the Iowa state average of 3.07.

Does this facility accept Medicare, Medicaid, or both?

Yes, Northcrest Specialty Care is certified for both Medicare and Medicaid.

How well is this facility staffed — nurse hours per resident and turnover?

The facility reports 3.29 total nurse hours per resident per day, including 0.68 RN hours, with 46.7% nursing staff turnover and a staffing star rating of 4 out of 5.

Does this facility have federal fines or penalties on record?

No, CMS records show 0 fines totaling $0.00 and no payment denials.

Has CMS flagged this facility for abuse or placed it in the Special Focus program?

No, CMS does not display an abuse icon for this facility, and it is not in the Special Focus program.

How large is this facility and how many residents live there?

Northcrest Specialty Care has 94 certified beds and an average of 86.2 residents.

Who owns this facility — and is it part of a chain?

It is owned by a non-profit corporation and is part of the Care Initiatives chain, which operates 43 facilities with an average rating of 2.9 out of 5.

How long has this facility been Medicare/Medicaid certified?

It was first approved for certification on February 1, 1992.

What do the four different CMS star ratings mean?

CMS rates facilities on overall quality, health inspections, staffing, and quality measures; Northcrest Specialty Care scores 2, 2, 4, and 4 out of 5 respectively.

Does this facility offer short-term rehabilitation as well as long-term care?

The provided CMS data does not specify short-term rehabilitation services; contact the facility at 3192344423 or verify on Medicare Care Compare.

What should I look for when touring this facility?

The data provided does not cover tour details; contact the facility at 3192344423 to arrange a visit and review the inspection record on Medicare Care Compare.

How do I verify this facility's current record on Medicare Care Compare?

You can review the latest details at https://www.medicare.gov/care-compare/details/nursing-home/165165?state=IA.

Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.