Federal Nursing-Home Survey Record
Northcrest Specialty Care
Does Northcrest Specialty Care have a federal violation or abuse history?
According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), Northcrest Specialty Care (CCN 165165), in Waterloo, IA, has federal inspection findings on its record.
In its current inspection cycle, CMS cited the facility for 8 deficiencies; the most serious carries scope/severity E on CMS's A–L scale — CMS's "potential for harm" tier, below actual harm. The most recent federal survey on file is dated 2026-02-12. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. This page restates the federal record as published by CMS and draws no conclusion of its own. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.
The Federal Record
The most recent federal inspection on file records no actual-harm or immediate-jeopardy citations for this facility.
Below is this facility's federal survey record as on file with CMS.
Scope & Severity — current cycle
Overall CMS star rating: this facility vs the CMS-published state average
This facility: 2 · CMS state average: 3.1
Deficiency timeline — full federal history
Make sure that a working call system is available in each resident's bathroom and bathing area.
Have policies on smoking.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Provide and implement an infection prevention and control program.
Ensure each resident receives an accurate assessment.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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.
Provide care and assistance to perform activities of daily living for any resident who is unable.
24 citations from earlier inspection cycles — historical, not current (expand)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.
Ensure each resident receives an accurate assessment.
Provide enough food/fluids to maintain a resident's health.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Provide safe, appropriate pain management for a resident who requires such services.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Honor the resident's right to organize and participate in resident/family groups in the facility.
Make sure that a working call system is available in each resident's bathroom and bathing area.
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.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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.
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.
Ensure each resident receives an accurate assessment.
Ensure services provided by the nursing facility meet professional standards of quality.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Document what happened
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