Best Nursing Homes in Waterloo, IA, Graded A–F
All 6 graded Medicare-certified nursing homes in Waterloo, IA, scored from CMS Care Compare — nurse staffing, health inspections, quality measures and penalties — against Iowa peers of the same size. Grades are computed, never edited, and every input is shown on the facility page.
CMS data as of Aug 2026 · graded Sep 11, 2026Grade distribution — Waterloo, IA
A0
B1
C1
D1
F3
Highest graded
Waterloo · Staffing 4.8 nurse hours per resident-da...See grade
6 facilitiesgraded in Waterloo, IA · 0 earned an A
All Iowa
Des Moines (12)Cedar Rapids (10)Dubuque (8)Davenport (7)Sioux City (6)Cedar Falls (5)Council Bluffs (5)Marion (5)Newton (5)
Highest in Waterloo, IA 1
Friendship Village Retirement - Waterloo, IA · 72 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 4.8 nurse hours per resident-day — top 10% in Iowa
- 1 health deficiencies at the last standard survey (CMS severity score 4) — top 10%
- No fines or payment denials in 3 years
BScore 71 · GoodSee Full Grade
3192918100
Waterloo, Black Hawk County
Medicaid
2
Northcrest Specialty Care - Waterloo, IA · 94 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.3 nurse hours per resident-day — bottom quarter in Iowa
- 7 health deficiencies at the last standard survey (CMS severity score 32) — above median
- No fines or payment denials in 3 years
CScore 52 · AverageSee Full Grade
3192344423
Waterloo, Black Hawk County
Medicaid
3
Harmony House Health Care Center - Waterloo, IA · 65 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 3.8 nurse hours per resident-day — above median in Iowa
- 32 health deficiencies at the last standard survey (CMS severity score 298) — bottom quarter
- $48,825 in fines in 3 years
DScore 35 · Below averageSee Full Grade
3192344495
Waterloo, Black Hawk County
Medicaid
Special Focus Facility
4
Harmony Waterloo - Waterloo, IA · 88 beds · for profit - limited liability company CMS Care Compare · data as of Aug 2026
- Staffing 3.2 nurse hours per resident-day — bottom quarter in Iowa
- 8 health deficiencies at the last standard survey (CMS severity score 123) — bottom quarter
- $95,440 in fines in 3 years
FScore 30 · PoorSee Full Grade
3192347777
Waterloo, Black Hawk County
Medicaid
5
Ravenwood Specialty Care - Waterloo, IA · 176 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.3 nurse hours per resident-day — bottom quarter in Iowa
- 13 health deficiencies at the last standard survey (CMS severity score 116) — below median
- No fines or payment denials in 3 years
FScore 29 · PoorSee Full Grade
3192326808
Waterloo, Black Hawk County
Medicaid
6
Pillar Of Cedar Valley - Waterloo, IA · 114 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 2.9 nurse hours per resident-day — bottom quarter in Iowa
- 11 health deficiencies at the last standard survey (CMS severity score 44) — below median
- No fines or payment denials in 3 years
FScore 26 · PoorSee Full Grade
3192912509
Waterloo, Black Hawk County
Medicaid
Iowa nursing homes by city
How we grade nursing homes
What data goes into a grade?
CMS Care Compare: Nurse staffing (30), Health inspections (30), Quality measures (25), Penalties (15). Each metric is percentile-ranked against Iowa facilities in the same size band; A ≥ 80, B ≥ 65, C ≥ 50, D ≥ 35, F below. Facilities with under 60% of data are shown as "Not graded".
Can a facility pay to improve its grade?
No. Grades are computed from public data and have no editable field. Nothing on this page is sponsored.
Is a grade a substitute for visiting?
No. Use it to shortlist, then visit, ask for the latest inspection report, and talk to residents' families.