NorthCrest Specialty Care

    2001 Heath St, Waterloo, IA, 50703
    3.3 · 39 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Caring staff but unsafe management

    I had a mixed, ultimately worrying experience. The facility is modern and the rehab/therapy team and a few caregivers (Jen, Alisha, Hayley) were caring and helped my loved one improve, but chronic understaffing, overworked aides and uncaring administration produced slow call responses, poor meals, cleanliness and hygiene problems, missed care/meds, and troubling discharge/billing issues. Because care was so inconsistent - excellent staff yet serious safety and management failures - I cannot confidently recommend it.

    Pricing

    Schedule a Tour

    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.31 · 39 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.9
    • Staff

      3.2
    • Meals

      2.3
    • Amenities

      3.7
    • Value

      1.0

    Pros

    • Caring and compassionate nursing staff
    • Attentive and helpful CNAs
    • Effective physical therapy and rehabilitation
    • Successful recovery outcomes for many residents
    • Medication management praised by some families
    • Helpful discharge planning and transition assistance
    • Transportation to medical treatments provided
    • Individual staff going above and beyond (personal attention)
    • Modern, attractive facility architecture and setting
    • Veteran-focused community and services
    • Friendly, cooperative staff teamwork
    • Some residents highly recommend and would return

    Cons

    • Allegations of neglect and poor hygiene (feces left, no showers)
    • Dirty rooms and cleanliness issues (dirt, blood, filth)
    • Wounds and pressure ulcers not tended, resulting in infection/hospitalization
    • Significant weight loss and delayed nutrition interventions (feeding tube delays)
    • Slow or unresponsive call-light response and understaffing
    • Inconsistent nursing care and failure to recognize serious symptoms
    • Reports of resident harm and at least one death alleged to be related to care
    • Delayed or improper meal service (late breakfasts, no hot meals, lack of ice)
    • Poor or horrendous food quality according to several reviews
    • Billing, Medicare and insurance concerns; alleged discharge manipulation
    • Alleged improper/illegal medication handling
    • Administration and management criticized as uncaring or ineffective
    • IMPACT/response teams perceived as unhelpful in some serious cases
    • Forced or pressured discharges/home against medical advice
    • Overworked staff and pay disparity concerns

    Summary review

    Overall sentiment across the reviews is highly mixed, with strong, specific praise for individual caregivers and rehabilitation services on one hand and serious, troubling allegations of neglect, safety lapses, and administrative failures on the other. Many families report that therapists, CNAs, and several nurses provided compassionate, effective, recovery-focused care that resulted in measurable improvements and successful returns home. Conversely, other families recount events suggesting systemic problems: poor hygiene, untreated wounds, weight loss, delayed nutrition and escalation of care, and even events they describe as life-threatening.

    Care quality and clinical safety are the most polarized themes. Positive accounts emphasize a skilled rehabilitation environment: patients receiving PT/OT regained strength, completed rehab stays and were discharged home; staff provided transportation to treatments and attentively managed medications in some cases. Specific staff members are named repeatedly for exemplary care (for example, nurses identified as Haley/Hayley, CNAs such as Hermoine, and staff members Jen and Alisha who helped with discharge planning), and several reviewers say the personnel treated residents like family and lifted spirits.

    In strong contrast, multiple reviews describe severe lapses in basic nursing care and safety. Reported problems include residents being left in feces, no showers for weeks, dirty rooms with blood on walls/floors, unattended wounds progressing to infection and hospitalization, pressure ulcers, and a reported 30-pound weight loss with delays in placing a feeding tube. Several reviewers say they experienced or observed slow call-light responses and understaffing that impeded timely care. Some families allege that clinical deterioration was misjudged (for example, symptoms labeled as self-harm rather than medical emergencies), and at least one review alleges a death tied to inadequate care. These accounts convey not just isolated incidents but patterns of delayed escalation and poor follow-through in a subset of cases.

    Staffing, workload, and management emerge as cross-cutting issues. Many positive reviews explicitly note that staff are overworked and underpaid yet still compassionate — a factor families cite when defending individual caregivers despite systemic problems. Negative reviews often point to understaffing, slow responses, and too much administrative overhead. Several complain about administrators or the IMPACT team being dismissive or inactive when concerns were raised; one reviewer names an administrator (Carla) negatively. There are recurring allegations regarding billing and Medicare practices, with some families reporting discharge manipulation or forced discharges and concerns about overcharging or improper billing processes.

    Facility condition and dining are similarly mixed. Several reviewers praise the facility as modern, attractive, clean in public areas, and even “beautiful.” Others report filthy rooms, inconsistent housekeeping, and blood or dirt left in resident rooms. Dining quality is frequently criticized: late breakfasts, delayed meals, lack of hot food, no ice in beverages, and generally poor or unappetizing meals are recurrent complaints. A few residents or families enjoyed specific items (oatmeal was mentioned positively) but dining inconsistency is a clear pattern.

    Rehabilitation, therapy, and transitions receive many favorable comments: therapists are credited with getting residents back on their feet, staff assist with transportation to outpatient treatments, and some families felt discharge planning was handled thoughtfully (notably by staff members like Alisha). These positives suggest that the facility’s rehab programming and some aspects of care coordination can be effective. However, the positive rehab outcomes coexist with reports that some residents were discharged too early or against medical advice, sometimes tied to billing or bed-management pressures.

    Notable patterns: (1) highly variable experiences — some families report excellent, almost family-like care, while others report neglect with serious adverse outcomes; (2) certain staff members are singled out for exceptional care, indicating that individual caregivers can make a major positive difference; (3) systemic issues such as understaffing, slow call-light response, housekeeping lapses, and management/administrative problems appear frequently and likely contribute to negative outcomes; (4) clinical safety concerns are not isolated to minor complaints but include infections, pressure ulcers, significant weight loss, delayed feeding interventions, ER transfers, and at least one allegation of death related to care.

    Bottom line: NorthCrest Specialty Care appears capable of providing strong rehabilitation and compassionate caregiving in many cases, evidenced by numerous reports of successful recoveries and very positive staff interactions. At the same time, a consistent subset of reviews raises serious concerns about hygiene, clinical oversight, responsiveness, and management practices that have, according to some families, led to infections, deterioration, and other harms. Prospective residents and families should weigh these mixed signals carefully: inquire specifically about staffing ratios, wound care protocols, call-light response times, infection prevention and cleaning practices, meal schedules, discharge policies, and billing procedures. If choosing this facility, consider asking for names of primary caregivers, documenting care plans and communications, and maintaining active advocacy and monitoring during the stay to help mitigate the documented risks.

    Location

    Map showing location of NorthCrest Specialty Care

    About NorthCrest Specialty Care

    NorthCrest Specialty Care sits at 2001 Heath St in Waterloo, Iowa, and has been around since 2010, serving older adults who need different types of care, whether it's for a short recovery after an illness or surgery, or for those needing longer-term support with daily life, and the place can look after up to 94 residents with care available all the time, whether day or night, and there's a team of over 95 staff giving help in all sorts of ways, with professional nurses around the clock for both regular medical needs and more hands-on nursing care, and NorthCrest Specialty Care is part of Care Initiatives, Iowa's biggest nonprofit group for this kind of thing, and part of what they try to do is offer a comfortable, homelike setting that tries to feel safe and secure, not cold or unfriendly, and they've got both private and semiprivate rooms, so folks can find some space that works for them, and there are dining areas where residents can eat together, recreation rooms for activities, plus outdoor patios and lounges where people can spend some time when the weather's nice. You'll find programs meant to keep people active and socially engaged, with daily plans that help residents join in different activities, and there's also therapy services for people who need to regain strength, get better after surgery, or adapt to life changes, and sometimes folks need end-of-life care and hospice services, and NorthCrest Specialty Care helps with that too. The facility is licensed by the state of Iowa and certified for both Medicaid and Medicare, so people can use those programs if needed, and while the place tries to be pleasant and provide for comfort and wellness, reviews give it a 3.3 rating from 16 responses, so experiences seem to vary, and it doesn't offer telehealth services, but it does have caregiving resources and guidance for families, and office hours run from Monday to Friday, 8 AM to 5 PM, making it a spot that aims to blend care with a home-like feel for elderly adults who need a place that can watch out for their health and daily needs.

    People often ask...

    Nearby Communities

    • Exterior view of a large, multi-story residential building with balconies and a tower-like structure at one corner, surrounded by landscaped greenery and walkways with people walking and sitting nearby during dusk.
      $7,071 – $9,192+3.6 (26)
      Semi-private • 1 Bedroom • Studio
      independent, assisted living, memory care

      Marvella

      825 Mount Curve Blvd, St. Paul, MN, 55116
    • Front exterior view of Harmony Gardens Senior Living facility showing a large, multi-section building with multiple windows, a covered entrance with an American flag in front, and a parking lot with several cars parked.
      Pricing on request4.4 (30)
      suite
      independent, assisted living, memory care

      Harmony Gardens Senior Living

      1438 County Rd C E, Maplewood, MN, 55109
    • Exterior view of a large, modern three-story senior living facility building with a covered entrance driveway, surrounded by green lawns and trees under a partly cloudy blue sky.
      $5,633 – $7,322+3.9 (69)
      Semi-private • 1 Bedroom • Studio
      assisted living, memory care

      Alto Grayslake

      1865 E Belvidere Rd, Grayslake, IL, 60030
    • Exterior view of Belmont Village Senior Living Glenview building at dusk, showing a large covered entrance with white columns, well-maintained landscaping with bushes and trees, and a multi-story brick and siding facade with lit windows.
      $3,965+4.6 (121)
      Semi-private
      independent, assisted living, memory care

      Belmont Village Senior Living Glenview

      2200 Golf Rd, Glenview, IL, 60025
    • Evening view of the entrance area of Belmont Village Senior Living Lincoln Park, featuring brick walls, decorative lighting fixtures, a circular chandelier on the ceiling, and a sign with the facility's name visible near the street.
      $5,506 – $7,157+4.5 (131)
      Semi-private • 1 Bedroom • Studio
      independent, assisted living, memory care

      Belmont Village Senior Living Lincoln Park

      700 W Fullerton Ave, Chicago, IL, 60614
    • Front exterior view of the American House Town and Country senior living facility with a circular driveway, landscaped greenery, and an American flag on a flagpole under a wooden entrance canopy.
      $5,000+3.9 (61)
      suite
      assisted living, memory care

      American House Town and Country

      1020 Woods Mill Rd, Town and Country, MO, 63017

    Assisted Living in Nearby Cities

    1. 28 facilities$6,427/mo
    2. 44 facilities$5,501/mo
    3. 25 facilities$6,427/mo
    4. 17 facilities$6,477/mo
    5. 38 facilities$5,870/mo
    6. 18 facilities$6,951/mo
    7. 2 facilities
    8. 0 facilities
    9. 8 facilities$5,140/mo
    10. 3 facilities
    11. 2 facilities
    12. 0 facilities
    © 2025 Mirador Living