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Friendship Village Retirement

600 Park Lane, Waterloo, IA 50702 · Black Hawk County · (319) 291-8100

72 certified beds, about 66 residents a day · Non profit - Corporation · Medicare and Medicaid since 1968

CMS high performing icon Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 165081 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on November 17, 2025, inspectors cited 1 health deficiency (the Iowa average is 6.5, the national average 9.2).

Of 10 health citations since August 2023, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 4.78 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.81 of those hours.

28.3% of nursing staff left within the year CMS measured (Iowa average 44.0%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 10 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
6D
2E
0F
Potential for minimal harm
0A
1B
0C
July 8, 2026Complaint inspection · 2 citations
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 6, 2026
    Inspectors wroteBased on observation, clinical record review, interviews, and policy review the facility failed to monitor and maintain documentation of a resident's bruises for 1 of 1 residents reviewed (Resident #1). Additionally, the facility failed to obtain x-ray results for a resident with hip pain after falling for 11 days for 1 of 1 residents reviewed (Resident #3). The facility reported a census of 60 residents.
  2. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 6, 2026
    Inspectors wroteBased on observation, clinical record review, facility records, interviews, and policy review, the facility failed to provide adequate supervision for 2 of 3 residents reviewed for falls (Resident #1 and Resident #3). Resident #1 fell after a Certified Nurses' Aide (CNA) transferred them to the edge of the bed and then moved a wheelchair to the bathroom. Additionally, Resident #3 required assistance from a CNA, but the staff left them alone in the bathroom while the CNA assisted another resident. In addition, the facility failed to use foot pedals while pushing Resident #3 who needed assistance in their wheelchair. The facility reported a census of 60 residents.
November 17, 2025Standard inspection · 1 citation
  1. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 18, 2025
    Inspectors wroteBased on Electronic Health Record (EHR) review, the Centers for Medicare and Medicaid Services (CMS) Long term Care (LTC) Facility Resident Assessment Instrument (RAI) 3.0 User's Manual, and staff interviews the facility failed to accurately code 1 of 1 resident (Resident #9) Minimum Data Set (MDS) assessment for hospice services during the look back period. The facility reported a census of 66.
October 9, 2024Standard inspection · 2 citations
  1. D
    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
    F644 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 10, 2024
    Inspectors wroteBased on clinical record review, document review and staff interview, the facility failed to complete a new level 1 Preadmission Screening and Resident Review (PASRR) screening for 1 of 1 resident's sampled (Resident #19). The facility identified a census of 66 residents.
  2. B
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) October 10, 2024
    Inspectors wroteBased on record review and staff interview the facility failed to accurately code 1 of 16 residents Minimum Data Set (MDS) accurately (Resident #59). The facility reported a census of 66 residents.
July 16, 2024Complaint inspection · 2 citations
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on clinical record review, observations, staff, resident, and family interviews the facility failed to provide adequate supervision for 1 of 3 residents reviewed with falls (Resident #1). On 1/25/24, Resident #1 fell while receiving assistance from a Certified Nurse Aide (CNA). As the CNA assisted Resident #1 she failed to apply a gait belt. The fall resulted in a hip fracture to Resident #1's right hip that required surgical repair. The facility reported a census of 63.
  2. D
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    F919 · Environmental · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 31, 2024
    Inspectors wroteBased on clinical record review, observations, staff, and resident interviews the facility failed to ensure their call light system properly functioned for 2 of 4 resident neighborhoods observed (Community and Excellence) affecting 3 of 63 resident rooms (room [ROOM NUMBER], 4001 and 4010). The facility reported a census of 63.
August 10, 2023Standard inspection · 3 citations
  1. E
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 30, 2023
    Inspectors wroteBased on observation, policy review, and staff interview, the facility failed to follow the menu and substitute menu item that wasn't available in the Community household. The facility reported a census of 68 residents.
  2. E
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 30, 2023
    Inspectors wrote2. On 8/9/23 at 8:10 AM observed a half gallon of milk on the counter of the first floor, Progressive household kitchen, milk observed to be used for filling resident glasses during the breakfast service. The milk was used and placed back on the counter throughout the breakfast meal. On 8/9/23 at 8:37 AM observed Dietary Management Staff A and Dietary Management Staff B entered the kitchen during meal preparation, conversed message to staff in the kitchen. The staff entered the kitchen during meal preparation and serving, they did not wear hairnets. On 8/9/23 at 8:50 AM observed Staff C put the half gallon of milk into the refrigerator, requested the temperature of the milk. Staff C poured a glass of milk for temperature check and tempted the milk in the glass. The temperature of the milk was fifty-seven (57) degrees. [...]
  3. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 30, 2023
    Inspectors wroteBased on clinical record review, staff interviews, and policy review, the facility failed to ensure residents remained free from abuse for 1 of 1 residents reviewed for abuse (Resident #35). The facility reported a census of 68 residents.

Fire safety inspections

17 fire safety citations on file: 3 on November 17, 2025, 3 on October 9, 2024, 11 on August 10, 2023.

Every fire safety citation17 citations
  1. F
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · November 17, 2025 · Corrected (the home has a date of correction)
  2. F
    Ensure that testing and maintenance of electrical equipment is performed.
    K 921 · November 17, 2025 · Corrected (the home has a date of correction)
  3. D
    Ensure proper usage of power strips and extension cords.
    K 920 · November 17, 2025 · Corrected (the home has a date of correction)
  4. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · October 9, 2024 · Corrected (the home has a date of correction)
  5. E
    Install corridor and hallway doors that block smoke.
    K 363 · October 9, 2024 · Corrected (the home has a date of correction)
  6. E
    Ensure proper usage of power strips and extension cords.
    K 920 · October 9, 2024 · Corrected (the home has a date of correction)
  7. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · August 10, 2023 · Corrected (the home has a date of correction)
  8. F
    Provide a written emergency evacuation plan.
    K 711 · August 10, 2023 · Corrected (the home has a date of correction)
  9. F
    Have simulated fire drills held at unexpected times.
    K 712 · August 10, 2023 · Corrected (the home has a date of correction)
  10. F
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · August 10, 2023 · Corrected (the home has a date of correction)
  11. F
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · August 10, 2023 · Corrected (the home has a date of correction)
  12. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · August 10, 2023 · Corrected (the home has a date of correction)
  13. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · August 10, 2023 · Corrected (the home has a date of correction)
  14. E
    Install corridor and hallway doors that block smoke.
    K 363 · August 10, 2023 · Corrected (the home has a date of correction)
  15. E
    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
    K 372 · August 10, 2023 · Corrected (the home has a date of correction)
  16. D
    Have restrictions on the use of portable space heaters.
    K 781 · August 10, 2023 · Corrected (the home has a date of correction)
  17. D
    Ensure proper usage of power strips and extension cords.
    K 920 · August 10, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeIowaUnited States
All nursing staff (RN, LPN and aides)4.783.823.86
Registered nurses0.810.740.69
All nursing staff on weekends4.383.373.42
Nurse aides3.09
Licensed practical nurses0.87
Nursing staff turnover (share who left in a year)28.3%44.0%45.8%
Registered nurse turnover23.1%42.1%42.9%
Administrators who left0

CMS expects 3.17 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.94 on weekdays and 4.38 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.28 in April to June 2025 to 4.78 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20264.780.814.944.38 0.0%0 of 9066
Oct to Dec 20254.450.794.624.01 0.0%0 of 9269
Jul to Sep 20255.200.795.494.48 0.0%0 of 9266
Apr to Jun 20255.280.715.484.78 0.0%0 of 9167
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Iowa, Jan to Mar 20263.800.713.983.364.7%0.3% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Iowa

JobMedianMiddle halfEmployed
Iowa, all employers
CNAs (nursing assistants)$18.92$17.96 to $21.9522,670
LPNs and LVNs$30.11$27.12 to $34.065,510
Registered nurses$37.80$32.83 to $41.3234,420
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Friendship Village Retirement. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeIowaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
17.617.113.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
7.21.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
2.22.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
7.23.83.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.72.11.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
12.816.614.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
0.54.24.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
14.019.415.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
20.120.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
21.613.212.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.61.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.52.11.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Friendship Village Retirement's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (42.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

42.0% this home

No different from the national rate

US median of homes 51.5% · Iowa: 28 better, 21 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 59 eligible stays.

Potentially preventable readmissions

11.5% this home

No different from the national rate

US median of homes 10.7% · Iowa: 1 better, 1 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 76 eligible stays.

Infections that led to a hospital stay

6.6% this home

No different from the national rate

US median of homes 7.1% · Iowa: 0 better, 0 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 37 eligible stays.

Self-care and mobility at discharge

51.4% this home

Median of homes: Iowa56.7% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 74 residents counted.

Falls with major injury

0.0% this home

Median of homes: Iowa0.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 88 residents counted.

New or worsened pressure ulcers

1.7% this home

Median of homes: Iowa1.8% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 88 residents counted.

Medication list given at discharge

97.2% this home

Median of homes: Iowa100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 36 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: FRIENDSHIP VILLAGE INC..

NameRoleTypeShareSince
Friends of Faith Retirement Homes, Inc5% or greater direct ownership interestOrganization100%08/15/1968
Bauer, RickCorporate directorIndividual01/01/2024
Gillen, StevenCorporate directorIndividual01/01/2024
Grady, JimCorporate directorIndividual01/01/2024
Hlad, TomCorporate directorIndividual01/01/2024
Jurgensen, ChristinaCorporate directorIndividual01/04/2025
Kiewiet, RonaldCorporate directorIndividual01/01/2024
Smith, RobertCorporate directorIndividual01/01/2024
Uhlenhopp, EllenCorporate directorIndividual05/17/2021
Anderson, CraigCorporate officerIndividual01/01/2024
Morris, BradCorporate officerIndividual01/01/2024
Nardini, JayCorporate officerIndividual01/01/2024
Rygh, ChristopherCorporate officerIndividual01/01/2024
Turner, SherylCorporate officerIndividual10/12/2024
Friends of Faith Retirement Homes, IncOperational/managerial controlOrganization08/15/1968
Adams, SallyOperational/managerial controlIndividual04/04/2016
Anderson, CraigOperational/managerial controlIndividual01/01/2024
Bauer, RickOperational/managerial controlIndividual01/01/2024
Gillen, StevenOperational/managerial controlIndividual01/01/2024
Grady, JimOperational/managerial controlIndividual01/01/2024
Hlad, TomOperational/managerial controlIndividual01/01/2024
Jurgensen, ChristinaOperational/managerial controlIndividual01/04/2025
Kiewiet, RonaldOperational/managerial controlIndividual01/01/2024
Morris, BradOperational/managerial controlIndividual01/01/2024
Nardini, JayOperational/managerial controlIndividual01/01/2024
Ramesh, PradeepOperational/managerial controlIndividual01/01/2024
Rygh, ChristopherOperational/managerial controlIndividual01/01/2024
Smith, RobertOperational/managerial controlIndividual01/01/2024
Turner, SherylOperational/managerial controlIndividual10/12/2024
Uhlenhopp, EllenOperational/managerial controlIndividual05/17/2021
Friends of Faith Retirement Homes, IncAdp of the SNFOrganization08/15/1968
Adams, SallyAdp of the SNFIndividual04/04/2016
Anderson, CraigAdp of the SNFIndividual01/01/2024
Bauer, RickAdp of the SNFIndividual01/01/2024
Gillen, StevenAdp of the SNFIndividual01/01/2024
Grady, JimAdp of the SNFIndividual01/01/2024
Hlad, TomAdp of the SNFIndividual01/01/2024
Jurgensen, ChristinaAdp of the SNFIndividual01/04/2025
Kiewiet, RonaldAdp of the SNFIndividual01/01/2024
Morris, BradAdp of the SNFIndividual01/01/2024
Nardini, JayAdp of the SNFIndividual01/01/2024
Ramesh, PradeepAdp of the SNFIndividual01/01/2024
Rygh, ChristopherAdp of the SNFIndividual01/01/2024
Smith, RobertAdp of the SNFIndividual01/01/2024
Turner, SherylAdp of the SNFIndividual10/12/2024
Uhlenhopp, EllenAdp of the SNFIndividual05/17/2021

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on July 8, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on November 17, 2025: "Ensure each resident receives an accurate assessment."
  3. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on August 10, 2023: "Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident."
  4. Can we see a resident room, a shower room and the dining room on this visit?Inspectors cited 1 problem in this area, most recently on July 16, 2024: "Make sure that a working call system is available in each resident's bathroom and bathing area."

Other nursing homes nearby

Iowa contacts for a concern about a nursing home

These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.

Common questions

What is Friendship Village Retirement's Medicare star rating?
CMS rates Friendship Village Retirement 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Friendship Village Retirement get at its last inspection?
1 health deficiency at the standard inspection on November 17, 2025. The Iowa average is 6.5.
Has Friendship Village Retirement been fined?
CMS lists no fines in the last three years.
Does Friendship Village Retirement accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Friendship Village Retirement?
CMS lists 46 owners and managers. Legal business name: FRIENDSHIP VILLAGE INC..

Sources

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