Woodland Terrace
1922 Fifth Avenue Nw, Waverly, IA 50677 · Bremer County · (319) 352-4540
100 certified beds, about 79 residents a day · Non profit - Other · Medicare and Medicaid since 2002
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
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165442 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 25, 2026, inspectors cited 1 health deficiency (the Iowa average is 6.5, the national average 9.2).
Of 13 health citations since April 2024, 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 4.44 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 1.15 of those hours.
40.9% 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.
104/24
305/24
605/25
208/25
106/26
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 13 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
3E
0F
Potential for minimal harm
0A
2B
1C
June 25, 2026Standard inspection · 1 citation
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, staff interviews, review of facility cleaning calendar, and facility policy review, the facility failed to ensure staff cleaned the stove top. The facility reported a census of 81 residents.
August 27, 2025Complaint inspection · 2 citations
- E Respond appropriately to all alleged violations.
Inspectors wroteBased on clinical record review, policy review, facility investigation review and staff interview the facility failed to complete a thorough investigation after a Certified Nursing Assistant (CNA) reported physical abuse which occurred on the dementia unit affecting 24 of 25 residents (Resident #2, #3,#4, #5, #6, #8, #9, #10, #11, #12, #13, #14, #15, #16, #17, #18, #19, #20, #21, #22, #23, #24, #25 and #26). The facility reported a census of 87 residents.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on observation, clinical record review, document review, policy review and staff interview, the facility failed to ensure residents were free from physical abuse when a Certified Nursing Assistant (CNA) tapped a resident on the head during care provision for 1 of 3 residents sampled (Resident #1). The facility identified a census of 87 residents.
May 8, 2025Standard inspection · 6 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, staff interviews, and policy review the facility failed to maintain a sanitary kitchen; failed to serve and prepare food in accordance with professional standards for food safety to reduce the risk of cross contamination and food borne illness. The facility reported a census of 86 residents.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, clinical record review, policy review, and staff interview, the facility failed to administer the correct dosage of medication as physician ordered resulting in a 7.69 percent (%) medication error rate affecting 2 of 8 residents sampled (Residents #2 and #29). The facility reported a census of 86 residents.
- D Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, policy review and staff interviews, the facility failed to properly store medications and remove expired medications per the manufacturer's recommendations for use from 1 of 3 medication carts inspected. The facility identified a census of 86 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, clinical record review, Center for Disease Control and Prevention (CDC), policy review, and staff interview, the facility staff failed to wear an isolation gown and gloves during high-risk care provision of 1 of 3 residents on CDC Enhanced Barrier Precautions (EBP) (Resident# 79) and failed to prevent cross contamination when a urinary drainage bag came into contact with the floor for 1 of 2 residents sampled (Resident #79). The facility identified a census of 86 residents.
- B Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on record review, staff interview, and policy review the facility failed to provide notice of Bed-Hold policy and return prior to 1 of 1 hospitalizations reviewed (Resident #39). The facility reported a census of 86 residents.
- B Ensure each resident receives an accurate assessment.
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 residents (Resident #38) Minimum Data Set (MDS) assessment for an indwelling catheter during the look back period. The facility reported a census of 86.
May 30, 2024Standard inspection · 3 citations
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observations, interviews, and record review, the facility failed to provide weekly assessment and intervention for 1 of 3 pressure ulcers (PU) reviewed (Resident #64). Review of this resident's record revealed that Resident #64 did not have consistent weekly measurements of an unstageable PU on her heel. The facility reported a census of 85 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, and policy review the facility failed to perform proper hand hygiene and to follow proper personal protective equipment guidelines to prevent the spread of potential infection and germs during medication administration for 2 of 6 resident reviewed (Residents # 12 and #14). The facility reported a census of 85 residents.
- C Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspectors wroteBased on facility record review, staff interview, and policy review, the facility failed to have the minimum required members at the Quality Assessment and Assurance (QAA) meetings to identify issues with respect to which quality assessment and assurance activities were necessary. The facility identified a census of 85 residents.
April 4, 2024Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, staff interviews, record review, and policy review, the facility failed to follow safety interventions for 1 of 3 residents reviewed (Resident #2). On 11/11/24 facility staff failed to position Resident #2's bed in the low position before leaving the resident unattended and alone in the room. The resident had an unwitnessed fall from the bed to the floor which resulted in a fracture of the right femur. The facility identified a census of 86 residents.
Fire safety inspections
5 fire safety citations on file: 1 on June 25, 2026, 1 on May 8, 2025, 3 on May 30, 2024.
Every fire safety citation5 citations
- F Inspect, test, and maintain automatic sprinkler systems.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have simulated fire drills held at unexpected times.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E Have approved installation, maintenance and testing program for fire alarm systems.
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.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.44 | 3.82 | 3.86 |
| Registered nurses | 1.15 | 0.74 | 0.69 |
| All nursing staff on weekends | 4.15 | 3.37 | 3.42 |
| Nurse aides | 2.92 | ||
| Licensed practical nurses | 0.36 | ||
| Nursing staff turnover (share who left in a year) | 40.9% | 44.0% | 45.8% |
| Registered nurse turnover | 25.0% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.07 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 4.55 on weekdays and 4.15 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.00 in April to June 2025 to 4.44 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.44 | 1.15 | 4.55 | 4.15 | 3.9% | 0 of 90 | 79 |
| Oct to Dec 2025 | 3.98 | 0.99 | 4.07 | 3.78 | 2.7% | 0 of 92 | 84 |
| Jul to Sep 2025 | 4.14 | 0.94 | 4.30 | 3.73 | 2.8% | 0 of 92 | 87 |
| Apr to Jun 2025 | 4.00 | 0.89 | 4.15 | 3.61 | 8.4% | 0 of 91 | 87 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 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.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 14.4 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.5 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.6 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.1 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.4 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.0 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 34.0 | 19.4 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 13.6 | 20.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 0.0 | 13.2 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.5 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 2.1 | 1.8 |
Owners and operators
Legal business name: BARTELS LUTHERAN HOME.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Anderson, Mark | Managing control - governing body | Individual | 04/01/2016 | |
| Buchholz, Beau | Managing control - governing body | Individual | 04/01/2020 | |
| Corson, Steven | Managing control - governing body | Individual | 04/01/2019 | |
| Green, Reginald | Managing control - governing body | Individual | 04/01/2021 | |
| Krumwiede, Shelly | Managing control - governing body | Individual | 04/01/2023 | |
| Leisinger, Scott | Managing control - governing body | Individual | 10/01/2024 | |
| McBurney, Richard | Managing control - governing body | Individual | 04/01/2024 | |
| Schwartz, Katie | Managing control - governing body | Individual | 04/01/2019 | |
| Whitson, Susan | Managing control - governing body | Individual | 04/01/2021 | |
| Fagre, Lee | Operational/managerial control | Individual | 06/01/2000 | |
| Geise, Paula | Operational/managerial control | Individual | 11/11/2019 | |
| Shea, Veronica | Operational/managerial control | Individual | 10/04/2018 | |
| Zumbach, Peggy | Operational/managerial control | Individual | 04/02/2021 | |
| First Bank | Adp of the SNF | Organization | 01/01/2020 | |
| Fox Rehab Pt Ia PLLC | Adp of the SNF | Organization | 10/01/2024 | |
| Grape Tree Medical Staffing LLC | Adp of the SNF | Organization | 10/15/2018 | |
| Leadingage Illinois | Adp of the SNF | Organization | 03/06/2025 | |
| Midwest Compliance Associates, LLC | Adp of the SNF | Organization | 01/18/2017 | |
| Ryka Incorporated | Adp of the SNF | Organization | 12/15/2023 | |
| Ryun, Givens & Company, P.C. | Adp of the SNF | Organization | 01/01/2000 | |
| Fagre, Lee | Adp of the SNF | Individual | 08/05/2025 | |
| Shea, Veronica | Adp of the SNF | Individual | 03/27/2025 | |
| Whitson, Susan | Adp of the SNF | Individual | 01/01/2000 |
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.
- 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 June 25, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on August 27, 2025: "Respond appropriately to all alleged violations."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on May 8, 2025: "Ensure medication error rates are not 5 percent or greater."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on May 8, 2025: "Provide and implement an infection prevention and control program."
Other nursing homes nearby
- Shell Rock Senior Living Shell Rock, 4.2 mi · 1 of 5 stars · 22 citations
- Denver Sunset Home Denver, 8.9 mi · 4 of 5 stars · 9 citations
- Clarksville Skilled Nursing & Rehab Center Clarksville, 9.9 mi · 4 of 5 stars · 10 citations
- Tripoli Nursing & Rehab Tripoli, 12.8 mi · 2 of 5 stars · 25 citations
- Pillar of Cedar Valley Waterloo, 12.8 mi · 1 of 5 stars · 24 citations
- Cedar Falls Health Care Center Cedar Falls, 13.8 mi · 1 of 5 stars · 38 citations
- Martin Health Center, Inc Cedar Falls, 14.1 mi · 5 of 5 stars · 9 citations
- Newaldaya Lifescapes Cedar Falls, 15.2 mi · 2 of 5 stars · 18 citations
Iowa contacts for a concern about a nursing home
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.
Common questions
- What is Woodland Terrace's Medicare star rating?
- CMS rates Woodland Terrace 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Woodland Terrace get at its last inspection?
- 1 health deficiency at the standard inspection on June 25, 2026. The Iowa average is 6.5.
- Has Woodland Terrace been fined?
- CMS lists no fines in the last three years.
- Does Woodland Terrace 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 Woodland Terrace?
- CMS lists 23 owners and managers. Legal business name: BARTELS LUTHERAN HOME.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.