Every one of the 12 certified facilities here, with its CMS rating, nurse staffing hours and enforcement record. Not a shortlist.
3 of these hold the top CMS rating of five. 4 sit at one. Registered nurse cover averages 0.64 hours per resident per day across the county. That is the number worth comparing, and it is the one families rarely see.
CMS overall rating first. Ties go to higher registered nurse hours.
| Facility | City | Overall | Health | Staffing | RN hrs | Beds | Fines |
|---|---|---|---|---|---|---|---|
| Friendship Village Retirement | Waterloo | 5 | 4 | 5 | 0.81 | 72 | $0 |
| Martin Health Center, INC | Cedar Falls | 5 | 4 | 5 | 0.79 | 50 | $0 |
| The Suites at Western Home Communities | Cedar Falls | 5 | 4 | 5 | 0.72 | 72 | $0 |
| Laporte City Specialty Care | La Porte City | 4 | 4 | 4 | 0.77 | 46 | $0 |
| Northcrest Specialty Care | Waterloo | 2 | 2 | 4 | 0.68 | 94 | $0 |
| Newaldaya Lifescapes | Cedar Falls | 2 | 2 | 4 | 0.65 | 112 | $132,074 |
| Cedar Falls Health Care Center | Cedar Falls | 2 | 2 | 4 | 0.53 | 70 | $0 |
| Pinnacle Specialty Care | Cedar Falls | 2 | 2 | 3 | 0.51 | 100 | $8,362 |
| Harmony Waterloo ⚑ | Waterloo | 1 | 1 | 3 | 0.67 | 88 | $95,440 |
| Ravenwood Specialty Care | Waterloo | 1 | 1 | 4 | 0.64 | 176 | $0 |
| Harmony House Health Care Center | Waterloo | 1 | 1 | 2 | 0.57 | 65 | $48,825 |
| Pillar of Cedar Valley | Waterloo | 1 | 2 | 3 | 0.33 | 114 | $0 |
⚑ marks a facility CMS cited for abuse.
The overall rating folds together inspections, staffing and quality measures. Inspections carry the most weight.
Staffing hours are the number to read on your own. A five-rated home with thin registered nurse cover is a different place at three in the morning.
Visit before you decide. Go without an appointment. The record here tells you where to look, not what you will find.
| Ownership | Facilities |
|---|---|
| Non profit - Corporation | 8 |
| For profit - Limited Liability company | 3 |
| For profit - Corporation | 1 |
Source: CMS Provider Information (Care Compare), retrieved 3 August 2026.