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Friendship Village Retirement

⌖ Waterloo, IA · Black Hawk County
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Medicare overall rating 5 of 5 stars
Certified beds72
Medicare / MedicaidMedicare & Medicaid
OwnershipNon-profit (corporation)

About Friendship Village Retirement

Friendship Village Retirement is a 72-bed nonprofit nursing home in Waterloo, IA. Medicare rates it 5 out of 5 stars overall (much above average); the average in Iowa is 3.1. At its last full inspection (Nov 2025), inspectors found 3 problems, fewer than the Iowa average of 6.5. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 4 hr 47 min a day with each resident, more than the Iowa average of 3 hr 49 min. About 28% of its nursing staff left in the past year. It has had no federal fines in the last three years. Its quality ratings are similar for short-term rehab (2 of 5) and long-term care (2 of 5).

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

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Key details

Facility nameFriendship Village Retirement
LocationBlack Hawk County, Iowa
Address600 Park Lane, Waterloo, IA 50702 · Black Hawk County
Medicare provider number165081
Ownership typeNon-profit (corporation)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceAugust 15, 1968 (58 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official Medicare inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating5 of 5Much above average
Health inspections4 of 5Above average
Quality measures2 of 5Below average
Staffing5 of 5Much above average

Ratings and inspection data on this page come directly from Medicare's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

5 strengths in Medicare's inspection, fine and staffing records for this home. 2 care-quality measures are worse than the state average in the rehab and long-term care section below.

Strengths

  • Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Nov 2025.
    Strength
  • Fines and penaltiesNoneNo federal fines or payment denials in the last three years.
    Strength
  • Health citations at last inspection3 (Nov 2025)Iowa average: 6.5. Most citations are minor and corrected within weeks.
    Strength
  • Nurse staffing per resident4 hr 47 min a dayIowa average: 3 hr 49 min
    Strength
  • Nursing staff turnover28% a yearIowa average: 44%
    Strength

About average

  • Registered nurse time per resident49 min a dayIowa average: 45 min
    About average

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Iowa average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Short-term rehab

For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.

Medicare quality rating: 2 of 5 (below average)

  • Sent back to the hospital20.1%State average: 20.9%
    About average
  • Needed an emergency room visit21.6%State average: 13.2%
    Worse than average
  • Newly given antipsychotic drugs0.6%State average: 2.1%
    Better than average

Physical therapist time: about 1 minute per resident a day. That is less than the state average of 2 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 2 of 5 (below average)

  • Falls with a major injury7.2%State average: 3.8%
    Worse than average
  • Pressure sores (bedsores)0.5%State average: 4.2%
    Better than average
  • Given antipsychotic drugs14.0%State average: 19.5%
    Better than average
  • Hospital stays per 1,000 resident days1.6State average: 1.5
    About average

Source: Medicare (CMS) quality measures, compared with the Iowa average. Lower is better for every rate shown.

Who pays, and how full it is

Many residents here pay privately or through insurance. In Iowa, Medicaid pays for 50% of resident days at a typical home.

  • 1% Medicaid
  • 0% Medicare
  • 98% Private pay, insurance and other
Beds in use, on average76%Iowa typical: 79%
Cost of care per resident day$207Iowa typical: $311

Shares of resident days, from the home’s Medicare cost report for the year ending March 2025. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.

Ratings over time

Its overall Medicare rating is 5 stars now, up from 4 stars in January 2019. It has ranged from 1 to 5 stars and changed 12 times.

Overall rating5★
Health inspections4★
Staffing5★
Quality of care2★
Nurse hours per resident per day4.8
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 201943252.8
Jan 202044242.8
Jan 202144433.0
Jan 202243444.6
Jan 202321534.7
Jan 202432545.7
Feb 202532535.5
Feb 202654525.2
Sep 202654524.8

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

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Explore the area

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Family reviews

No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.