Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Friendship Village Retirement

Waterloo, IA · 72 certified beds · Last Life Safety survey November 17, 2025

CMS Certification Number 165081 · first certified August 1968

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

17
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
8
Inspection & testing records
Of the citations on file

Position within IA

17 citations — more than 74% of the 387 certified nursing homes in IA. Compared within IA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 7. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens October 2026. This facility’s last Life Safety survey was November 2025. Facilities in IA are typically surveyed 11–13 months after the last one (median 12), measured over 700 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 17 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0919 Make sure that a working call system is available in each resident's bathroom and bathing area.

How that compares

Citations on file over three years

Compared with the median facility in IA, and nationally. Surveyors differ markedly between states, so the IA figure is the meaningful one.

This facility17IA median12National median11
Citations on file over three years, compared
MeasureCitations
This facility17
Median facility in IA12
Median facility nationally11

Survey history

Citations at each Life Safety survey
112023-0832024-1032025-11
Citations at each Life Safety survey
Survey dateCitations
August 10, 202311
October 9, 20243
November 17, 20253

Most-cited tags

Most-cited tags at this facility
K-09203K-03212K-03722K-03632K-09211K-07411K-07111K-07121
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0920Ensure proper usage of power strips and extension cords.32025-11-17
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22024-10-09
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.22025-11-17
K-0363Install corridor and hallway doors that block smoke.22024-10-09
K-0921Ensure that testing and maintenance of electrical equipment is performed.12025-11-17
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.12023-08-10
K-0711Provide a written emergency evacuation plan.12023-08-10
K-0712Have simulated fire drills held at unexpected times.12023-08-10

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 7
  • Gas, Vacuum, and Electrical Systems Deficiencies 5
  • Miscellaneous Deficiencies 5
Citations by CMS category
CategoryCitations
Smoke Deficiencies7
Gas, Vacuum, and Electrical Systems Deficiencies5
Miscellaneous Deficiencies5

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

November 17, 2025 — 3 citations

Citations issued on November 17, 2025
TagWhat the surveyor checksStatus
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (October 6, 2025)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (October 24, 2025)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (September 25, 2025)

October 9, 2024 — 3 citations

Citations issued on October 9, 2024
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (October 22, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (October 16, 2024)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (October 22, 2024)

August 10, 2023 — 11 citations

Citations issued on August 10, 2023
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (August 25, 2023)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (September 17, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (August 25, 2023)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (September 17, 2023)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (September 17, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (September 17, 2023)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (August 25, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (September 17, 2023)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (September 17, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (September 17, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (September 17, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.