Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (57% of admissions), and a typical Medicare stay runs around 7 days.
Conveniently located near MercyOne Waterloo Medical Center in Waterloo, IA, Friendship Village is an astounding community that offers independent living, assisted living, and long-term care. The community also features beautifully furnished and spacious floor plans, ensuring residents are comfortable and safe. Residents can also keep their peace of mind with the community helping with housekeeping and chores.
Fun recreational activities and enriching programs are conducted, encouraging residents to live actively and maintain social connections. Residents also enjoy a delightful dining experience with delicious and well-balanced meals to meet their dietary needs and preferences. Pets are welcome to stay to ease residents’ loneliness. The community is ideal for those seeking independence in retirement, especially with its vibrant and welcoming environment.
97.4% of staff hours were worked by the facility's own employees
Iowa average: 92.3% · Contractors this quarter: Respiratory Therapy Technician (7), Physical Therapy Aide (5), Speech Language Pathologist (3), Physical Therapy Assistant (3), Qualified Social Worker (2), Occupational Therapy Aide (1), Occupational Therapy Assistant (1), Medical Director (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
Smaller home · May offer a more intimate, personalized care environment.
Based on 60 residents and 72 beds. Source: state inspection report (Jul 2026)
Friendship Village is administered by Ellie Uhlenhopp.
This profile shows two inspection records, and their totals often differ. Inspection History and the Inspection Scorecard below are state data — the figures the state publishes and the state inspection reports we hold on file — covering the entire facility. CMS Health Inspection History covers only this home's Medicare and Medicaid-certified nursing beds, from federal certification surveys.
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
Violations
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total violations
| 26 | 23.4 | This facility has 11% more total violations than a typical Iowa nursing home (26 vs. IA avg 23.4).↑ 11% worse |
|
Violations per inspection
| 1.5 | 1.6 | This facility has 6% fewer violations per inspection than a typical Iowa nursing home (1.5 vs. IA avg 1.6).↓ 6% better |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
| 17 | 12.7 | This facility has had 34% more total inspections than the Iowa average (17 vs. IA avg 12.7). More inspections can mean more regulatory scrutiny rather than worse care.↑ 34% more |
Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.
Latest inspection: Nov 17, 2025 · 1 citation (Care Planning, moderate), corrected
Most cited category: Resident Assessment & Care Planning, 3 of 8 citations · 5 categories in total
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
4 of 8 citations resulted from standard inspections; 2 of 8 resulted from complaint investigations; and 2 of 8 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Source: CMS Penalties Database · Data as of Aug 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Aug 2023.
How residents at this home fare on health outcomes and preventive care, compared with the Iowa average.
11 long-stay measures: 8 better, 2 worse, 1 near IA average
8 short-stay measures: 4 better, 1 worse, 3 compared with US only
People who live at the home · 11 measures
Rehab and recovery after a hospital stay · 8 measures
Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
57% of new residents, usually for short-term rehab.
40% of new residents, often for short stays.
3% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jun 2026)
Residents meet regularly to discuss policies, care quality, and activities
Part of a Continuing Care Retirement Community offering multiple care levels
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Friendship Village’s finances from its CMS cost report for the fiscal year ending March 2025, compared with 223 Iowa nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
Is it financially stable?
Losing money on care, but less than last year
−43.7% operating margin
+13.3 pts vs prior year
An operating loss in 5 of the last 8 reported years. Other income ($4.2M) trims the net loss to −$2.6M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Spends more on payroll than most Iowa homes
76.4% payroll share of revenue
IA average 60.9%Rank #16 / 223Payroll % of net patient revenue — State benchmarked This nursing home is ranked 16th out of 223 nursing homes we track in Iowa for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Iowa average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.2M while revenue rose $1.2M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2025 scorecard
Each row shows the FY 2025 figure, the change since the prior report, the trend, and how it compares with Iowa homes.
Big revenue, persistent losses
| Metric | FY 2025 | vs prior year | Trend 2018 → 2025Trend | IA median | Compared with IA homesRank in IA | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $15.4M | +$1.2M | Trend 20182025 | IA median $6.3M | Rank in IA Rank #11 / 223Net patient revenue — State benchmarked This nursing home is ranked 11th out of 223 nursing homes we track in Iowa for net patient revenue. Shows this facility's net patient revenue compared to the Iowa average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 95% of homes | Top 5% in IA Higher net patient revenue than 95% of IA homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $22.2M | −$0.2M | Trend 20182025 | IA median — | Rank in IA Not ranked | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$6.7M | +$1.4M | Trend 20182025 | IA median — | Rank in IA Not ranked | Loss, narrowing Resident care lost money this year, less than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −43.7% | +13.3 pts | Trend 20182025 | IA median — | Rank in IA Not ranked | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $4.2M | — | Trend — | IA median — | Rank in IA Not ranked | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | −$2.6M | −$0.9M | Trend — | IA median — | Rank in IA Not ranked | Loss The bottom line is below zero even after other income. |
Spends more of revenue on staff than most Iowa homes
| Metric | FY 2025 | vs prior year | Trend 2018 → 2025Trend | IA median | Compared with IA homesRank in IA | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $11.8M | +$0.2M | Trend 20182025 | IA median $3.8M | Rank in IA Rank #6 / 223Payroll costs — State benchmarked This nursing home is ranked 6th out of 223 nursing homes we track in Iowa for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Iowa average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 98% of homes | Top 2% in IA by size Higher payroll than 98% of IA homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 76.4% | −5.0 pts | Trend 20182025 | IA median 59.0% | Rank in IA Rank #16 / 223Payroll % of net patient revenue — State benchmarked This nursing home is ranked 16th out of 223 nursing homes we track in Iowa for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Iowa average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Iowa that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 93% of homes | 15.5 pts over IA average The IA average is 60.9% of revenue. Within 3 points of it reads as near the average. |
USD, millions
Net patient revenue Operating expenses Net patient income
% of net patient revenue
Payroll share Operating margin IA payroll average
| Metric | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 | 2025 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $11.9M | $13.9M | $14.6M | $11.8M | $10.9M | $12.5M | $14.2M | $15.4M |
| Operating expenses | $11.7M | $12.4M | $13.6M | $13.5M | $15.9M | $22.1M | $22.3M | $22.2M |
| Net patient income | $0.2M | $1.5M | $1.1M | −$1.7M | −$5.0M | −$9.5M | −$8.1M | −$6.7M |
| Operating margin | 1.9% | 10.5% | 7.3% | −14.5% | −45.4% | −76.3% | −56.9% | −43.7% |
| Net income | $1.0M | $2.2M | $1.8M | $6.8M | −$0.5M | $1.9M | −$1.7M | −$2.6M |
| Payroll costs | $6.8M | $7.4M | $8.4M | $8.5M | $8.8M | $10.6M | $11.6M | $11.8M |
| Payroll share of revenue | 57.2% | 53.6% | 57.7% | 72.1% | 80.8% | 84.5% | 81.4% | 76.4% |
| Beds | 371 | 371 | 371 | 301 | 378 | 378 | 378 | 416 |
| Gross revenue | $11.9M | $13.9M | $14.6M | $11.8M | $10.9M | $12.5M | $14.2M | $15.4M |
| Salaries | $5.6M | $6.0M | $6.8M | $6.9M | $7.3M | $8.7M | $9.5M | $9.6M |
| Wage-related costs | $1.3M | $1.4M | $1.7M | $1.6M | $1.6M | $1.8M | $2.1M | $2.2M |
| Contract labor | — | — | — | — | — | — | — | — |
| Other operating costs | $4.9M | $5.0M | $5.1M | $5.0M | $7.1M | $11.5M | $10.8M | $10.4M |
| Net patient revenue per day | $96 | $121 | $134 | $123 | $95 | $116 | $133 | $144 |
| Cost per day | $95 | $109 | $124 | $141 | $138 | $205 | $208 | $207 |
| Average length of stay | 210.6 days | 109.4 days | 134.0 days | 177.5 days | 144.2 days | 156.2 days | 163.3 days | 179.7 days |
Showing 2025–2023 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (57% of admissions), and a typical Medicare stay runs around 7 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
2.6 miles from city center
Estimated distance in miles from Waterloo's city center to Friendship Village's address, calculated via Google Maps.
Add your location
Friendship Village is located in Waterloo, Iowa.
Here are the financial assistance programs available to residents in Iowa.
Friendship Village has a walk score of 52. Somewhat walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to IA state health department records, Friendship Village's license number is 70429.
According to IA state health department records, Friendship Village's license expires on November 4, 2026.
Friendship Village's occupancy is 83.3%.
Friendship Village has been operating for approximately 50 years, based on available licensing and registration records.
Yes, Friendship Village allows residents to bring their pets.
The team at Friendship Village can be reached at EUhlenhopp@fvrc.com.
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