Iowa › Black Hawk County › Waterloo
Pillar of Cedar Valley
1410 West Dunkerton Road, Waterloo, IA 50703
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Pillar of Cedar Valley, in Waterloo, Iowa, is certified for 114 beds under non-profit, corporation ownership.
CMS gives it 1 of 5 stars overall, below the Iowa median of 3; the health inspection rating is 2, staffing 3 and quality measures 1.
Inspectors recorded 24 health deficiencies across the three most recent survey cycles (11, 11, 2 by cycle, most recent first), none at the actual-harm level. That is 21.1 per 100 beds, fewer than the state median of 27.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 2.9 hours per resident per day (0.3 RN), below the Iowa median of 3.7; nursing staff turnover is 32.7%.
Compared with county, state and nation
| Measure | This facility | Black Hawk Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 24 | 24 | 16 | 28.7 |
| Citations per 100 beds | 21.1 | 22.0 | 27.5 | 26.8 |
| Total nurse hours per resident day | 2.9 | 3.3 | 3.7 | 3.9 |
| RN hours per resident day | 0.3 | 0.7 | 0.7 | 0.7 |
| Nursing staff turnover | 32.7% | 41.6% | 41.9% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (12 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 17 Nov 2025, 3 Oct 2024.
Severity mix: D ×22 E ×1 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 11 Jun 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 1 Jul 2026 |
| 23 Dec 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 20 Jan 2026 |
| 23 Dec 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 20 Jan 2026 |
| 23 Dec 2025 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 20 Jan 2026 |
| 17 Nov 2025 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard survey | 1 Dec 2025 |
| 17 Nov 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 1 Dec 2025 |
| 17 Nov 2025 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 1 Dec 2025 |
| 17 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 1 Dec 2025 |
| 17 Nov 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 1 Dec 2025 |
| 17 Nov 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 1 Dec 2025 |
| 17 Nov 2025 | F0908 | Keep all essential equipment working safely. | D | Standard survey | 1 Dec 2025 |
| 3 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 31 Oct 2024 |
| 3 Oct 2024 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | E | Standard survey | 31 Oct 2024 |
| 3 Oct 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 31 Oct 2024 |
| 3 Oct 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 31 Oct 2024 |
| 3 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 31 Oct 2024 |
| 3 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 31 Oct 2024 |
| 3 Oct 2024 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 31 Oct 2024 |
| 3 Oct 2024 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | D | Standard survey | 31 Oct 2024 |
| 3 Oct 2024 | F0913 | Provide bedrooms that have direct access to an exit hallway. | D | Standard survey | 31 Oct 2024 |
| 3 Oct 2024 | F0914 | Provide bedrooms that don't allow residents to see each other when privacy is needed. | D | Standard survey | 31 Oct 2024 |
| 3 Oct 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 31 Oct 2024 |
| 29 Jun 2023 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 21 Jul 2023 |
| 29 Jun 2023 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 21 Jul 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 32.7%, RNs 28.6%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 15.5% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.3% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.6% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.4% | 3.4% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.1% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.9% | 3.6% | 4.2% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Black Hawk Nursing And Rehabilitation Llc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Tamid Waterloo LLC | 5% or greater direct ownership interest | 100% | 12/15/2022 |
| Tamid Healthcare Nfp | 5% or greater indirect ownership interest | 100% | 12/15/2022 |
| Pillar Senior Care LLC | Operational/managerial control | NOT APPLICABLE | 12/15/2022 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Black Hawk County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Friendship Village Retirement | Waterloo | 72 | 5 | 4 | 5 | 8 | 11.1 | — | 17 Nov 2025 |
| Martin Health Center, Inc | Cedar Falls | 50 | 5 | 4 | 5 | 11 | 22.0 | — | 15 May 2025 |
| The Suites At Western Home Communities | Cedar Falls | 72 | 5 | 5 | 5 | 11 | 15.3 | — | 26 Mar 2026 |
| Laporte City Specialty Care | La Porte City | 46 | 4 | 4 | 4 | 3 | 6.5 | — | 26 Feb 2026 |
| Cedar Falls Health Care Center | Cedar Falls | 70 | 2 | 2 | 4 | 33 | 47.1 | — | 8 Jan 2026 |
| Newaldaya Lifescapes | Cedar Falls | 112 | 2 | 2 | 4 | 13 | 11.6 | $132K | 22 Apr 2026 |
| Northcrest Specialty Care | Waterloo | 94 | 2 | 2 | 4 | 29 | 30.9 | — | 12 Feb 2026 |
| Pinnacle Specialty Care | Cedar Falls | 100 | 2 | 2 | 3 | 25 | 25.0 | $8K | 9 Jun 2026 |
All 12 facilities in Black Hawk County
Questions and answers
How many deficiencies has Pillar of Cedar Valley been cited for?
24 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Pillar of Cedar Valley been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Pillar of Cedar Valley compare?
Reported total nurse staffing is 2.9 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Pillar of Cedar Valley?
Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Tamid Waterloo LLC, Tamid Healthcare Nfp and Pillar Senior Care LLC. Individual owners and managers are not listed on this site.
When was Pillar of Cedar Valley last inspected?
The most recent survey or investigation in the CMS record is dated 11 Jun 2026; the most recent standard health survey was 17 Nov 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.