Iowa › Black Hawk County › Cedar Falls
Pinnacle Specialty Care
1223 Prairieview Road, Cedar Falls, IA 50613
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.
Certified for 100 beds, Pinnacle Specialty Care serves Cedar Falls in Black Hawk County, Iowa and has taken Medicare and Medicaid residents since 1996.
CMS gives it 2 of 5 stars overall, below the Iowa median of 3; the health inspection rating is 2, staffing 3 and quality measures 2.
Inspectors recorded 25 health deficiencies across the three most recent survey cycles (15, 4, 6 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 25.0 per 100 beds, about the same as the state median of 27.5.
CMS lists 1 penalty in the period covered: fines totalling $8K.
Reported nurse staffing is 3.3 hours per resident per day (0.5 RN), close to the Iowa median of 3.7; nursing staff turnover is 27.4%.
Compared with county, state and nation
| Measure | This facility | Black Hawk Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 25 | 24 | 16 | 28.7 |
| Citations per 100 beds | 25.0 | 22.0 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.3 | 3.3 | 3.7 | 3.9 |
| RN hours per resident day | 0.5 | 0.7 | 0.7 | 0.7 |
| Nursing staff turnover | 27.4% | 41.6% | 41.9% | 45.8% |
| Fines listed | $8,362 | $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: 24 Jul 2025, 5 Sep 2024.
Severity mix: G ×1 D ×23 E ×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 |
|---|---|---|---|---|---|
| 9 Jun 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 1 Jul 2026 |
| 9 Jun 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 1 Jul 2026 |
| 9 Jun 2026 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint investigation | 1 Jul 2026 |
| 9 Jun 2026 | F0760 | Ensure that residents are free from significant medication errors. | D | Complaint investigation | 1 Jul 2026 |
| 9 Jun 2026 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | Complaint investigation | 1 Jul 2026 |
| 2 Apr 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 25 Apr 2026 |
| 2 Apr 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 25 Apr 2026 |
| 2 Apr 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 25 Apr 2026 |
| 2 Apr 2026 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Complaint investigation | 25 Apr 2026 |
| 19 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 29 Nov 2025 |
| 19 Nov 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint investigation | 29 Nov 2025 |
| 24 Jul 2025 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 23 Aug 2025 |
| 24 Jul 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 23 Aug 2025 |
| 24 Jul 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 23 Aug 2025 |
| 24 Jul 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 23 Aug 2025 |
| 5 Sep 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 24 Sep 2024 |
| 5 Sep 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 24 Sep 2024 |
| 5 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 24 Sep 2024 |
| 5 Sep 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Standard survey | 24 Sep 2024 |
| 13 Feb 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 21 Feb 2024 |
| 13 Feb 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint investigation | 21 Feb 2024 |
| 13 Nov 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 21 Nov 2023 |
| 8 Jun 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 15 Jun 2023 |
| 8 Jun 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 15 Jun 2023 |
| 8 Jun 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 15 Jun 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 13 Nov 2023 | Fine | $8,362 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 27.4%, RNs 35.7%; 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 | 23.0% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.0% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.4% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.4% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.5% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 36.6% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.2% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 26.5% | 18.2% | 13.4% |
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: for-profit, corporation. Legal business name: Care Initiatives. Chain: Care Initiatives (43 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Care Initiatives | 5% or greater direct ownership interest | 100% | 09/01/2009 |
| Computershare Corporate Trust Company, Na | 5% or greater mortgage interest | NOT APPLICABLE | 01/01/2025 |
| Computershare Corporate Trust Company, Na | Adp of the snf | NOT APPLICABLE | 08/06/2025 |
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 |
| Harmony House Health Care CenterSFF Candidate | Waterloo | 65 | 1 | 1 | 2 | 38 | 58.5 | $49K | 30 Jun 2026 |
All 12 facilities in Black Hawk County
Questions and answers
How many deficiencies has Pinnacle Specialty Care been cited for?
25 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Pinnacle Specialty Care been fined?
Yes. CMS lists fines totalling $8K in the period covered.
How does staffing at Pinnacle Specialty Care compare?
Reported total nurse staffing is 3.3 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Pinnacle Specialty Care?
It is part of the Care Initiatives chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Care Initiatives. Individual owners and managers are not listed on this site.
When was Pinnacle Specialty Care last inspected?
The most recent survey or investigation in the CMS record is dated 9 Jun 2026; the most recent standard health survey was 24 Jul 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.