Pillar of Cedar Valley
Nursing home in Waterloo, IA
Medicare & Medicaid certified1★ overall (CMS)
Public-record details
- Address
- 1410 West Dunkerton Road, Waterloo, IA 50703
- Phone
- (319) 291-2509
- Listed under
- Nonprofit, No fines in 3 years
- Medicare CCN
- 165307
- Overall star rating
- 1 of 5 ★☆☆☆☆
- Health inspection rating
- 2 of 5
- Staffing rating
- 3 of 5
- Quality measures rating
- 1 of 5
- Certified beds
- 114
- Average residents per day
- 133
- Ownership
- Nonprofit, corporation
- Legal business name
- Black Hawk Nursing and Rehabilitation LLC
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Mar 13, 1997
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Nov 17, 2025. CMS lists 24 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 29, 2023 to Jun 11, 2026): 6 from complaint inspections, 0 at the “actual harm” level or higher.
| Inspection | Citation | Severity |
|---|---|---|
| Jun 11, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| Dec 23, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| Dec 23, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| Dec 23, 2025 | Respond appropriately to all alleged violations. | D |
| Nov 17, 2025 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D |
| Nov 17, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| Nov 17, 2025 | 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 |
| Nov 17, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| Nov 17, 2025 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| Nov 17, 2025 | Ensure that residents are free from significant medication errors. | D |
| Nov 17, 2025 | Keep all essential equipment working safely. | D |
| Oct 3, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
Fines and payment denials
CMS records no fines or payment denials for this facility in the last three years.
Staffing
- Total nurse staffing per resident per day
- 2.92 hours
- Registered nurse (RN) time per resident per day
- 0.33 hours
- Nurse aide time per resident per day
- 1.90 hours
- Total nurse staffing on weekends
- 2.49 hours
- Nursing staff turnover (yearly)
- 33%
- RN turnover (yearly)
- 29%
- Administrators who left in the past year
- 0
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.
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