Nursing HomeInspections

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Nursing home in Cedar Falls, IA

Medicare & Medicaid certified2★ overall (CMS)

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Public-record details

Address
7511 University Avenue, Cedar Falls, IA 50613
Phone
(319) 268-0401
Listed under
Nonprofit, Part of a retirement community
Medicare CCN
165465
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
4 of 5
Quality measures rating
4 of 5
Certified beds
112
Average residents per day
102
Ownership
Nonprofit, corporation
Legal business name
Cedar Falls Lutheran Home
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jul 1, 2002
Changed ownership in last 12 months
No
Continuing care retirement community
Yes
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 165465. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 22, 2025. CMS lists 13 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 27, 2024 to Apr 22, 2026): 8 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Apr 22, 2026Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
May 22, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 22, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Feb 25, 2025Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 27, 2024Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning · complaint inspection		B
Potential for minimal harm, pattern
Jun 27, 2024Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning · complaint inspection		B
Potential for minimal harm, pattern
Jun 27, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Jun 27, 2024Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 27, 2024Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 27, 2024Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jun 27, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jun 27, 2024Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 13. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $132,074 in the last three years.

Jun 27, 2024Fine: $132,074

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.52 hours
Registered nurse (RN) time per resident per day
0.65 hours
Nurse aide time per resident per day
3.13 hours
Total nurse staffing on weekends
4.08 hours
Nursing staff turnover (yearly)
42%
RN turnover (yearly)
38%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

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.

Other nursing homes in Cedar Falls

Martin Health Center, INC410 East 10th Street · Cedar Falls, IA 50613 · (319) 277-2141 · Nonprofit11 health citations in 3 inspection cycles · last standard inspection May 15, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)The Suites at Western Home Communities5301 Caraway Lane · Cedar Falls, IA 50613 · (319) 277-2141 · Nonprofit11 health citations in 3 inspection cycles · last standard inspection Mar 26, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)Cedar Falls Health Care Center1728 West Eighth Street · Cedar Falls, IA 50613 · (319) 277-2437 · For-profit33 health citations in 3 inspection cycles · last standard inspection Jan 8, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified2★ overall (CMS)Pinnacle Specialty Care1223 Prairieview Road · Cedar Falls, IA 50613 · (319) 268-0489 · For-profit25 health citations in 3 inspection cycles · last standard inspection Jul 24, 2025 · $8,362 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)

All 5 in Cedar Falls →