nursing home in Cedar Falls, IA
Pinnacle Specialty Care
1223 Prairieview Road, Cedar Falls, IA 50613 · (319) 268-0489
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★3
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Pinnacle Specialty Care at a glance
Pinnacle Specialty Care is a 100-bed for-profit nursing home in Cedar Falls, Iowa (Black Hawk County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Iowa average of 3.1.
Residents receive about 3.3 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (July 24, 2025) found 15 health citations. The Iowa average is 6.5.
Federal regulators fined it 1 time in the past three years, totaling $8,362.
Nursing staff turnover is 27.4% per year (state average 44%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 100
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Care Initiatives
- Medicare-certified since
- November 1, 1996
- Resident/family council
- Resident
- County
- Black Hawk County
- CMS Certification Number
- 165298
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3.1 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 3.3 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3.3 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.31 hrs | 3.82 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.51 hrs | 0.74 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.15 hrs | 2.52 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.03 hrs | 3.37 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 27.4% | 44% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 35.7% | 42.1% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 15 | 6 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 11 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 59 | 54.5 | 80.6 | Better |
Penalties
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $8,362 | $19,286 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 100 | 65 | 107 | |
| Average residents per day | 96 | 52 | 86 | |
| Occupancy | 96.1% | 81.5% | 80.9% |
Long-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.4% | 3.8% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 4.2% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 26.5% | 19.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.4% | 2.4% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1% | 1.5% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 23% | 17.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 36.6% | 16.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 7.3% | 4.6% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 5.3% | 4.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 25.2% | 20.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 23.3% | 25.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.3% | 94% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.5% | 2.1% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 95% | 73.3% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 95.8% | 84% | 82% | Better |
Inspection citations
State inspectors cited this home for 25 health deficiencies and 4 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 9, 2026 Complaint | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · Tag F0865 | D Potential harm, isolated | Corrected July 1, 2026 |
| June 9, 2026 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected July 1, 2026 |
| June 9, 2026 Complaint | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | D Potential harm, isolated | Corrected July 1, 2026 |
| June 9, 2026 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected July 1, 2026 |
| June 9, 2026 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected July 1, 2026 |
| April 2, 2026 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected April 25, 2026 |
| April 2, 2026 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected April 25, 2026 |
| April 2, 2026 Complaint | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected April 25, 2026 |
| April 2, 2026 Complaint | Develop 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 Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected April 25, 2026 |
| November 19, 2025 Complaint | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Tag F0725 | D Potential harm, isolated | Corrected November 29, 2025 |
| November 19, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected November 29, 2025 |
| July 24, 2025 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected August 23, 2025 |
| July 24, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected August 23, 2025 |
| July 24, 2025 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected August 23, 2025 |
| July 24, 2025 Standard | Develop 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 Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected August 23, 2025 |
| September 5, 2024 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected September 11, 2024 |
| September 5, 2024 Fire safety | Develop a communication plan. Emergency Preparedness Deficiencies · Tag E0029 | F Potential harm, widespread | Corrected September 11, 2024 |
| September 5, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected September 24, 2024 |
| September 5, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected September 24, 2024 |
| September 5, 2024 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | D Potential harm, isolated | Corrected September 24, 2024 |
| September 5, 2024 Standard | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | D Potential harm, isolated | Corrected September 24, 2024 |
| February 13, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected February 21, 2024 |
| February 13, 2024 Complaint | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | D Potential harm, isolated | Corrected February 21, 2024 |
| November 13, 2023 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | G Actual harm, isolated | Corrected November 21, 2023 |
| June 8, 2023 Fire safety | Develop a communication plan. Emergency Preparedness Deficiencies · Tag E0029 | F Potential harm, widespread | Corrected June 19, 2023 |
| June 8, 2023 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected June 21, 2023 |
| June 8, 2023 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected June 15, 2023 |
| June 8, 2023 Standard | Develop 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 Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected June 15, 2023 |
| June 8, 2023 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected June 15, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $8,362 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| November 13, 2023 | Fine | $8,362 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CARE INITIATIVES Organization | 5% or greater direct ownership interest | 100% | 09/01/2009 |
| COMPUTERSHARE CORPORATE TRUST COMPANY, NA Organization | 5% or greater mortgage interest | NOT APPLICABLE | 01/01/2025 |
| ARENDS, HILARY Individual | adp of the snf | NOT APPLICABLE | 08/06/2025 |
| COMPUTERSHARE CORPORATE TRUST COMPANY, NA Organization | adp of the snf | NOT APPLICABLE | 08/06/2025 |
| MAHLER, CARLA Individual | adp of the snf | NOT APPLICABLE | 08/06/2025 |
| WHYMS, BRIAN Individual | adp of the snf | NOT APPLICABLE | 01/01/2024 |
| BEAL, MICHAEL Individual | corporate director | NOT APPLICABLE | 06/01/2020 |
| BOWEN, LANE Individual | corporate director | NOT APPLICABLE | 01/01/2021 |
| CAROTHERS, MARY JANE Individual | corporate director | NOT APPLICABLE | 01/01/2023 |
| CHILDS, KEVIN Individual | corporate director | NOT APPLICABLE | 04/01/2023 |
| CORLESS, PETER Individual | corporate director | NOT APPLICABLE | 01/01/2025 |
| KREIN, KEITH Individual | corporate director | NOT APPLICABLE | 06/29/2022 |
| RUST, ELIZABETH Individual | corporate director | NOT APPLICABLE | 01/01/2023 |
| STURM, DENISE Individual | corporate director | NOT APPLICABLE | 01/01/2021 |
| UPMEYER, LINDA Individual | corporate director | NOT APPLICABLE | 06/29/2022 |
| BEAL, MICHAEL Individual | corporate officer | NOT APPLICABLE | 06/01/2020 |
| DIXON, DAVID Individual | corporate officer | NOT APPLICABLE | 06/01/2016 |
| DRAKE, EMILY Individual | corporate officer | NOT APPLICABLE | 05/01/2023 |
| GILYARD, TANYA Individual | corporate officer | NOT APPLICABLE | 05/23/2025 |
| KUHN, JERAMY Individual | corporate officer | NOT APPLICABLE | 06/25/2008 |
| MCDYER, JESSICA Individual | corporate officer | NOT APPLICABLE | 02/22/2023 |
| VOLM, JOHANNA Individual | corporate officer | NOT APPLICABLE | 01/01/2021 |
| ARENDS, HILARY Individual | operational/managerial control | NOT APPLICABLE | 09/03/2024 |
| MAHLER, CARLA Individual | operational/managerial control | NOT APPLICABLE | 05/08/2023 |
| WHYMS, BRIAN Individual | operational/managerial control | NOT APPLICABLE | 01/01/2024 |
Other nursing homes near Pinnacle Specialty Care
The Suites at Western Home Communities
5301 Caraway Lane, Cedar Falls, IA 50613 · under 1 mi
Non-profit · 72 beds · Part of Western Home Communities
- CMS high performer
★★★★★5Much above average- ★★★★★2Below average
Martin Health Center, INC
410 East 10th Street, Cedar Falls, IA 50613 · 2.7 mi
Non-profit · 50 beds · Part of Western Home Communities
- CMS high performer
★★★★★5Much above averageCedar Falls Health Care Center
1728 West Eighth Street, Cedar Falls, IA 50613 · 3.3 mi
For-profit · 70 beds · Part of Campbell Street Services
★★★★★1Much below averageHarmony House Health Care Center
2950 West Shaulis Road, Waterloo, IA 50701 · 3.4 mi
For-profit · 65 beds · Part of Legacy Healthcare
- Special Focus candidate
★★★★★1Much below averageHarmony Waterloo
201 West Ridgeway Avenue, Waterloo, IA 50701 · 4.1 mi
For-profit · 88 beds · Part of Legacy Healthcare
- Abuse citation
★★★★★1Much below average
Frequently asked questions
What is Pinnacle Specialty Care's rating?
Pinnacle Specialty Care has 2 out of 5 stars on the CMS overall star rating. The average for Iowa nursing homes is 3.1 stars.
How many inspection citations did Pinnacle Specialty Care receive?
Its most recent standard health inspection found 15 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Pinnacle Specialty Care accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Pinnacle Specialty Care?
It is for profit - corporation and part of Care Initiatives. The ownership section on this page lists the owners and managers reported to CMS.
Where is Pinnacle Specialty Care and how do I contact it?
Pinnacle Specialty Care is at 1223 Prairieview Road, Cedar Falls, IA 50613. Phone: (319) 268-0489.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.