nursing home in Waterloo, IA
Pillar of Cedar Valley
1410 West Dunkerton Road, Waterloo, IA 50703 · (319) 291-2509
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★3
- Quality measures★★★★★1
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Pillar of Cedar Valley at a glance
Pillar of Cedar Valley is a 114-bed non-profit nursing home in Waterloo, Iowa (Black Hawk County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Iowa average of 3.1.
Residents receive about 2.9 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (November 17, 2025) found 11 health citations. The Iowa average is 6.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 32.7% per year (state average 44%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 114
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- March 13, 1997
- Resident/family council
- Resident
- County
- Black Hawk County
- CMS Certification Number
- 165307
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 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) | 1 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 3.3 / 5 | 3.8 / 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) | 2.92 hrs | 3.82 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.33 hrs | 0.74 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.90 hrs | 2.52 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.49 hrs | 3.37 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 32.7% | 44% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 28.6% | 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) | 11 | 6 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 4 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 48 | 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) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $19,286 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 114 | 65 | 107 | |
| Average residents per day | 133 | 52 | 86 | |
| Occupancy | 100% | 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) | 2.4% | 3.8% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 4.9% | 4.2% | 4.6% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.6% | 2.4% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.3% | 1.5% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 15.5% | 17.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 13.1% | 16.6% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 4.7% | 4.6% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 25.8% | 4.2% | 12.8% | Worse |
| 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) | 43.1% | 20.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 20% | 25.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 93.3% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 74.7% | 94% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 76.3% | 84% | 82% | Worse |
Inspection citations
State inspectors cited this home for 24 health deficiencies and 15 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 11, 2026 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 July 1, 2026 |
| December 23, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected January 20, 2026 |
| December 23, 2025 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | D Potential harm, isolated | Corrected January 20, 2026 |
| December 23, 2025 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 January 20, 2026 |
| November 17, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | F Potential harm, widespread | Corrected September 10, 2025 |
| November 17, 2025 Fire safety | Meet requirements for the use and maintenance of medical gas equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0922 | D Potential harm, isolated | Corrected September 10, 2025 |
| November 17, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected September 10, 2025 |
| November 17, 2025 Standard | 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 December 1, 2025 |
| November 17, 2025 Standard | 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. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected December 1, 2025 |
| November 17, 2025 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | D Potential harm, isolated | Corrected December 1, 2025 |
| November 17, 2025 Standard | 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 December 1, 2025 |
| November 17, 2025 Standard | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. Resident Assessment and Care Planning Deficiencies · Tag F0640 | D Potential harm, isolated | Corrected December 1, 2025 |
| November 17, 2025 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected December 1, 2025 |
| November 17, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected December 1, 2025 |
| October 3, 2024 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | E Potential harm, pattern | Corrected November 12, 2024 |
| October 3, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected October 9, 2024 |
| October 3, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected October 9, 2024 |
| October 3, 2024 Fire safety | Meet other general requirements. Egress Deficiencies · Tag K0200 | E Potential harm, pattern | Corrected October 16, 2024 |
| October 3, 2024 Fire safety | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Tag K0781 | D Potential harm, isolated | Corrected October 9, 2024 |
| October 3, 2024 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected October 9, 2024 |
| October 3, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected October 31, 2024 |
| October 3, 2024 Standard | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Tag F0577 | E Potential harm, pattern | Corrected October 31, 2024 |
| October 3, 2024 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 October 31, 2024 |
| October 3, 2024 Standard | 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 October 31, 2024 |
| October 3, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected October 31, 2024 |
| October 3, 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 October 31, 2024 |
| October 3, 2024 Standard | 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. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected October 31, 2024 |
| October 3, 2024 Standard | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Tag F0912 | D Potential harm, isolated | Corrected October 31, 2024 |
| October 3, 2024 Standard | Provide bedrooms that have direct access to an exit hallway. Environmental Deficiencies · Tag F0913 | D Potential harm, isolated | Corrected October 31, 2024 |
| October 3, 2024 Standard | Provide bedrooms that don't allow residents to see each other when privacy is needed. Environmental Deficiencies · Tag F0914 | D Potential harm, isolated | Corrected October 31, 2024 |
| October 3, 2024 Standard | 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 October 31, 2024 |
| June 29, 2023 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected August 8, 2023 |
| June 29, 2023 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | F Potential harm, widespread | Corrected August 8, 2023 |
| June 29, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected July 7, 2023 |
| June 29, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected July 7, 2023 |
| June 29, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected July 6, 2023 |
| June 29, 2023 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected July 6, 2023 |
| June 29, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected July 21, 2023 |
| June 29, 2023 Standard | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Tag F0676 | D Potential harm, isolated | Corrected July 21, 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 no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| TAMID WATERLOO LLC Organization | 5% or greater direct ownership interest | 100% | 12/15/2022 |
| TAMID HEALTHCARE NFP Organization | 5% or greater indirect ownership interest | 100% | 12/15/2022 |
| KUZMENKO, MICHAEL Individual | corporate officer | NOT APPLICABLE | 12/15/2022 |
| SHIR, ANATOLIY Individual | corporate officer | NOT APPLICABLE | 12/15/2022 |
| MESSING, MICHAEL Individual | operational/managerial control | NOT APPLICABLE | 12/15/2022 |
| PILLAR SENIOR CARE LLC Organization | operational/managerial control | NOT APPLICABLE | 12/15/2022 |
| TARNOFF, MICHAEL Individual | operational/managerial control | NOT APPLICABLE | 12/15/2022 |
| ARENDS, HILARY Individual | w-2 managing employee | NOT APPLICABLE | 04/03/2022 |
Other nursing homes near Pillar of Cedar Valley
Northcrest Specialty Care
2001Health Street, Waterloo, IA 50703 · 4.5 mi
Non-profit · 94 beds · Part of Care Initiatives
★★★★★2Below averageMartin Health Center, INC
410 East 10th Street, Cedar Falls, IA 50613 · 4.8 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 · 5.8 mi
For-profit · 70 beds · Part of Campbell Street Services
★★★★★1Much below average- ★★★★★2Below average
Pinnacle Specialty Care
1223 Prairieview Road, Cedar Falls, IA 50613 · 6.5 mi
For-profit · 100 beds · Part of Care Initiatives
★★★★★2Below averageThe Suites at Western Home Communities
5301 Caraway Lane, Cedar Falls, IA 50613 · 6.7 mi
Non-profit · 72 beds · Part of Western Home Communities
- CMS high performer
★★★★★5Much above average
Frequently asked questions
What is Pillar of Cedar Valley's rating?
Pillar of Cedar Valley has 1 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 Pillar of Cedar Valley receive?
Its most recent standard health inspection found 11 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Pillar of Cedar Valley 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 Pillar of Cedar Valley?
It is non profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Pillar of Cedar Valley and how do I contact it?
Pillar of Cedar Valley is at 1410 West Dunkerton Road, Waterloo, IA 50703. Phone: (319) 291-2509.
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.