Pillar of Cedar Valley
1410 West Dunkerton Road · Waterloo, IA · 50703 · 3192912509
114 certified beds Non profit - Corporation
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Total nurse staffing below 3.0 hours per resident-day
2.91 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: not rated
| Total nurse hours / resident-day | 2.91 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.35 | 0.55–0.75 |
| Weekend hours / resident-day | 2.55 | ≈ weekday level |
| Nursing turnover / year | 36% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (23 in the current record)
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Potential for harm · D December 23, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 23, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 23, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 17, 2025
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected December 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 17, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 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.
Corrected December 1, 2025 · Quality of Life and Care
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Potential for harm · D November 17, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 1, 2025 · Quality of Life and Care
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Potential for harm · D November 17, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 1, 2025 · Quality of Life and Care
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Potential for harm · D November 17, 2025
Ensure that residents are free from significant medication errors.
Corrected December 1, 2025 · Pharmacy Service
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Potential for harm · D November 17, 2025
Keep all essential equipment working safely.
Corrected December 1, 2025 · Environmental
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Potential for harm · D October 3, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 31, 2024 · Resident Rights
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Potential for harm · E October 3, 2024
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected October 31, 2024 · Resident Rights
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Potential for harm · D October 3, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 31, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 3, 2024
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.
Corrected October 31, 2024 · Quality of Life and Care
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Potential for harm · F October 3, 2024
Provide and implement an infection prevention and control program.
Corrected October 31, 2024 · Infection Control
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Potential for harm · D October 3, 2024
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected October 31, 2024 · Environmental
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Potential for harm · D October 3, 2024
Provide bedrooms that have direct access to an exit hallway.
Corrected October 31, 2024 · Environmental
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Potential for harm · D October 3, 2024
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Corrected October 31, 2024 · Environmental
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Potential for harm · D October 3, 2024
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected October 31, 2024 · Environmental
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Potential for harm · D October 3, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 31, 2024 · Quality of Life and Care
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Potential for harm · D October 3, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 31, 2024 · Quality of Life and Care
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Potential for harm · D June 29, 2023
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected July 21, 2023 · Quality of Life and Care
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Potential for harm · D June 29, 2023
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.
Corrected July 21, 2023 · Pharmacy Service
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165307 · certified since March 13, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.