Show Inspection Reports
Total Health inspections
4
18% below Iowa average
Iowa average:
4.9
Last Health inspection on Nov 2025
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Pillar of Cedar Valley
Pillar of Cedar Valley is a Nursing Home in Iowa
Pillar of Cedar Valley is a Nursing Home in Iowa
Pillar of Cedar Valley
Pillar of Cedar Valley is a Nursing Home in Iowa
Pillar of Cedar Valley is a Nursing Home in Iowa
Pillar of Cedar Valley is a post-acute care facility located in Waterloo, Iowa. It provides specialized services tailored to meet the specific needs of residents, including rehabilitation and nursing services. The facility emphasizes a commitment to quality resident-centered care and community involvement.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
114
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
89.8%
Residents per day (avg)
136
Occupancy rate
89.8%
Residents per day (avg)
136
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Long-term daily care
Ongoing support needs
Breakdown by payment type
Medicare
16% of new residents, usually for short-term rehab.
Typical stay
2 months
Private pay
23% of new residents, often for short stays.
Typical stay
6 - 7 months
Medicaid
61% of new residents, often for long-term daily care.
Typical stay
6 years
Finances and operations
Governmental home
County
Home revenue
$20.1M
Surplus of revenue
$1.1M
Governmental home
County
Home revenue
$20,093,905.00
Surplus of revenue
$1,127,470.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$7.5M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$11.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$19.0M
114-bed community
A larger shared setting that may offer more common spaces and organized community services.
40 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
About this community
Occupancy Rate
119%
Occupied Beds
136 of 114
Percentage of available beds currently in use by residents.
License Status
ActiveFacility Type
Free Standing NF/SNF
License Date
October 28, 1985
Additional licensing details
License number:
70529
CMS Certification Number:
165307
Certification type:
FALSE
County:
Black Hawk
Ownership & operating entity
Pillar of Cedar Valley is administrated by Kersten Kelinlein.
Care Services
Nursing Services
Rehabilitation Services
Licensed Nurses/CNAs
Contact Information
Email:
[email protected]
Fax:
3192912570
Amenities & Lifestyle
Programs & Activities
Specific Programs
Rehabilitation, Nursing Services, ICF/PMI Psychiatric Care, Intellectual Disabilities
Religious Services
Regular church services and visiting chaplain.
Dining & Nutrition
Food Description
Fine dining in a large community-style glass-roof dining room.
Inspection History
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
38 visits/inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Latest inspection
Date:December 23, 2025
60 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Compare Nursing Homes around Iowa
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Akron Care Center, INC
+15%
+10%
+30%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 510017716
45
No
CITY OF AKRON
98.1%
$4,650,730.00
$2,144,112.00
46.1%
42.00
4.7098
-
4
-
+15%+10%+30%
Accura HealthCare of Carlisle
-40%
+36%
+7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 500478733
46
No
AMERICAN HEALTHCARE ASSOCIATES INC
80.5%
$4,098,046.00
$2,453,646.00
59.9%
38.90
5.8515
-
17
2
-40%+36%+7%
Pillar of Cedar Valley
-36%
-10%
+19%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 507039626
200
No
TAMID WATERLOO LLC
89.8%
$19,973,672.00
$7,514,334.00
37.6%
136.30
3.8549
-
21
-
-36%-10%+19%
Accura Healthcare of Spirit Lake
-8%
-12%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 513601000
85
No
-
66.6%
$7,053,735.00
$3,009,392.00
42.7%
65.20
4.2922
1
21
1
-8%
0%
-12%
Accura Healthcare of Lake City, LLC
-33%
+20%
-7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 514499701
46
No
ACCURA HEALTHCARE OF THE HEARTLAND LLC
70.4%
$2,045,587.00
$969,532.00
47.4%
39.80
5.1665
4
39
4
-33%+20%-7%
Akron Care Center, INC
Type of care:
SNF
AL
Community:
IA 510017716
Bed Count:
45
Pets Allowed:
No
Operator:
CITY OF AKRON
CCN:
165595
Occupancy:
98.1%
Home Revenue:
$4,650,730.00
Payroll Costs:
$2,144,112.00
Payroll %:
46.1%
Avg Residents/Day:
42.00
Overall Rating:
Adj Nurse Hours:
4.7098
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
+15%
+15%
Staffing vs State Avg:
+10%
+10%
Occupancy vs State Avg:
+30%
+30%
Accura HealthCare of Carlisle
Type of care:
SNF
AL
Community:
IA 500478733
Bed Count:
46
Pets Allowed:
No
Operator:
AMERICAN HEALTHCARE ASSOCIATES INC
CCN:
165311
Occupancy:
80.5%
Home Revenue:
$4,098,046.00
Payroll Costs:
$2,453,646.00
Payroll %:
59.9%
Avg Residents/Day:
38.90
Overall Rating:
Adj Nurse Hours:
5.8515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
17
Severe Citations:
2
RN share vs State Avg:
-40%
-40%
Staffing vs State Avg:
+36%
+36%
Occupancy vs State Avg:
+7%
+7%
Pillar of Cedar Valley
Type of care:
SNF
AL
Community:
IA 507039626
Bed Count:
200
Pets Allowed:
No
Operator:
TAMID WATERLOO LLC
CCN:
165307
Occupancy:
89.8%
Home Revenue:
$19,973,672.00
Payroll Costs:
$7,514,334.00
Payroll %:
37.6%
Avg Residents/Day:
136.30
Overall Rating:
Adj Nurse Hours:
3.8549
Health Insp Rating:
Staffing Rating:
Citations:
21
RN share vs State Avg:
-36%
-36%
Staffing vs State Avg:
-10%
-10%
Occupancy vs State Avg:
+19%
+19%
Accura Healthcare of Spirit Lake
Type of care:
SNF
AL
Community:
IA 513601000
Bed Count:
85
Pets Allowed:
No
CCN:
165528
Occupancy:
66.6%
Home Revenue:
$7,053,735.00
Payroll Costs:
$3,009,392.00
Payroll %:
42.7%
Avg Residents/Day:
65.20
Overall Rating:
Adj Nurse Hours:
4.2922
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
21
Severe Citations:
1
RN share vs State Avg:
-8%
-8%
Staffing vs State Avg:
0%
Occupancy vs State Avg:
-12%
-12%
Accura Healthcare of Lake City, LLC
Type of care:
SNF
AL
Community:
IA 514499701
Bed Count:
46
Pets Allowed:
No
Operator:
ACCURA HEALTHCARE OF THE HEARTLAND LLC
CCN:
165082
Occupancy:
70.4%
Home Revenue:
$2,045,587.00
Payroll Costs:
$969,532.00
Payroll %:
47.4%
Avg Residents/Day:
39.80
Overall Rating:
Adj Nurse Hours:
5.1665
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
4
Citations:
39
Severe Citations:
4
RN share vs State Avg:
-33%
-33%
Staffing vs State Avg:
+20%
+20%
Occupancy vs State Avg:
-7%
-7%Places of interest near Pillar of Cedar Valley
Waterloo, IA 507039626
Waterloo, IA 507039626
Calculate Travel Distance to Pillar of Cedar Valley
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
188
Total Staff
147
Employees
41
Contractors
57,165
Total Hours (Quarter)
81
Avg Staff/Day
7.8
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 14 | 8.2 | Yes |
| Licensed Practical Nurse | 16 | 8.9 | Yes |
| Certified Nursing Assistant | 67 | 7.6 | Yes |
Staff by Category
Administration ⓘ
5 staff
8.1hs shift avg
Nursing Staff ⓘ
111 staff
7.9hs shift avg
Physicians & Practitioners ⓘ
3 staff
7.7hs shift avg
Therapy Services ⓘ
21 staff
4.2hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
3 staff
5.3hs shift avg
Dietary Services ⓘ
4 staff
6.7hs shift avg
Other Services ⓘ
41 staff
8hs shift avg
Contractor Analysis
6.9%
of total hours from contractors
3,955 contractor hours this quarter
Licensed Practical Nurse: 6
Certified Nursing Assistant: 7
Registered Nurse: 3
Physical Therapy Aide: 7
Respiratory Therapy Technician: 3
Qualified Social Worker: 3
Physical Therapy Assistant: 5
Occupational Therapy Aide: 1
Speech Language Pathologist: 4
Medical Director: 1
Occupational Therapy Assistant: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 60 | 7 | 67 | 18,698 | 91 | 100% | 7.6 |
| Diagnostic X-ray Services Staff | 36 | 0 | 36 | 14,755 | 91 | 100% | 8 |
| Licensed Practical Nurse | 10 | 6 | 16 | 7,270 | 91 | 100% | 8.9 |
| Registered Nurse | 11 | 3 | 14 | 4,625 | 91 | 100% | 8.2 |
| Medication Aide/Technician | 14 | 0 | 14 | 4,224 | 91 | 100% | 7.9 |
| Dietitian | 4 | 0 | 4 | 1,666 | 89 | 98% | 6.7 |
| Mental Health Service Worker | 5 | 0 | 5 | 1,629 | 68 | 75% | 7.7 |
| Administrator | 4 | 0 | 4 | 1,553 | 67 | 74% | 8.1 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 865 | 64 | 70% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 330 | 67 | 74% | 4.9 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 265 | 53 | 58% | 5 |
| Physical Therapy Assistant | 0 | 5 | 5 | 249 | 59 | 65% | 3.9 |
| Qualified Social Worker | 0 | 3 | 3 | 244 | 46 | 51% | 5.3 |
| Physical Therapy Aide | 0 | 7 | 7 | 195 | 40 | 44% | 3.1 |
| Speech Language Pathologist | 0 | 4 | 4 | 64 | 24 | 26% | 2.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 54 | 3 | 3% | 17.8 |
| Medical Director | 0 | 1 | 1 | 1 | 1 | 1% | 1 |
Health Inspection History
Total Health citations
21
Near Iowa average
Iowa average:
21.7
5.25 citations per inspection (avg)
Citations origin
Citations can result from standard inspections or complaint-based investigations.
Standard inspections
20 citations
Complaint investigations
3 citations
Breakdown of citations
Critical Health citations
0
100% below Iowa average
Iowa average:
0.6
Serious Health citations
0
100% below Iowa average
Iowa average:
0.9
Moderate Health citations
21
Minor Health citations
0
Citations history (last 3 years)
Environmental moderate citation
Nov 17, 2025
Corrected
Pharmacy moderate citation
Nov 17, 2025
Corrected
Quality of Care moderate citation
Nov 17, 2025
Corrected
Quality of Care moderate citation
Nov 17, 2025
Corrected
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: Non-Profit Corporation
Part of: Provident Healthcare
Resident Census by Payment Source
132
Total Residents
Medicaid
130
(98.5%)
ⓘ
Private Pay/Other
2
(1.5%)
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
6.8
33% better than Iowa average
Iowa average:
10.2
Functional decline score
15.7
27% better than Iowa average
Iowa average:
21.6
Long-Stay Resident Measures
Daily care & independence
Need for Help with Daily Activities Increased
14.7%
22% below Iowa average.
Walking Ability Worsened
12.8%
35% below Iowa average.
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
19.4%
26% below Iowa average.
Safety & clinical stability
Falls with Major Injury
2.1%
42% below Iowa average.
High Risk Residents with Pressure Ulcers
1.3%
70% below Iowa average.
Urinary Tract Infection
0.2%
92% below Iowa average.
Emotional & behavioral wellbeing
Depressive Symptoms
17.7%
357% above Iowa average.
Preventive care
Pneumococcal Vaccine
65.6%
31% below Iowa average.
Influenza Vaccine
93.3%
2% below Iowa average.
Nutrition & physical health
Lost Too Much Weight
3.1%
39% below Iowa average.Short-stay resident measures
Pneumococcal Vaccine
68.2%
20% worse than Iowa average Financial Trends
Historical financial and operational data for Pillar of Cedar Valley based on CMS SNF Cost Reports.
Occupancy Rate
89.8%
↑ 2.7pp vs 2022
Net Income
$1,127,470
↑ ~$2.3M vs 2022
Total Payroll
$8,290,190
↓ ~$951K vs 2022
Profit Margin
5.6%
↑ 12.2pp vs 2022
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