Occupancy rate
119%
In line with Iowa averageMostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
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Nursing Home
Pillar of Cedar Valley
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
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
114
This home is often near full
That suggests steady demand, but availability may be limited.
Occupancy rate
119.3%
Residents per day (avg)
136
Occupancy rate
119.3%
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 community
Operated by county authorities.
Home revenue
$20.1M
Surplus of revenue
$1.1M
Governmental community
Operated by county authorities.
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
In line with Iowa averageOccupied beds
136 / 114
Average residents
51 per day
License details
Facility type
Free Standing Nf/snf
Status
Active
Issuance
October 28, 1985
County:
Black Hawk
Additional licensing details
License number:
70529
CMS Certification Number:
165307
Certification type:
FALSE
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
Show Inspection Reports
Latest inspection
Date:December 23, 2025
60 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for Pillar of Cedar Valley
The most recent inspection on December 23, 2025, identified deficiencies related to failure to protect residents from resident-to-resident abuse, untimely reporting of abuse incidents, and inadequate investigation and intervention following these events. Earlier inspections showed a pattern of various deficiencies including issues with resident care, medication management, infection control, and safety, with some substantiated complaints involving abuse and neglect. Prior reports noted problems such as failure to follow care plans, unsafe storage of hazardous tools, expired medication administration, and environmental sanitation concerns. Several complaint investigations were conducted over time, most of which were unsubstantiated, though some substantiated complaints involved abuse, neglect, and environmental safety. The inspection history indicates ongoing challenges with resident protection and care practices, with recent findings continuing concerns noted in prior surveys.
Health Inspection History
Inspections
Total health inspections
4
Iowa average 4.9
Last Health inspection on Nov 2025
Total health citations
21
Iowa average 21.7
Citations per inspection
5.25
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
18 of 21 citations resulted from standard inspections; 1 of 21 resulted from complaint investigations; and 2 of 21 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
0
0
100% better than Iowa averageIowa average: 0.9
0 critical citations
0 serious citations
21 moderate citations
0 minor citations
Citations history (last 3 years)
Environmental moderate citation
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Nov 17, 2025
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Nov 17, 2025
Corrected
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Nov 17, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Nov 17, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 17, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 17, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 17, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Nov 17, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Akron Care Center, INC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Akron
45
98.1%
+30%
4.71
+10%
0
4
0
42
City Of Akron
$4,7M
$2,1M
46.1%
165595
Accura HealthCare of Carlisle
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Carlisle
46
80.5%
+7%
5.85
+36%
0
17
2
39
American Healthcare Associates Inc
$4,1M
$2,5M
59.9%
165311
Pillar of Cedar Valley
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Waterloo
200
89.8%
+19%
3.85
-10%
0
21
0
136
Tamid Waterloo Llc
$20,0M
$7,5M
37.6%
165307
Accura Healthcare of Spirit Lake
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Spirit Lake
85
66.6%
-12%
4.29
0%
1
21
1
65
-
$7,1M
$3,0M
42.7%
165528
Accura Healthcare of Lake City, LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Lake City
46
70.4%
-7%
5.17
+20%
4
39
4
40
Accura Healthcare Of The Heartland Llc
$2,0M
$1,0M
47.4%
165082
Places of interest near Pillar of Cedar Valley
Waterloo, IA 507039626
Waterloo, IA 507039626
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
188
Employees
147
Contractors
41
Staff to resident ratio
1.42:1
29% worse than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
81
Average shift
7.8 hours
5% better than Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
57,165
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
14
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
16
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
67
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
6.9%
3,955 contractor hours this quarter
Certified Nursing Assistant: 7
Physical Therapy Aide: 7
Licensed Practical Nurse: 6
Physical Therapy Assistant: 5
Speech Language Pathologist: 4
Registered Nurse: 3
Respiratory Therapy Technician: 3
Qualified Social Worker: 3
Occupational Therapy Aide: 1
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
| 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 |
67 Certified Nursing Assistant
% of Days
100%
36 Diagnostic X-ray Services Staff
% of Days
100%
16 Licensed Practical Nurse
% of Days
100%
14 Registered Nurse
% of Days
100%
14 Medication Aide/Technician
% of Days
100%
4 Dietitian
% of Days
98%
5 Mental Health Service Worker
% of Days
75%
4 Administrator
% of Days
74%
2 Clinical Nurse Specialist
% of Days
70%
1 Nurse Practitioner
% of Days
66%
1 Occupational Therapy Aide
% of Days
74%
3 Respiratory Therapy Technician
% of Days
58%
5 Physical Therapy Assistant
% of Days
65%
3 Qualified Social Worker
% of Days
51%
7 Physical Therapy Aide
% of Days
44%
4 Speech Language Pathologist
% of Days
26%
1 Occupational Therapy Assistant
% of Days
3%
1 Medical Director
% of Days
1%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
132 residents
Residents by payment source
Medicaid
130 residents (98.5%)
Private pay or other
2 residents (1.5%)
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.8
33% better than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.7
27% better than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
14.7%
Percent of long-stay residents whose need for help with daily activities has increased
14.7%
22% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
12.8%
Percent of long-stay residents whose ability to move independently worsened
12.8%
35% better than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.4%
26% better than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.1%
Percent of long-stay residents experiencing one or more falls with major injury
2.1%
42% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.3%
Percent of long-stay high risk residents with pressure ulcers
1.3%
70% better than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.2%
Percent of long-stay residents with a urinary tract infection
0.2%
92% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.1%
Percent of long-stay residents who lose too much weight
3.1%
39% better than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
17.7%
Percent of long-stay residents who have depressive symptoms
17.7%
357% worse than Iowa averageIowa average: 3.9%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
65.6%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
65.6%
31% worse than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.3%
In line with Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
68.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
68.2%
20% worse than Iowa averageIowa average: 85.1%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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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