2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Owned by Tamid Waterloo LLC, Pillar of Cedar Valley is a skilled nursing facility in Iowa. The 114-bed home specializes in rehabilitation services. It also serves residents with psychiatric care needs and intellectual disabilities through its ICF/PMI programs. Operating for 40 years, the facility has established itself as a long-standing option for post-acute rehabilitation and long-term skilled nursing care. The community has 100% occupancy rate and accepts Medicare, Medicaid, and private pay, giving residents and families several options for covering care.
Daily nurse staffing averages 3 hours and 51 minutes per resident. Registered nurses provide about 21 minutes of care each day, while nurse aides contribute 1 hour and 54 minutes. This staffing structure supports skilled nursing oversight and hands-on assistance with daily activities. The facility’s experience in psychiatric care and services for residents with intellectual disabilities provides specialized support that is not available in every nursing home.
State inspections have identified areas of focus about resident safety protocols, abuse response procedures, medication administration practices, and environmental safety management. The facility has submitted corrective action plans addressing these concerns, showing its efforts to improve care delivery in these critical areas.
Amenities on-site include a large community center, fine dining in a glass-roof dining room, regular church services, and day trips that encourage resident engagement. Complimentary transportation, a beauty shop, concierge services, and high-speed Wi-Fi are also available. The surrounding neighborhood has a Walk Score of 83. It’s highly walkable, so visiting family members can run many errands on foot.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 21m per day | ▼ 53% State avg: 44m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 40m per day | ▲ 18% State avg: 34m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 54m per day | ▼ 25% State avg: 2h 32m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 33m per day | ▼ 24% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 1m per day | ▼ 53% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 8m per day | ▼ 73% State avg: 30m per day · National avg: 28m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Higher than the Iowa average: 75.4%Pillar of Cedar Valley is administered by Kersten Kelinlein.
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.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 85 | 27 | This facility has 215% more total deficiencies than a typical Iowa assisted living residence (85 vs. IA avg 27).↑ 215% worse |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 14.2 | 4.5 | This facility has 216% more deficiencies per year than a typical Iowa assisted living residence (14.2 vs. IA avg 4.5).↑ 216% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 2.2 | 1.8 | This facility has 22% more deficiencies per inspection than a typical Iowa assisted living residence (2.2 vs. IA avg 1.8).↑ 22% worse |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 38 | 15 | This facility has had 153% more total inspections than the Iowa average (38 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↑ 153% more |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
State average N/A
Last Health inspection on Nov 2025
State average N/A
State average N/A
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).
In line with State averageState average: N/A
In line with State averageState average: N/A
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
9 total: 8 full-time employees and 1 contractor.
9
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursAssists with medical care and medications.
18 total: 13 full-time employees and 5 contractors.
18
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursHelps with daily care and mobility.
73 total: 66 full-time employees and 7 contractors.
73
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,078 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 66 | 7 | 73 | 19,851 | 92 | 100% | 7.2 |
| Diagnostic X-ray Services Staff | 35 | 0 | 35 | 14,601 | 92 | 100% | 7.9 |
| Licensed Practical Nurse | 13 | 5 | 18 | 7,449 | 92 | 100% | 8.9 |
| Medication Aide/Technician | 12 | 0 | 12 | 3,716 | 92 | 100% | 7.9 |
| Registered Nurse | 8 | 1 | 9 | 3,002 | 92 | 100% | 7.7 |
| Dietitian | 5 | 0 | 5 | 1,701 | 83 | 90% | 6.8 |
| Mental Health Service Worker | 4 | 0 | 4 | 1,647 | 69 | 75% | 8 |
| Administrator | 3 | 0 | 3 | 1,536 | 65 | 71% | 8.3 |
| RN Director of Nursing | 0 | 3 | 3 | 833 | 76 | 83% | 9.1 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 833 | 64 | 70% | 7.6 |
| Nurse Practitioner | 1 | 0 | 1 | 472 | 59 | 64% | 8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 314 | 42 | 46% | 7.5 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 194 | 47 | 51% | 4.1 |
| Physical Therapy Assistant | 0 | 4 | 4 | 177 | 47 | 51% | 3.3 |
| Qualified Social Worker | 0 | 1 | 1 | 168 | 30 | 33% | 5.6 |
| Physical Therapy Aide | 0 | 8 | 8 | 157 | 52 | 57% | 2.9 |
| Speech Language Pathologist | 0 | 4 | 4 | 82 | 20 | 22% | 4.1 |
| Medical Director | 0 | 1 | 1 | 1 | 1 | 1% | 1 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 State averageState average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
15.7
27% better than State averageState average: 21.6
Percent of long-stay residents whose need for help with daily activities has increased
14.7%
22% better than State averageState average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
12.8%
35% better than State averageState average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.4%
26% better than State averageState average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
2.1%
42% better than State averageState average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
1.3%
70% better than State averageState average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.2%
92% better than State averageState average: 2.5%
Percent of long-stay residents who lose too much weight
3.1%
39% better than State averageState average: 5.0%
Percent of long-stay residents who have depressive symptoms
17.7%
357% worse than State averageState average: 3.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
65.6%
31% worse than State averageState average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
93.3%
In line with State averageState average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
1.50
In line with State averageState average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.48
19% worse than State averageState average: 2.09
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
68.2%
20% worse than State averageState average: 85.1%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
16% of new residents, usually for short-term rehab.
23% of new residents, often for short stays.
61% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
132Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Pillar of Cedar Valley from 2012–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #21 / 246Payroll — State benchmarkedThis home is ranked 21st out of 246 homes in Iowa for Payroll. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #216 / 246Payroll % — State benchmarkedThis home is ranked 216th out of 246 homes in Iowa for Payroll %. Shows payroll as a percentage of revenue versus the Iowa average. Well-run Iowa facilities typically land around 61–69% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Iowa that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents stay for extended periods and receive ongoing daily care.
Most new residents arrive under Medicaid (61% of admissions), and a typical Medicaid stay runs around 6 years.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Waterloo's city center to Pillar of Cedar Valley's address, calculated via Google Maps.
Add your location
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| Bethany Home Retirement Center | NH IL MC SNF | Dubuque (Eagle Point District) | - | 66 | - | 69 | 1 Bed / 2 Bed |
| Sunrise Retirement Community | NH AL IL MC RC SNF | Sioux City | - | 74 | A+ | 22 | Studio |
| Green Hills Retirement Community | NH AL IL MC SNF | Ames (Hamilton Drive) | - | 56 | - | 18 | 1 Bed / 2 Bed |
| Meth Wick Community | NH AL IL MC RC SNF | Cedar Rapids (The Meth-Wick Community) | - | 69 | - | 23 | - |
| Pillar of Cedar Valley | NH HOS RC SNF | Waterloo | - | 114 | - | 83 | - |
Pillar of Cedar Valley has a walk score of 83. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to IA state health department records, Pillar of Cedar Valley's license number is 70529.
Pillar of Cedar Valley's occupancy is 100%.
No, Pillar of Cedar Valley has a no-pet policy.
The team at Pillar of Cedar Valley can be reached at kkleinlein@pillarcv.com.
Pillar of Cedar Valley is registered as a non-profit in IA.
Kersten Kelinlein is the administrator of Pillar of Cedar Valley.
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
