Nursing home
Pillar of Cedar Valley
1410 West Dunkerton Road, Waterloo, IA 50703 · Map
Non profit - Corporation · 114 certified beds
Pillar of Cedar Valley is a Medicare-certified nursing home in Waterloo, Iowa. CMS rates it 2 out of 5 stars overall (4/5 for staffing, 2/5 for health inspections). Nurse staffing is 2.95 hours per resident per day, below the Iowa average of 3.83. Its most recent inspection on Nov 17, 2025 cited 10 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Pillar of Cedar Valley compares
This facility vs. the Iowa and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Iowa avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.95 | 3.83 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.42 | 0.73 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.89 | 2.53 | 2.34 | below avg |
| Nursing staff turnover | 40.0% | 43.9% | 46.4% | below avg |
| Deficiencies cited, last inspection | 10.0 | 6.2 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Pillar of Cedar Valley
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 23, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 23, 2025 · Full report (PDF) - Potential for harm
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 · Dec 23, 2025 · Full report (PDF) - Potential for harm
Keep all essential equipment working safely.
Environmental Deficiencies · Nov 17, 2025 · Full report (PDF) - Potential for harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Nov 17, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Nov 17, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Nov 17, 2025 · Full report (PDF) - Potential for harm
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 · Nov 17, 2025 · Full report (PDF) - Potential for harm
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 · Nov 17, 2025 · Full report (PDF) - Potential for harm
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning Deficiencies · Nov 17, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Oct 3, 2024 · Full report (PDF) - Potential for harm
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies · Oct 3, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1410 West Dunkerton Road
Waterloo, IA 50703 - CMS certification #
- 165307
- Ownership
- Non profit - Corporation
- Certified beds
- 114
- Avg residents/day
- 135.7
- Provider type
- Medicare and Medicaid
- First certified
- 1997-03-13
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Pillar of Cedar Valley using Google Maps.
Other public records
- Staff pay 2 federal wage cases with violations found, since 2020
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for May 14, 2022 to May 13, 2024. Violations found: Overtime. Back wages: $70,030 owed to 108 employees. Employer as DOL recorded it: Pillar of Cedar Valley (Blackhawk Nursing and Rehabilitation LLC). Case 1993769.
- Findings for Sep 15, 2020 to Oct 8, 2020. Violations found: Family and medical leave. Employer as DOL recorded it: Pillar Of Cedar Valley (Black Hawk Nursing and Rehabilitation, LLC). Case 1922929.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Allen Hospital, Waterloo. 3.4 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Northcrest Specialty Care, Waterloo. 4.5 miles away, straight line.
- Nearest home health agency office
- Open Arms Home Health Care - Waterloo, LLC, Waterloo. 4.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Hy-Vee Pharmacy. 3.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 50703 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Cedar Valley Dialysis, Waterloo, 7.1 miles away, straight line (CMS rating 4 of 5 stars)
Davita Black Hawk Dialysis, Waterloo, 7.4 miles away, straight line (CMS rating 4 of 5 stars)
Davita Cedar Valley Waverly Dialysis, Waverly, 12.2 miles away, straight line (CMS rating 3 of 5 stars) - Hospice
- 6 Medicare hospices tell CMS they serve ZIP code 50703.
Unitypoint Hospice, office in Waterloo, 4.9 miles away, straight line (CMS family survey rating 3 of 5 stars)
Cedar Valley Hospice, office in Waterloo, 7.9 miles away, straight line (CMS family survey rating 5 of 5 stars)
Care Initiatives Hospice - Cedar Falls, office in Cedar Falls, 8.0 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Joseph Hoagbin, MD, Marshalltown. 46.1 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire relatively low, tornado relatively high, heat wave very low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Pillar of Cedar Valley a good nursing home?
CMS gives Pillar of Cedar Valley an overall rating of 2 out of 5 stars, including 4/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Pillar of Cedar Valley staffed?
Pillar of Cedar Valley reports 2.95 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has Pillar of Cedar Valley had inspection problems?
Its most recent CMS inspection cited 10 deficiencies.
How many beds does Pillar of Cedar Valley have?
Pillar of Cedar Valley is certified for 114 beds.