Skilled Nursing

Pillar of Cedar Valley

1410 West Dunkerton Road, Waterloo, IA 50703

114beds
Skilled Nursingcare types
2/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

2.6h

Hrs/resident · weekday

Expected: 3.8h

3.3h

Hrs/resident · weekend

vs 2.6h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
27%
LPNs
CNAs
36%

Administrator turnover: 0 in the past year

Health Inspection Deficiencies · Last 3 Years

23 standard deficiencies in the last 3 years

View all
0610Severity DDec 23, 2025

Respond appropriately to all alleged violations.

0609Severity DDec 23, 2025

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0600Severity DDec 23, 2025

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0908Severity DNov 17, 2025

Keep all essential equipment working safely.

0760Severity DNov 17, 2025

Ensure that residents are free from significant medication errors.

0695Severity DNov 17, 2025

Provide safe and appropriate respiratory care for a resident when needed.

0689Severity DNov 17, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0688Severity DNov 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.

0656Severity DNov 17, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0640Severity DNov 17, 2025

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

0919Severity DOct 3, 2024

Make sure that a working call system is available in each resident's bathroom and bathing area.

0914Severity DOct 3, 2024

Provide bedrooms that don't allow residents to see each other when privacy is needed.

0913Severity DOct 3, 2024

Provide bedrooms that have direct access to an exit hallway.

0912Severity DOct 3, 2024

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

0880Severity FOct 3, 2024

Provide and implement an infection prevention and control program.

0693Severity DOct 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.

0689Severity DOct 3, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0684Severity DOct 3, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0658Severity DOct 3, 2024

Ensure services provided by the nursing facility meet professional standards of quality.

0577Severity EOct 3, 2024

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

0550Severity DOct 3, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0758Severity DJun 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.

0676Severity DJun 29, 2023

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

BLACK HAWK NURSING AND REHABILITATION LLC· Non profit - Corporation

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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