GoodStanding

Nursing home report

Pillar of Cedar Valley

Waterloo, IA · Medicare-certified · 114 beds

Needs attention
Non-profit
Data as of July 1, 2026
1 of 5 overall

Pillar of Cedar Valley in Waterloo, IA has a 1 out of 5 overall rating, with low quality measures and only a 2-star health inspection rating. Staffing is 3 stars, but reported nurse staffing is 2.92 hours per resident per day, below the 4.1-hour federal benchmark; there were no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

2.917 hrs/resident/day

Quality measures

Last inspection: December 23, 2025Penalties, last 24 months: $0lowest overall rating

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.917.

Staffing detail

Registered nurses
0.33
Licensed practical nurses
0.69
Nurse aides
1.90
Weekend nursing
2.49

Hours per resident per day.

Total staff turnover: 33%
Registered nurse turnover: 29%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Residents with a fall causing major injury

3.7%0.8%Improving

Residents with pressure ulcers (bedsores)

3.9%7.5%Worsening

Residents with a urinary tract infection

0%0.8%Worsening

Residents who lost too much weight

3.2%5%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

13.8%17.9%Worsening

Residents whose ability to walk got worse

13.5%12.6%Improving

Long-stay residents on antianxiety or sleep medication

42.7%42.2%Improving

Residents with a long-term catheter

1.7%1.4%No change

Residents with new or worsening incontinence

15.9%24.8%Worsening

Residents with depressive symptoms

21.9%33.3%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

93.3%

Long-stay residents given the pneumonia vaccine

70.1%75.9%Improving

Short-stay residents given the pneumonia vaccine

76.3%

What the inspectors found

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited October 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: F

The nursing home failed to make survey results easy for residents to see and to help them contact advocate agencies. Cited October 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 577 — 42 CFR §483.10 — S/S: E

The nursing home failed to protect residents from abuse and neglect by others. Cited December 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: D

The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited December 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 609 — 42 CFR §483.12 — S/S: D

The home failed to respond appropriately to all reported abuse or neglect concerns. Cited December 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 610 — 42 CFR §483.12 — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 11 health deficiencies.

    See what inspectors found

Operator & ownership

Recent ownership change · Jan 1, 2019

Now operated by Pillar of Cedar Valley, previously Country View.

Ownership
Non profit - Corporation
Occupancy
133.2 residents on an average day (117% of 114 beds)
Resident voice
Resident council
Medicare history
Certified for 29 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.