Pillar of Cedar Valley in Waterloo, IA has a 2 out of 5 overall rating, with a 2-star health inspection rating and 3-star staffing rating. Reported nurse staffing is 2.91 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.
Last inspection: December 23, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9143.
Staffing detail
Registered nurses
0.35
Licensed practical nurses
0.67
Nurse aides
1.90
Weekend nursing
2.55
Hours per resident per day.
Total staff turnover: 36%
Registered nurse turnover: 27%
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).
Last yrNowTrend
Residents with a fall causing major injury
3.1%2.2%Improving
Residents with pressure ulcers (bedsores)
0%4.4%Worsening
Residents with a urinary tract infection
0%0.8%Worsening
Residents who lost too much weight
2.5%6.2%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10.3%13.6%Worsening
Residents whose ability to walk got worse
5.1%12.8%Worsening
Long-stay residents on antianxiety or sleep medication
42.1%43.5%Worsening
Residents with a long-term catheter
0.9%1.4%Worsening
Residents with new or worsening incontinence
21.7%20.5%Improving
Residents with depressive symptoms
24.8%26%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—93.3%—
Long-stay residents given the pneumonia vaccine
65.9%76.9%Improving
Short-stay residents given the pneumonia vaccine
—79.5%—
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.
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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.
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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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
Operator & ownership
Ownership
Non profit - Corporation
Occupancy
134.8 residents on an average day (118% 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.