The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
Pinnacle Specialty Care
Cedar Falls, IA · Medicare-certified · 100 beds
In good standing
For-profitChain member
3 of 5 overall
3 out of 5 stars overall. Pinnacle Specialty Care in Cedar Falls, IA has a 3-star health inspection rating, 4-star staffing, and 2-star quality measures; reported nurse staffing is 3.47 hours per resident per day, below the 4.1 federal benchmark, with $0 in fines over the last 24 months.
Facility ratings
Health inspections
Staffing
3.4736 hrs/resident/day
Quality measures
Last inspection: November 19, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4736.
Staffing detail
- Registered nurses
- 0.58
- Licensed practical nurses
- 0.73
- Nurse aides
- 2.16
- Weekend nursing
- 3.23
Hours per resident per day.
Total staff turnover: 32%
Registered nurse turnover: 29%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
28%Improving
Residents with a fall causing major injury
1.8%Worsening
Residents with pressure ulcers (bedsores)
4.1%Improving
Residents with a urinary tract infection
0.4%Worsening
Residents who lost too much weight
5.5%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
21.8%Worsening
Residents whose ability to walk got worse
34.5%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
26.5%Improving
Short-stay residents newly given an antipsychotic
0.2%Steady
Residents with a long-term catheter
1%Worsening
Residents with new or worsening incontinence
22%Improving
Residents with depressive symptoms
5.4%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.3%Worsening
Short-stay residents given the seasonal flu vaccine
95%Steady
Short-stay residents given the pneumonia vaccine
96.1%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: D
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited November 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: D
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited July 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: D
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited July 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — 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 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $8,362 in total fines.
- $8,362
Federal fine
Nov 13, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of CARE INITIATIVES · 43 homes · 3.1 stars avg
- Occupancy
- 90.7 residents on an average day (91% of 100 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.