HomeIowaBlack Hawk CountyPillar of Cedar Valley
D
Poor

Pillar of Cedar Valley

1410 West Dunkerton Road · Waterloo, IA 50703

3192912509 · Non profit - Corporation

114 beds135.7 residents182 staff
CMS Five-Star Ratings
Overall
Staffing
Quality
Inspections
Staffing Grades
D
Poor
Total Staff
C
Below Standard
RN Staff
D
Poor
Overall
CMS Benchmark(≥ 3.48 HPRD)
RN Recommendation(≥ 0.75 HPRD)
Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Pillar of Cedar Valley receives an overall staffing grade of D (Poor). With 2.9544 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4161 HPRD, below the recommended 0.75. It is 0.94 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 18.35% compared to weekdays. The facility has low agency staff usage (5.77% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.9544 HPRD — needs 0.53 more hours per resident per day.
⚠️RN staffing (0.4161 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

Strengths (1)

No days with zero registered nurse hours this quarter
Total Nurse HPRD
2.9544hrs/resident/day 0.94
CMS benchmark: 3.48
RN HPRD
0.4161hrs/resident/day 0.27
Recommended: 0.75
Weekend Drop-off
18.35%
3.116 weekday → 2.5442 weekend
Agency Staff
5.77%
1.08% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.5372hrs/resident/day
Direct care aides
LPN HPRD
0.6451hrs/resident/day
Licensed practical nurses
Consistency
0.3103std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Black Hawk County Average-0.80 HPRD
3.76
02.95 HPRD
vs. Iowa State Average-0.86 HPRD
3.82
02.95 HPRD
vs. National Average-0.94 HPRD
3.90
02.95 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Pillar of Cedar Valley
Waterloo · This facility
D
2.95440.4161★★☆☆☆
Northcrest Specialty Care
Waterloo
4.5 mi
B
3.51190.6999★★☆☆☆
Cedar Falls Health Care Center
Cedar Falls
5.8 mi
C
3.02550.7366★★★☆☆
Pinnacle Specialty Care
Cedar Falls
6.5 mi
C
3.47460.5824★★★☆☆
Harmony Waterloo
Waterloo
7 mi
B
3.51050.6267★★★☆☆
Friendship Village Retirement
Waterloo
7.4 mi
A
5.20740.7867★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
24
Total Deficiencies
$0
Fines Assessed
Dec 23, 2025Health
3 deficiencies cited
Nov 17, 2025Health
7 deficiencies cited
Oct 3, 2024Health
11 deficiencies cited
Jun 29, 2023Health
2 deficiencies cited
Feb 22, 2023Health
1 deficiency cited
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.