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C
Below Standard

Pinnacle Specialty Care

1223 Prairieview Road · Cedar Falls, IA 50613

3192680489 · For profit - Corporation

100 beds91.5 residents135 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Pinnacle Specialty Care receives an overall staffing grade of C (Below Standard). With 3.4746 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5824 HPRD, below the recommended 0.75. It is 0.42 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 12.24% compared to weekdays. The facility has low agency staff usage (0% 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: 3.4746 HPRD — needs 0.01 more hours per resident per day.
⚠️RN staffing (0.5824 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.4746hrs/resident/day▼ 0.42
CMS benchmark: 3.48
RN HPRD
0.5824hrs/resident/day▼ 0.10
Recommended: 0.75
Weekend Drop-off
12.24%
3.5991 weekday → 3.1585 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.5624hrs/resident/day
Direct care aides
LPN HPRD
0.6986hrs/resident/day
Licensed practical nurses
Consistency
0.2774std 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-0.28 HPRD
3.76
03.47 HPRD
vs. Iowa State Average-0.34 HPRD
3.82
03.47 HPRD
vs. National Average-0.42 HPRD
3.90
03.47 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
Pinnacle Specialty Care ★
Cedar Falls · This facility
—
C
3.47460.5824★★★☆☆
Cedar Falls Health Care Center
Cedar Falls
3.3 mi
C
3.02550.7366★★★☆☆
Harmony House Health Care Center
Waterloo
3.4 mi
B
3.67250.6096★☆☆☆☆
Harmony Waterloo
Waterloo
4.1 mi
B
3.51050.6267★★★☆☆
Friendship Village Retirement
Waterloo
4.6 mi
A
5.20740.7867★★★★★
Ravenwood Specialty Care
Waterloo
4.9 mi
C
3.26430.6668★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
16
Total Deficiencies
$8,362
Fines Assessed
Nov 19, 2025Health
2 deficiencies cited
▼
Jul 24, 2025Health
4 deficiencies cited
▼
Sep 5, 2024Health
4 deficiencies cited
▼
Feb 13, 2024Health
2 deficiencies cited
▼
Nov 13, 2023Health
1 deficiency cited· Includes actual harm
▼
Jun 8, 2023Health
3 deficiencies cited
▼

Penalty History

Nov 13, 2023Fine
$8,362
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.