Cedar Falls Health Care Center

Name: Cedar Falls Health Care Center
Address: 1728 West Eighth Street, Cedar Falls, IA, 50613, US
Telephone: 3192772437

1728 West Eighth Street, Cedar Falls, IA 50613 · Black Hawk County · 70 certified beds · avg 44 residents/day · certified since Jan 1, 1994

Part of chain: CAMPBELL STREET SERVICES (22 facilities, chain avg rating 2.1★)

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.60

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Jan 8, 2026 · F-0880

The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Why it matters: Weak infection control lets illnesses like flu, COVID-19, and drug-resistant infections spread quickly among vulnerable residents.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jan 21, 2026 (Deficient, Provider has date of correction)

All citations in the current public record (33)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jan 8, 2026	▲ G · Actual harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 8, 2026	E · Potential for harm, repeated	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.
Jan 8, 2026	E · Potential for harm, repeated	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Jan 8, 2026	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Jan 8, 2026	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jan 8, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jan 8, 2026	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
Jan 8, 2026	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jan 8, 2026	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Jan 8, 2026	D · Potential for harm, one-off	The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them.
Dec 1, 2025	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Dec 1, 2025	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Mar 26, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Feb 13, 2025	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
Dec 12, 2024	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Dec 12, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Dec 12, 2024	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Dec 12, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Oct 1, 2024	E · Potential for harm, repeated	The facility did not provide its staff with training in compliance and ethics — teaching employees the laws and ethical standards that govern how residents must be treated. · from a complaint
Aug 14, 2024	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Aug 14, 2024	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint
Jul 3, 2024	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
Jul 3, 2024	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Jul 3, 2024	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Feb 22, 2024	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Feb 22, 2024	D · Potential for harm, one-off	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave.
Feb 22, 2024	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Feb 22, 2024	D · Potential for harm, one-off	The facility did not notify the appropriate authorities when a resident with a mental disorder or intellectual disability had a significant change in condition.
Feb 22, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Feb 22, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Feb 22, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Feb 22, 2024	D · Potential for harm, one-off	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status.
Sep 12, 2023	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (4 → 10).

Year	Citations	Serious (G–L)	Worst severity that year
2023	1	0	D
2024	18	0	E
2025	4	0	D
2026	10	1	G ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

0 fines totaling $0, plus 1 Medicare payment denial period.

Date	Type	Amount / length
Jan 8, 2026	Payment Denial	12 days from Feb 5, 2026

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Iowa avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.60	4.37	3.95	bottom 13% in Iowa; bottom 42% in the U.S.
Registered Nurse hours	0.70	0.85	0.69	bottom 35% in Iowa; top 37% in the U.S.
Weekend total nurse staffing	3.29	3.86	3.50	bottom 23% in Iowa; bottom 47% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.23	0.51	0.48	bottom 3% in Iowa; bottom 17% in the U.S.
Total nursing staff turnover (%)	43.8	44.0	45.8	bottom 45% in Iowa; top 47% in the U.S.
RN turnover (%)	33.3	42.1	42.9	top 38% in Iowa; top 33% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.72, RN 0.53, weekend 2.49. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Acd Consolidated LLC	Organization	ADP of the SNF	NOT APPLICABLE	09/01/2024
Bear Creek Sraf GP Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	09/01/2024
Bear Creek Strategic Real Assets Fund LP	Organization	ADP of the SNF	NOT APPLICABLE	09/01/2024
Birchwood Healthcare Partners LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	02/01/2025
Campbell Street Ia 10 LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	02/01/2025
Campbell Street Ia 10 LLC	Organization	ADP of the SNF	NOT APPLICABLE	02/01/2025
Campbell Street Services LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	02/01/2025
Campbell Street Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	02/01/2025
Cutler, Darron	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2025
Cutler, Darron	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2025
Defranco Investment Co LTD	Organization	ADP of the SNF	NOT APPLICABLE	09/01/2024
Dole, Isaac	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/01/2025
Dole, Isaac	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2025
Hambly, Cindy	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2025
Hambly, Cindy	Individual	ADP of the SNF	NOT APPLICABLE	02/01/2025
Holdco, Ia, 10, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	02/01/2025
Iaga SNF Cedar Falls, LLC	Organization	ADP of the SNF	NOT APPLICABLE	09/01/2025
Iaga SNF Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	09/01/2024
Iaga SNF Portfolio LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/30/2025
Nap Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	09/01/2024

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
"Where do you post your daily staffing numbers, and can I see today's?"
"How do you explain health changes and treatment options to residents and their families?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you coordinate and monitor care for residents who receive dialysis?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Martin Health Center, INC	1.2 mi	Cedar Falls, IA	★★★★★	4/5
Newaldaya Lifescapes	1.5 mi	Cedar Falls, IA	★★☆☆☆	2/5
The Suites at Western Home Communities	3.2 mi	Cedar Falls, IA	★★★★★	5/5
Pinnacle Specialty Care	3.3 mi	Cedar Falls, IA	★★☆☆☆	2/5
Pillar of Cedar Valley	5.8 mi	Waterloo, IA	★☆☆☆☆	2/5
Harmony House Health Care Center	6.6 mi	Waterloo, IA	★☆☆☆☆	1/5	SFF
Harmony Waterloo	7.0 mi	Waterloo, IA	★☆☆☆☆	1/5	abuse
Friendship Village Retirement	7.5 mi	Waterloo, IA	★★★★★	4/5
Northcrest Specialty Care	7.5 mi	Waterloo, IA	★★☆☆☆	2/5
Ravenwood Specialty Care	7.9 mi	Waterloo, IA	★☆☆☆☆	1/5
Denver Sunset Home	11.9 mi	Denver, IA	★★★★☆	4/5
Woodland Terrace	13.8 mi	Waverly, IA	★★★★★	3/5

Compare this facility with the 3 closest →

All facilities in Cedar Falls →

Facility data as of CMS processing date 2026-08-01. CCN 165197.

The Care File

Visit checklist — Cedar Falls Health Care Center

1728 West Eighth Street, Cedar Falls, IA 50613 · 3192772437

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $0

Most serious findings on record:

▲ Jan 8, 2026 (F-0880, Actual harm, one-off): The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Questions for the administrator:

☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
☐ "Where do you post your daily staffing numbers, and can I see today's?"
☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you coordinate and monitor care for residents who receive dialysis?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 165197 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)