Pillar of Cedar Valley

Name: Pillar of Cedar Valley
Address: 1410 West Dunkerton Road, Waterloo, IA, 50703, US
Telephone: 3192912509

1410 West Dunkerton Road, Waterloo, IA 50703 · Black Hawk County · 114 certified beds · avg 133 residents/day · certified since Mar 13, 1997

2/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.77

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: 1/5

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.

All citations in the current public record (24)

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
Jun 11, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Dec 23, 2025	D · Potential for harm, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Dec 23, 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
Dec 23, 2025	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Nov 17, 2025	D · Potential for harm, one-off	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Nov 17, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Nov 17, 2025	D · Potential for harm, one-off	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.
Nov 17, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Nov 17, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Nov 17, 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.
Nov 17, 2025	D · Potential for harm, one-off	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Oct 3, 2024	F · Potential for harm, facility-wide	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 3, 2024	E · Potential for harm, repeated	The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman.
Oct 3, 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.
Oct 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.
Oct 3, 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. · from a complaint
Oct 3, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Oct 3, 2024	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Oct 3, 2024	D · Potential for harm, one-off	The facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms.
Oct 3, 2024	D · Potential for harm, one-off	The facility's bedrooms did not open directly onto an exit hallway. Rooms must connect to a hallway so residents can get out quickly in an emergency.
Oct 3, 2024	D · Potential for harm, one-off	The facility's bedrooms did not give residents visual privacy — such as curtains or dividers — when privacy is needed.
Oct 3, 2024	D · Potential for harm, one-off	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.
Jun 29, 2023	D · Potential for harm, one-off	The facility allowed residents to lose the ability to do daily activities — like bathing, dressing, and eating — when there was no medical reason for the decline. Good care helps residents keep the abilities they have.
Jun 29, 2023	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (11 → 7).

Year	Citations	Worst severity that year
2023	2	D
2024	11	F
2025	10	D
2026	1	D

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)

No fines or payment denials in the published 3-year window.

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)	3.77	4.37	3.95	bottom 21% in Iowa; bottom 50% in the U.S.
Registered Nurse hours	0.42	0.85	0.69	bottom 6% in Iowa; bottom 26% in the U.S.
Weekend total nurse staffing	3.21	3.86	3.50	bottom 17% in Iowa; bottom 42% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.13	0.51	0.48	bottom 1% in Iowa; bottom 3% in the U.S.
Total nursing staff turnover (%)	32.7	44.0	45.8	top 23% in Iowa; top 19% in the U.S.
RN turnover (%)	28.6	42.1	42.9	top 32% in Iowa; top 26% 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 2.92, RN 0.33, weekend 2.49. Staffing rating: 3/5.

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: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Tamid Healthcare NFP	Organization	5% or Greater Indirect Ownership Interest	100%	12/15/2022
Tamid Waterloo LLC	Organization	5% or Greater Direct Ownership Interest	100%	12/15/2022
Arends, Hilary	Individual	W-2 Managing Employee	NOT APPLICABLE	04/03/2022
Kuzmenko, Michael	Individual	Corporate Officer	NOT APPLICABLE	12/15/2022
Messing, Michael	Individual	Operational/Managerial Control	NOT APPLICABLE	12/15/2022
Pillar Senior Care LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	12/15/2022
Shir, Anatoliy	Individual	Corporate Officer	NOT APPLICABLE	12/15/2022
Tarnoff, Michael	Individual	Operational/Managerial Control	NOT APPLICABLE	12/15/2022

Questions to ask on your visit

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

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"How do you make sure resident assessments are completed and submitted to the state on time?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"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
Northcrest Specialty Care	4.5 mi	Waterloo, IA	★★☆☆☆	2/5
Martin Health Center, INC	4.8 mi	Cedar Falls, IA	★★★★★	4/5
Cedar Falls Health Care Center	5.8 mi	Cedar Falls, IA	★★☆☆☆	2/5
Newaldaya Lifescapes	5.8 mi	Cedar Falls, IA	★★☆☆☆	2/5
Pinnacle Specialty Care	6.5 mi	Cedar Falls, IA	★★☆☆☆	2/5
The Suites at Western Home Communities	6.7 mi	Cedar Falls, IA	★★★★★	5/5
Harmony Waterloo	7.0 mi	Waterloo, IA	★☆☆☆☆	1/5	abuse
Denver Sunset Home	7.3 mi	Denver, IA	★★★★☆	4/5
Friendship Village Retirement	7.4 mi	Waterloo, IA	★★★★★	4/5
Ravenwood Specialty Care	7.6 mi	Waterloo, IA	★☆☆☆☆	1/5
Harmony House Health Care Center	9.2 mi	Waterloo, IA	★☆☆☆☆	1/5	SFF
Woodland Terrace	12.8 mi	Waverly, IA	★★★★★	3/5

Compare this facility with the 3 closest →

All facilities in Waterloo →

Facility data as of CMS processing date 2026-08-01. CCN 165307.

The Care File

Visit checklist — Pillar of Cedar Valley

1410 West Dunkerton Road, Waterloo, IA 50703 · 3192912509

Health inspection rating 2/5 · CMS overall 1/5· Fines (3y): $0

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "How do you make sure resident assessments are completed and submitted to the state on time?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "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 165307 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)