Pillar of Cedar Valley

1410 West Dunkerton Road, Waterloo, IA 50703 (opens Google Maps) · Black Hawk County · (319) 291-2509· 114 certified beds · avg 133 residents/day · certified since Mar 13, 1997 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

2/5

Health inspection rating (on-site)

inspected Nov 17, 2025

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)

New to these records? How to read an inspection report →

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 1/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 24 inspection findings. Open the full record below to read every finding.

Jun 11, 2026D · Potential for more than minimal harm, isolated
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 F-0689
Dec 23, 2025D · Potential for more than minimal harm, isolated
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 F-0600
Dec 23, 2025D · Potential for more than minimal harm, isolated
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 F-0609

View all 24 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

Date	Severity	What the facility was cited for
Jun 11, 2026	D · Potential for more than minimal harm, isolated	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 · F-0689
Dec 23, 2025	D · Potential for more than minimal harm, isolated	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 · F-0600
Dec 23, 2025	D · Potential for more than minimal harm, isolated	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 · F-0609
Dec 23, 2025	D · Potential for more than minimal harm, isolated	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 · F-0610
Nov 17, 2025	D · Potential for more than minimal harm, isolated	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. · F-0640
Nov 17, 2025	D · Potential for more than minimal harm, isolated	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. · F-0656
Nov 17, 2025	D · Potential for more than minimal harm, isolated	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. · F-0688
Nov 17, 2025	D · Potential for more than minimal harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Nov 17, 2025	D · Potential for more than minimal harm, isolated	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. · F-0695
Nov 17, 2025	D · Potential for more than minimal harm, isolated	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. · F-0760
Nov 17, 2025	D · Potential for more than minimal harm, isolated	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908
Oct 3, 2024	F · Potential for more than minimal harm, widespread	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. · F-0880
Oct 3, 2024	E · Potential for more than minimal harm, pattern	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. · F-0577
Oct 3, 2024	D · Potential for more than minimal harm, isolated	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. · F-0550
Oct 3, 2024	D · Potential for more than minimal harm, isolated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Oct 3, 2024	D · Potential for more than minimal harm, isolated	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 · F-0684
Oct 3, 2024	D · Potential for more than minimal harm, isolated	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 · F-0689
Oct 3, 2024	D · Potential for more than minimal harm, isolated	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. · F-0693
Oct 3, 2024	D · Potential for more than minimal harm, isolated	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. · F-0912
Oct 3, 2024	D · Potential for more than minimal harm, isolated	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. · F-0913
Oct 3, 2024	D · Potential for more than minimal harm, isolated	The facility's bedrooms did not give residents visual privacy — such as curtains or dividers — when privacy is needed. · F-0914
Oct 3, 2024	D · Potential for more than minimal harm, isolated	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. · F-0919
Jun 29, 2023	D · Potential for more than minimal harm, isolated	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. · F-0676
Jun 29, 2023	D · Potential for more than minimal harm, isolated	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. · F-0758

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2023

2024

2025

2026

All bars start at zero. Exact values and supporting details remain below.

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)

How to file a complaint about care →

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

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

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityIowa averageU.S. average

Total nurse staffing (hours per resident per day)

3.77

4.37

3.95

Registered Nurse hours

0.42

0.85

0.69

Weekend total nurse staffing

3.21

3.86

3.50

All bars start at zero. Exact values and supporting details remain below.

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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (2.92 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Pillar of Cedar Valley. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

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

All 8 owning or managing parties CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

"Your weekend nurse staffing is reported below the Iowa midpoint — how does the weekend schedule differ from a weekday?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 33% total nursing staff turnover here — who on the care team has been with you longest?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 14 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 →

Other facilities in the same county

CMS records place this facility in Black Hawk, IA — 12 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Laporte City Specialty Care — La Porte City, IA · overall 4/5

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Waterloo →

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

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Pillar of Cedar Valley

1410 West Dunkerton Road, Waterloo, IA 50703 · (319) 291-2509

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?"
☐ "Your weekend nurse staffing is reported below the Iowa midpoint — how does the weekend schedule differ from a weekday?"
☐ "Can I see the plan of correction for the findings in your most recent state inspection?"
☐ "CMS reports 33% total nursing staff turnover here — who on the care team has been with you longest?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

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)