Pinnacle Specialty Care

1223 Prairieview Road, Cedar Falls, IA 50613 (opens Google Maps) · Black Hawk County · (319) 268-0489· 100 certified beds · avg 96 residents/day · certified since Nov 1, 1996 · 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 →

Part of chain: CARE INITIATIVES (43 facilities, chain avg rating 2.9★)

2/5

Health inspection rating (on-site)

inspected Jul 24, 2025

Serious findings on record

most recent Nov 13, 2023

$8,362

Fines, last 3 years

3.63

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: 2/5 · 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.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · Nov 13, 2023 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Nov 21, 2023 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 25 inspection findings. Open the full record below to read every finding.

Jun 9, 2026D · 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
Jun 9, 2026D · 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. · from a complaint F-0656
Jun 9, 2026D · Potential for more than minimal harm, isolated
The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint F-0725

View all 25 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 9, 2026	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
Jun 9, 2026	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. · from a complaint · F-0656
Jun 9, 2026	D · Potential for more than minimal harm, isolated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint · F-0725
Jun 9, 2026	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. · from a complaint · F-0760
Jun 9, 2026	D · Potential for more than minimal harm, isolated	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. · from a complaint · F-0865
Apr 2, 2026	E · Potential for more than minimal harm, pattern	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755
Apr 2, 2026	D · Potential for more than minimal harm, isolated	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 · F-0657
Apr 2, 2026	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. · from a complaint · F-0658
Apr 2, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · from a complaint · F-0698
Nov 19, 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. · from a complaint · F-0689
Nov 19, 2025	D · Potential for more than minimal harm, isolated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint · F-0725
Jul 24, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Jul 24, 2025	D · Potential for more than minimal harm, isolated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Jul 24, 2025	D · Potential for more than minimal harm, isolated	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. · F-0644
Jul 24, 2025	D · Potential for more than minimal harm, isolated	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. · F-0657
Sep 5, 2024	D · Potential for more than minimal harm, isolated	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. · F-0623
Sep 5, 2024	D · Potential for more than minimal harm, isolated	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. · F-0677
Sep 5, 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
Sep 5, 2024	D · Potential for more than minimal harm, isolated	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. · F-0805
Feb 13, 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. · from a complaint · F-0550
Feb 13, 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. · from a complaint · F-0919
Nov 13, 2023	▲ G · Actual 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
Jun 8, 2023	D · Potential for more than minimal harm, isolated	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. · F-0657
Jun 8, 2023	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
Jun 8, 2023	D · Potential for more than minimal harm, isolated	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 4).

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	Serious (G–L)	Worst severity that year
2023	4	1	G ▲
2024	6	0	D
2025	6	0	D
2026	9	0	E

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 →

1 fine totaling $8,362.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

Date	Type	Amount / length
Nov 13, 2023	Fine	$8,362

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)

3.63

4.37

3.95

Registered Nurse hours

0.56

0.85

0.69

Weekend total nurse staffing

3.32

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)	3.63	4.37	3.95	bottom 15% in Iowa; bottom 43% in the U.S.
Registered Nurse hours	0.56	0.85	0.69	bottom 17% in Iowa; bottom 46% in the U.S.
Weekend total nurse staffing	3.32	3.86	3.50	bottom 24% in Iowa; bottom 48% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.28	0.51	0.48	bottom 12% in Iowa; bottom 28% in the U.S.
Total nursing staff turnover (%)	27.4	44.0	45.8	top 10% in Iowa; top 10% in the U.S.
RN turnover (%)	35.7	42.1	42.9	top 44% in Iowa; top 39% 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 3.31, RN 0.51, weekend 3.03.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.31 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: 2/5 · long-stay residents: 2/5 · short-stay residents: 2/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Pinnacle Specialty Care. 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.

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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 →

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Care Initiatives	Organization	5% or Greater Direct Ownership Interest	100%	09/01/2009
Arends, Hilary	Individual	Operational/Managerial Control	NOT APPLICABLE	09/03/2024
Arends, Hilary	Individual	ADP of the SNF	NOT APPLICABLE	08/06/2025
Beal, Michael	Individual	Corporate Director	NOT APPLICABLE	06/01/2020
Beal, Michael	Individual	Corporate Officer	NOT APPLICABLE	06/01/2020
Bowen, Lane	Individual	Corporate Director	NOT APPLICABLE	01/01/2021
Carothers, Mary Jane	Individual	Corporate Director	NOT APPLICABLE	01/01/2023
Childs, Kevin	Individual	Corporate Director	NOT APPLICABLE	04/01/2023
Computershare Corporate Trust Company, Na	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	01/01/2025
Computershare Corporate Trust Company, Na	Organization	ADP of the SNF	NOT APPLICABLE	08/06/2025
Corless, Peter	Individual	Corporate Director	NOT APPLICABLE	01/01/2025
Dixon, David	Individual	Corporate Officer	NOT APPLICABLE	06/01/2016
Drake, Emily	Individual	Corporate Officer	NOT APPLICABLE	05/01/2023
Gilyard, Tanya	Individual	Corporate Officer	NOT APPLICABLE	05/23/2025
Krein, Keith	Individual	Corporate Director	NOT APPLICABLE	06/29/2022
Kuhn, Jeramy	Individual	Corporate Officer	NOT APPLICABLE	06/25/2008
Mahler, Carla	Individual	Operational/Managerial Control	NOT APPLICABLE	05/08/2023
Mahler, Carla	Individual	ADP of the SNF	NOT APPLICABLE	08/06/2025
McDyer, Jessica	Individual	Corporate Officer	NOT APPLICABLE	02/22/2023
Rust, Elizabeth	Individual	Corporate Director	NOT APPLICABLE	01/01/2023

Showing 20 of 25 parties CMS has on file for this facility; 5 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Care Initiatives — 43 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Ravenwood Specialty Care — Waterloo, IA · overall 1/5
Ridgewood Specialty Care — Ottumwa, IA · overall 3/5
Sibley Specialty Care — Sibley, IA · overall 5/5
Southern Hills Specialty Care — Osceola, IA · overall 3/5
Southridge Specialty Care — Marshalltown, IA · overall 2/5
State Center Specialty Care — State Center, IA · overall 5/5
Stratford Specialty Care — Stratford, IA · overall 2/5
Wapello Specialty Care — Wapello, IA · overall 5/5

Listed by state, then facility name — not a ranking. Showing 8 of the 42 others, continuing from this facility's own place in that list.

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.

"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
"What systems do you use to prevent medication errors, and what happens when one occurs?"
"How does your quality improvement program work, and can you share a recent example of a problem you found and fixed?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"

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 27% total nursing staff turnover here — who on the care team has been with you longest?"
"The ownership record on file lists 25 owning or managing parties — who makes the decisions about staffing levels?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 17 within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
The Suites at Western Home Communities	0.3 mi	Cedar Falls, IA	★★★★★	5/5
Newaldaya Lifescapes	1.8 mi	Cedar Falls, IA	★★☆☆☆	2/5
Martin Health Center, INC	2.8 mi	Cedar Falls, IA	★★★★★	4/5
Cedar Falls Health Care Center	3.3 mi	Cedar Falls, IA	★★☆☆☆	2/5
Harmony House Health Care Center	3.4 mi	Waterloo, IA	★☆☆☆☆	1/5	SFF
Harmony Waterloo	4.1 mi	Waterloo, IA	★☆☆☆☆	1/5	abuse
Friendship Village Retirement	4.6 mi	Waterloo, IA	★★★★★	4/5
Ravenwood Specialty Care	5.0 mi	Waterloo, IA	★☆☆☆☆	1/5
Northcrest Specialty Care	6.0 mi	Waterloo, IA	★★☆☆☆	2/5
Pillar of Cedar Valley	6.5 mi	Waterloo, IA	★☆☆☆☆	2/5
Denver Sunset Home	13.7 mi	Denver, IA	★★★★☆	4/5
Parkview Manor Care Center	14.5 mi	Reinbeck, IA	★☆☆☆☆	1/5

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 Cedar Falls →

Facility data as of CMS processing date 2026-08-01. CCN 165298.