Pinnacle Specialty Care

Name: Pinnacle Specialty Care
Address: 1223 Prairieview Road, Cedar Falls, IA, 50613, US
Telephone: 3192680489

1223 Prairieview Road, Cedar Falls, IA 50613 · Black Hawk County · 100 certified beds · avg 96 residents/day · certified since Nov 1, 1996

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

2/5

Health inspection rating (on-site)

Serious findings on record

$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)

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

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

All citations in the current public record (25)

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 9, 2026	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
Jun 9, 2026	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. · from a complaint
Jun 9, 2026	D · Potential for harm, one-off	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
Jun 9, 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. · from a complaint
Jun 9, 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. · from a complaint
Apr 2, 2026	E · Potential for harm, repeated	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
Apr 2, 2026	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
Apr 2, 2026	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
Apr 2, 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. · from a complaint
Nov 19, 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. · from a complaint
Nov 19, 2025	D · Potential for harm, one-off	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
Jul 24, 2025	D · Potential for harm, one-off	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jul 24, 2025	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.
Jul 24, 2025	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.
Jul 24, 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.
Sep 5, 2024	D · Potential for harm, one-off	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.
Sep 5, 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.
Sep 5, 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
Sep 5, 2024	D · Potential for harm, one-off	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.
Feb 13, 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 13, 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. · from a complaint
Nov 13, 2023	▲ G · Actual 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
Jun 8, 2023	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.
Jun 8, 2023	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.
Jun 8, 2023	D · Potential for harm, one-off	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.

Inspection trend by year

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

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)

1 fine totaling $8,362.

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

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)	3.63	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, 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. 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: 2/5 · long-stay residents: 2/5 · short-stay residents: 2/5

Who owns this facility

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

Questions to ask on your visit

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?"
"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
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 →

All facilities in Cedar Falls →

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

The Care File

Visit checklist — Pinnacle Specialty Care

1223 Prairieview Road, Cedar Falls, IA 50613 · 3192680489

Health inspection rating 2/5 · CMS overall 2/5· Fines (3y): $8,362

Most serious findings on record:

▲ Nov 13, 2023 (F-0684, Actual 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.

Questions for the administrator:

☐ "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?"
☐ "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 165298 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)