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Pillar of Cedar Valley

Nursing Home Facility

1410 West Dunkerton Road, Waterloo, IA 50703

Nursing Home Care Senior Living
Pillar of Cedar Valley

Pillar of Cedar Valley is a senior care community located in Waterloo, IA. It provides nursing home care and senior living for older adults in the Waterloo area. To learn more or schedule a tour, call (319) 291-2509.

Pillar of Cedar Valley is licensed for 114 beds, about typical for the area, where senior care communities in Waterloo average about 93 beds.

Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Waterloo average about 1.8 stars. Its most recent standard health inspection was in November 2025 and recorded 11 deficiencies.

Residents receive about 2.9 hours of nursing care per day on average, including 0.3 hours from a registered nurse. Communities in Waterloo average about 3.6 hours. Nursing staff turnover over the past year was about 33%.

The community is located in Black Hawk County, IA.

Medicare five-star ratings

  • Overall ★★★★★ 1/5
  • Health inspections ★★★★★ 2/5
  • Staffing ★★★★★ 3/5
  • Quality measures ★★★★★ 1/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 24 problems at Pillar of Cedar Valley. None of them caused harm to a resident. 6 came from investigating complaints by residents or families.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected June 2026, after a complaint. Corrected by July 1, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Inspected December 2025, after a complaint. Corrected by January 20, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Inspected December 2025, after a complaint. Corrected by January 20, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Respond appropriately to all alleged violations.

    Inspected December 2025, after a complaint. Corrected by January 20, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Inspected November 2025. Corrected by December 1, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Inspected November 2025. Corrected by December 1, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Inspected November 2025. Corrected by December 1, 2025.

  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Inspected November 2025. Corrected by December 1, 2025.

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  • Could cause more than minimal harm, one or a few residents Quality of Life and Care

    Provide safe and appropriate respiratory care for a resident when needed.

    Inspected November 2025. Corrected by December 1, 2025.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    Ensure that residents are free from significant medication errors.

    Inspected November 2025. Corrected by December 1, 2025.

  • Could cause more than minimal harm, one or a few residents Environmental

    Keep all essential equipment working safely.

    Inspected November 2025. Corrected by December 1, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Pillar of Cedar Valley offers nursing home care and senior living.

Facility details

  • Organization type Government - County
  • Beds / units 114
  • Nursing hours per resident/day 2.9
  • Annual staff turnover 33%
  • Last health inspection November 2025

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