Nursing Home Alerts

Pillar of Cedar Valley

1410 West Dunkerton Road, Waterloo, IA 50703

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Pillar of Cedar Valley is a nursing home in Waterloo, Iowa. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

CMS star ratings

Facts from CMS

Phone
(319) 291-2509
Last standard health inspection
November 17, 2025 (11 months ago)
Certified beds
114
Residents per day, on average
134.2
Ownership type
Non profit - Corporation
Legal business name
Black Hawk Nursing and Rehabilitation LLC
Chain
Not listed by CMS
Takes part in
Medicare and Medicaid

More health citations than the Iowa average (24 vs 21).

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of July 29, 2026

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS quality measures star rating changed from not rated by CMS to 1 of 5.

  2. 1 citation

    Health inspection on June 11, 2026

    CMS lists this as a complaint inspection.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on July 1, 2026.

      CMS has cited this home for F0689 3 times since 2024.

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  3. CMS update of April 29, 2026

    • Star rating

      The CMS staffing star rating changed from 4 of 5 to 3 of 5.

  4. CMS update of February 25, 2026

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 4 of 5.

  5. CMS update of January 14, 2026

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 3 of 5.

  6. 3 citations

    Health inspection on December 23, 2025

    CMS lists this as a complaint inspection.

    • Citation F0600. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on January 20, 2026.

    • Citation F0609. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      CMS lists it as corrected on January 20, 2026.

    • Citation F0610. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Respond appropriately to all alleged violations.

      CMS lists it as corrected on January 20, 2026.

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  7. 7 citations

    Health inspection on November 17, 2025

    CMS lists this as a standard inspection.

    • Citation F0640. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

      CMS lists it as corrected on December 1, 2025.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on December 1, 2025.

    • Citation F0688. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on December 1, 2025.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on December 1, 2025.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on December 1, 2025.

    • Citation F0760. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that residents are free from significant medication errors.

      CMS lists it as corrected on December 1, 2025.

    • Citation F0908. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Keep all essential equipment working safely.

      CMS lists it as corrected on December 1, 2025.

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  8. 3 citations

    Fire safety inspection on November 17, 2025

    CMS lists this as a standard inspection.

    • Citation K0920. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on September 10, 2025.

      CMS has cited this home for K0920 3 times since 2023.

    • Citation K0353. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on September 10, 2025.

    • Citation K0922. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Meet requirements for the use and maintenance of medical gas equipment.

      CMS lists it as corrected on September 10, 2025.

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  9. CMS update of July 30, 2025

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

  10. CMS update of March 26, 2025

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to not rated by CMS.

  11. CMS update of February 26, 2025

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.

  12. CMS update of October 30, 2024

    • Star rating

      The CMS staffing star rating changed from 4 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 3 of 5.

  13. 11 citations

    Health inspection on October 3, 2024

    CMS lists this as a standard inspection and a complaint inspection.

    • Citation F0880. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on October 31, 2024.

    • Citation F0577. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

      CMS lists it as corrected on October 31, 2024.

    • Citation F0550. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      CMS lists it as corrected on October 31, 2024.

    • Citation F0658. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.

      CMS lists it as corrected on October 31, 2024.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on October 31, 2024.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on October 31, 2024.

    • Citation F0693. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

      CMS lists it as corrected on October 31, 2024.

    • Citation F0912. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

      CMS lists it as corrected on October 31, 2024.

    • Citation F0913. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide bedrooms that have direct access to an exit hallway.

      CMS lists it as corrected on October 31, 2024.

    • Citation F0914. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide bedrooms that don't allow residents to see each other when privacy is needed.

      CMS lists it as corrected on October 31, 2024.

    • Citation F0919. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Make sure that a working call system is available in each resident's bathroom and bathing area.

      CMS lists it as corrected on October 31, 2024.

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  14. 6 citations

    Fire safety inspection on October 3, 2024

    CMS lists this as a standard inspection.

    • Citation K0161. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Use approved construction type or materials.

      CMS lists it as corrected on November 12, 2024.

      CMS has cited this home for K0161 2 times since 2023.

    • Citation K0200. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Meet other general requirements.

      CMS lists it as corrected on October 16, 2024.

    • Citation K0363. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on October 9, 2024.

      CMS has cited this home for K0363 2 times since 2023.

    • Citation K0920. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on October 9, 2024.

    • Citation K0355. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Properly select, install, inspect, or maintain portable fire extinguishes.

      CMS lists it as corrected on October 9, 2024.

    • Citation K0781. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have restrictions on the use of portable space heaters.

      CMS lists it as corrected on October 9, 2024.

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  15. CMS update of September 26, 2024

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 3 of 5.

  16. CMS update of July 31, 2024

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 2 of 5.

  17. CMS update of January 31, 2024

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 3 of 5.

  18. CMS update of December 21, 2023

    • Ownership

      CMS ownership records list new owners for this home.

  19. 2 citations

    Health inspection on June 29, 2023

    CMS lists this as a standard inspection.

    • Citation F0676. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

      CMS lists it as corrected on July 21, 2023.

    • Citation F0758. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

      CMS lists it as corrected on July 21, 2023.

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  20. 6 citations

    Fire safety inspection on June 29, 2023

    CMS lists this as a standard inspection.

    • Citation K0161. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Use approved construction type or materials.

      CMS lists it as corrected on August 8, 2023.

    • Citation K0918. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on July 7, 2023.

    • Citation K0921. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Ensure that testing and maintenance of electrical equipment is performed.

      CMS lists it as corrected on August 8, 2023.

    • Citation K0321. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      CMS lists it as corrected on July 7, 2023.

    • Citation K0363. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install corridor and hallway doors that block smoke.

      CMS lists it as corrected on July 6, 2023.

    • Citation K0920. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure proper usage of power strips and extension cords.

      CMS lists it as corrected on July 6, 2023.

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Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Pillar of Cedar Valley last inspected?

CMS lists November 17, 2025 as the date of its most recent standard health inspection.

How many citations (violations) does Pillar of Cedar Valley have?

CMS lists 24 health citations since June 29, 2023. CMS also calls these deficiencies.

Has Pillar of Cedar Valley been fined?

CMS lists no fines for this home in the past three years.

What is the CMS star rating of Pillar of Cedar Valley?

Its CMS overall star rating is 1 of 5.

Is Pillar of Cedar Valley a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

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