Pillar of Cedar Valley – Waterloo, IA

CMS Verified | 2026-03-01

Pillar Of Cedar Valley

1410 West Dunkerton Road, Waterloo, IA 50703
(319) 291-2509
114 beds
All Waterloo facilities
2.0*
Overall
2.0*
Health Inspection
*
Quality Care
4.0*
Staffing
61.4
Score /100
#11629
National Rank

#11629
of 14703 facilities
National
20.9% position
#298
of 390 in IA
State Rank
#10
of 12 in Black Hawk
County Rank
#5
of 6 in Waterloo
City Rank
#2
of 2 in ZIP 50703
ZIP Rank






About Pillar Of Cedar ValleyPillar Of Cedar Valley is located at 1410 West Dunkerton Road, Waterloo, IA, reachable at (319) 291-2509. This Non profit – Corporation facility operates 114.0 certified beds and serves an average of 135 residents per day. Medicare and Medicaid services have been provided since 1997-03-13. The facility currently holds a below average (2-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Pillar Of Cedar Valley

Address

1410 West Dunkerton Road, Waterloo, IA 50703

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 114 Certified Beds
  • Ownership: Non profit – Corporation
  • Resident Council: Resident
  • Automatic Sprinklers: Yes

Quick Verdict

Overall Quality
⚠️ Below Average (2★) overall rating
Health Inspection
⚠️ Below Average (2★) health inspection
Staffing
✅ Above Average (4★) staffing rating
Quality of Care
N/A quality of care
Compliance
❌ 9 fine(s) over 5 years
5-Year Trend
➡️ Stable over 5 years
61.4
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#11629 of 14703 nationally – #298 of 390 in Iowa

Who Is This Facility Best For?

Pillar Of Cedar Valley may be considered for families with limited options in Waterloo, IA, but its lower CMS ratings suggest careful due diligence is warranted. Above-average staffing levels make it a good option for residents needing intensive nursing care.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

2 / 5
Health Inspection

2 / 5
Staffing Rating

4 / 5
Quality Measures (QM)

N/A
Long-Stay QM Rating

N/A
Short-Stay QM Rating

N/A

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightPillar Of Cedar Valley currently provides 2 hours 57 minutes of total nurse staffing per resident per day, including 25 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 4 out of 5 reflects strong nurse coverage. Total nursing staff turnover stands at 40.0% — above the national average of ~35%.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing2 hours 57 minutes
Nurse Aide Hours1 hour 54 minutes
Licensed Practical Nurse (LPN) Hours39 minutes
Registered Nurse (RN) Hours25 minutes
Physical Therapist Hours1 minute

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours2 hours 33 minutes
Weekend Registered Nurse (RN) Hours12 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryThe facility has received 9 fine(s) over the 5-year period, totaling $121,921. 52 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 0
Total Fines Amount $0.0
Payment Denials 0
Total Penalties 0
Abuse Flag on Record N
Total Weighted Health Survey Score 45.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#11,629
of 14,703
National
Bottom 21%
#298
of 390
IA State
Bottom 24% in IA
#10
of 12
️ Black Hawk County
#10 of 12
#5
of 6
️ Waterloo
#5 of 6
#2
of 2
ZIP 50703
#2 of 2

Nationally, Pillar Of Cedar Valley ranks 11629th out of 14,703 facilities (composite score: 61.4/100), placing it in the bottom 25% nationwide. Within IA, it ranks 298th out of 390 nursing homes. In Waterloo, it ranks 5th out of 6 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 2. For 2026 staffing: total nurse hours rank #13,316 nationally and RN hours rank #10,560 nationally (#340 in IA).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank IA State Rank Note
2022 2.62 #13,306 / 14,703 #365 / 390 ⚠️ Bottom 10%
2023 2.32 #13,830 / 14,703 #374 / 390 ⚠️ Bottom 10%
2024 2.82 #13,287 / 14,703 #348 / 390 ⚠️ Bottom 10%
2025 2.98 #13,043 / 14,703 #345 / 390 ⚠️ Bottom 25%
2026 2.95 #13,316 / 14,703 #361 / 390 ⚠️ Bottom 10%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank IA State Rank Note
2022 0.34 #11,885 / 14,703 #365 / 390 ⚠️ Bottom 25%
2023 0.39 #10,391 / 14,703 #345 / 390 Below average
2024 0.36 #11,278 / 14,703 #357 / 390 ⚠️ Bottom 25%
2025 0.39 #10,966 / 14,703 #354 / 390 Below average
2026 0.42 #10,560 / 14,703 #340 / 390 Below average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Pillar Of Cedar Valley is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1997-03-13. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (319) 291-2509 or your local Medicaid office to verify current eligibility.

Pillar Of Cedar Valley holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (4★), and Quality of Resident Care (N/A★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 61.4/100, placing it #11629 of 14703 facilities nationally and #298 of 390 in Iowa. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Pillar Of Cedar Valley receives a reported average of 2 hours 57 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 25 minutes; Licensed Practical Nurse (LPN) — 39 minutes; Nurse Aide — 1 hour 54 minutes. On weekends, total nurse staffing is 2 hours 33 minutes per resident per day. The CMS Staffing Rating for this facility is 4 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 40.0%. Families are encouraged to ask about current staffing schedules during their facility visit.

The facility has received 9 fine(s) over the 5-year period, totaling $121,921. 52 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 45.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Pillar Of Cedar Valley ranks 11629th out of 14,703 facilities (composite score: 61.4/100), placing it in the bottom 25% nationwide. Within IA, it ranks 298th out of 390 nursing homes. In Waterloo, it ranks 5th out of 6 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 2. For 2026 staffing: total nurse hours rank #13,316 nationally and RN hours rank #10,560 nationally (#340 in IA). Our composite quality score of 61.4/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Waterloo, visit: https://nursinghomesnearme.org/iowa/waterloo/

Contact and Location

ADR
Address

1410 West Dunkerton Road, Waterloo, IA 50703
Get directions on Google Maps

TEL
LLC
Legal Name

BLACK HAWK NURSING AND REHABILITATION LLC

MAP
Browse by Location

All Iowa ·
Black Hawk County ·
Waterloo ·
ZIP 50703

Facility Details

Number of Certified Beds 114
Average Residents / Day 135 (119% occupancy)
Ownership Type Non profit – Corporation
Provider Type Medicare and Medicaid
County Black Hawk County, IA
City Waterloo, IA
ZIP Code 50703
Approved Since March 13, 1997
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 165307
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org