Federal inspection record · CMS data as of October 1, 2026
Pillar of Cedar Valley
1410 West Dunkerton Road, Waterloo, IA · (319) 291-2509
- Certified beds
- 114
- Residents per day
- 134
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 13, 1997
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★−1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Pillar of Cedar Valley carries 48 inspection points. That is fewer than 37% of Iowa's 385 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–7 pts
- 4★ 7–21 pts
- 3★ 21–41 pts
- 2★ 41–86.5 pts
- 1★ over 86.5 pts
Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
24 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care8D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
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.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Environmental5D
- D
Keep all essential equipment working safely.
- D
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- D
Provide bedrooms that have direct access to an exit hallway.
- D
Provide bedrooms that don't allow residents to see each other when privacy is needed.
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning3D
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service2D
- D
Ensure that residents are free from significant medication errors.
- D
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.
Resident Rights2E
- E
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Infection Control1F
- F
Provide and implement an infection prevention and control program.
Inspection history
2025-11-17
11 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-10-03
11 health deficiencies · 6 fire-safety deficiencies
Top issue: Environmental (4 deficiencies)
2023-06-29
2 health deficiencies · 6 fire-safety deficiencies
Top issue: Pharmacy Service (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 10 min of nursing staff time a day, 24 min of it from a registered nurse.
This home
3 h 10 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 37% of nursing staff and 47% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.1 pts worse | 2.5 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts worse | 2.6 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine17.8 pts worse | 76.4% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.3 pts better | 97.1% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.4 pts better | 1.5% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms25.5 pts worse | 29.7% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.1 pts worse | 5.5% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication21.1 pts worse | 42.1% | 21.0% | 19.5% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.9 pts better | 13.3% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1 pts worse | 17.6% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same | 1.4% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.6 pts better | 0.8% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.5 pts better | 21.5% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.8 pts worse | 4.9% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15.6 pts worse | 68.4% | 84.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.2 pts better | 12.8% | 13.0% | 11.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission14.8 pts better | 5.9% | 20.7% | 23.4% |
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Who owns and runs it
8 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Tamid Healthcare Nfp | 5% Or Greater Indirect Ownership Interest · Organization | 100% | 1 facilities |
| Tamid Waterloo LLC | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Arends, Hilary | W-2 Managing Employee · Individual | 0% | 2 facilities |
| Kuzmenko, Michael | Corporate Officer · Individual | 0% | 1 facilities |
| Messing, Michael | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Pillar Senior Care LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Shir, Anatoliy | Corporate Officer · Individual | 0% | 3 facilities |
| Tarnoff, Michael | Operational/Managerial Control · Individual | 0% | 1 facilities |
·
Fire safety
15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems6F
- F
Ensure proper usage of power strips and extension cords.
- D
Meet requirements for the use and maintenance of medical gas equipment.
- E
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- E
Ensure proper usage of power strips and extension cords.
Smoke5E
- D
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install corridor and hallway doors that block smoke.
Construction2F
- E
Use approved construction type or materials.
- F
Use approved construction type or materials.
Egress1E
- E
Meet other general requirements.
Miscellaneous1D
- D
Have restrictions on the use of portable space heaters.
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Other homes nearby
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Northcrest Specialty Care
Waterloo, IA · Care Initiatives
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 27 min
- Fines
- $0
-
Martin Health Center, INC
Cedar Falls, IA · Western Home Communities
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 12 min
- Fines
- $0
-
Cedar Falls Health Care Center
Cedar Falls, IA · Campbell Street Services
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 2 h 51 min
- Fines
- $0