Cycle 1
Health 2025-07-24 · Fire 2025-07-24
6 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cedar Falls, IA
Pinnacle Specialty Care
3-star overall rating with 3-star inspections with $8,362 in total fines with 6 recent health deficiencies
1223 Prairieview Road, Cedar Falls, IA
(319) 268-0489
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
100
Certified beds
Average residents
92
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Care Initiatives
Operator or chain grouping
Approved since
1996-11-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
43 facilities
Chain averages 3 overall / 3 health / 4 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.58
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.70
Licensed practical nurse staffing · state 0.57 · national 0.87
Aide hours / resident day
2.19
Nurse aide staffing · state 2.53 · national 2.35
Total nurse hours
3.47
All reported nurse hours · state 3.83 · national 3.89
Licensed hours
1.28
RN + LPN hours · state 1.30 · national 1.54
Weekend hours
3.16
Weekend nurse staffing · state 3.35 · national 3.43
Weekend RN hours
0.32
Weekend registered nurse coverage · state 0.50 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.66
CMS adjusted RN staffing hours
Adjusted total hours
3.91
CMS adjusted total nurse staffing hours
Case-mix index
1.21
Higher values indicate more complex resident acuity
RN turnover
21%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
32%
Annual nurse turnover · state 44% · national 46%
SNF VBP
Value-based purchasing
Program rank
2,826
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
47.48
Composite VBP score used to determine payment impact.
Payment multiplier
1.0010
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
5.54
Baseline 17.00% · Performance 18.86% · Measure score 5.54 · Achievement 5.54 · Improvement 0
Healthcare-associated infections
4.17
Baseline 5.07% · Performance 6.59% · Measure score 4.17 · Achievement 4.17 · Improvement 0
Total nurse turnover
6.88
Baseline 42.53% · Performance 35.56% · Measure score 6.88 · Achievement 6.88 · Improvement 3.44
Adjusted total nurse staffing
2.40
Baseline 3.53 hours · Performance 3.76 hours · Measure score 2.40 · Achievement 2.40 · Improvement 0.51
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.39% |
10.72%
1.3 pts better
|
No Different than the National Rate · Eligible stays 195 · Observed rate 7.18% · Lower 95% interval 6.59% |
| Discharge to community | 52.82% |
50.57%
2.2 pts better
|
No Different than the National Rate · Eligible stays 176 · Observed rate 51.14% · Lower 95% interval 46.49% |
| Medicare spending per beneficiary | 0.68 |
1.02
0.3 pts better
|
|
| Drug regimen review with follow-up | 97.12% |
95.27%
1.9 pts better
|
Numerator 101 · Denominator 104 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 104 |
| Discharge self-care score | 34.44% |
53.69%
19.2 pts worse
|
Numerator 31 · Denominator 90 |
| Discharge mobility score | 33.33% |
50.94%
17.6 pts worse
|
Numerator 30 · Denominator 90 |
| Pressure ulcers or injuries, new or worsened | 0.96% |
2.29%
1.3 pts better
|
Numerator 1 · Denominator 104 · Adjusted rate 1.16% |
| Healthcare-associated infections requiring hospitalization | 6.59% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 99 · Observed rate 5.05% · Lower 95% interval 3.91% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 95 |
| Staff flu vaccination coverage | 9.26% |
42%
32.7 pts worse
|
Numerator 15 · Denominator 162 |
| Discharge function score | 46.67% |
56.45%
9.8 pts worse
|
Numerator 42 · Denominator 90 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 98.75% |
96.28%
2.5 pts better
|
Numerator 79 · Denominator 80 |
| Resident COVID-19 vaccinations up to date | 37.5% |
25.2%
12.3 pts better
|
Numerator 18 · Denominator 48 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.6 |
1.5
0.1 pts worse
|
1.9
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 1.9 · Expected 2.2 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.9 |
2.1
0.2 pts better
|
1.8
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.9 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
94.0%
6 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
95.2%
4.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.5% |
3.7%
2.2 pts better
|
3.3%
1.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.6% · Q3 1.5% · Q4 1.4% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.5% |
4.0%
1.5 pts worse
|
11.4%
5.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 8.3% · Q3 1.6% · Q4 4.3% · 4Q avg 5.5% |
| Percentage of long-stay residents who lose too much weight | 4.3% |
4.9%
0.6 pts better
|
5.4%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.8% · Q3 6.7% · Q4 6.8% · 4Q avg 4.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 29.1% |
20.6%
8.5 pts worse
|
19.6%
9.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.1% · Q2 28.6% · Q3 24.6% · Q4 28.3% · 4Q avg 29.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 30.3% |
19.8%
10.5 pts worse
|
16.7%
13.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 34.8% · Q2 30.4% · Q3 27.7% · Q4 28.3% · 4Q avg 30.3% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 31.7% |
18.5%
13.2 pts worse
|
16.3%
15.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.8% · Q2 33.5% · Q3 17.1% · Q4 38.9% · 4Q avg 31.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 20.9% |
18.3%
2.6 pts worse
|
14.9%
6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 20.8% · Q3 14.0% · Q4 28.1% · 4Q avg 20.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
1.7%
1 pts better
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 0.0% · Q3 0.0% · Q4 1.3% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.1% |
2.5%
1.4 pts better
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.8% |
26.0%
1.2 pts better
|
19.8%
5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.3% · Q2 24.0% · Q3 14.6% · Q4 29.9% · 4Q avg 24.8% |
| Percentage of long-stay residents with pressure ulcers | 4.5% |
4.3%
0.2 pts worse
|
5.1%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 3.4% · Q3 5.4% · Q4 5.2% · 4Q avg 4.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.1% |
84.3%
12.8 pts better
|
81.7%
15.4 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.3% · Q2 98.7% · Q3 96.2% · Q4 94.1% · 4Q avg 97.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.7% |
13.1%
0.4 pts better
|
12.0%
0.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.7% · Observed 11.4% · Expected 10.0% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.5% |
1.9%
1.4 pts better
|
1.6%
1.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 1.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.0% |
73.3%
21.7 pts better
|
79.7%
15.3 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 23.0% |
21.3%
1.7 pts worse
|
23.9%
0.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 23.0% · Observed 19.0% · Expected 19.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-09-05 · Fire 2024-09-05
4 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Cycle 3
Health 2023-06-08 · Fire 2023-06-08
6 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2 fire-safety deficiencies
Top issue: Emergency Preparedness (2 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-09-05
E29 · Emergency Preparedness Deficiencies
Fire Safety
Develop a communication plan.
Corrected 2024-09-11
F · Potential for more than minimal harm
2024-09-05
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-09-11
F · Potential for more than minimal harm
2023-06-08
E29 · Emergency Preparedness Deficiencies
Fire Safety
Develop a communication plan.
Corrected 2023-06-19
F · Potential for more than minimal harm
2023-06-08
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-06-21
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-11-19
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-11-29
D · Potential for more than minimal harm
2025-11-19
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-11-29
D · Potential for more than minimal harm
2025-07-24
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-08-23
D · Potential for more than minimal harm
2025-07-24
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-08-23
D · Potential for more than minimal harm
2025-07-24
F644 · Resident Assessment and Care Planning Deficiencies
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-08-23
D · Potential for more than minimal harm
2025-07-24
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-08-23
D · Potential for more than minimal harm
2024-09-05
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-09-24
D · Potential for more than minimal harm
2024-09-05
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-09-24
D · Potential for more than minimal harm
2024-09-05
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-24
D · Potential for more than minimal harm
2024-09-05
F805 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-09-24
D · Potential for more than minimal harm
2024-02-13
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-02-21
D · Potential for more than minimal harm
2024-02-13
F919 · Environmental Deficiencies
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-02-21
G · Actual harm
2023-11-13
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-11-21
D · Potential for more than minimal harm
2023-06-08
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-06-15
D · Potential for more than minimal harm
2023-06-08
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-06-15
D · Potential for more than minimal harm
2023-06-08
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-06-15
Penalties and ownership
What sits behind the stars
$8,362
2023-11-13
Fine
Fine · fine $8,362
Fine
Ownership
Care Initiatives
5% Or Greater Direct Ownership Interest · Organization
Arends, Hilary
Operational/Managerial Control · Individual
Beal, Michael
Corporate Director · Individual
Beal, Michael
Corporate Officer · Individual
Bowen, Lane
Corporate Director · Individual
Carothers, Mary Jane
Corporate Director · Individual
Childs, Kevin
Corporate Director · Individual
Computershare Corporate Trust
5% Or Greater Mortgage Interest · Organization
Corless, Peter
Corporate Director · Individual
Dixon, David
Corporate Officer · Individual
Drake, Emily
Corporate Officer · Individual
Gilyard, Tanya
Corporate Officer · Individual
Krein, Keith
Corporate Director · Individual
Kuhn, Jeramy
Corporate Officer · Individual
Mahler, Carla
Operational/Managerial Control · Individual
Mcdyer, Jessica
Corporate Officer · Individual
Rust, Elizabeth
Corporate Director · Individual
Sturm, Denise
Corporate Director · Individual
Upmeyer, Linda
Corporate Director · Individual
Volm, Johanna
Corporate Officer · Individual
Whyms, Brian
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
The Suites at Western Home Communities
Cedar Falls, IA
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Newaldaya Lifescapes
Cedar Falls, IA
3-star overall rating with 2-star inspections with $132,074 in total fines with 2 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Martin Health Center, INC
Cedar Falls, IA
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
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