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Skilled nursing facility · CMS certified · CCN 165307

Pillar of Cedar Valley

1410 West Dunkerton Road, Waterloo, IA 50703 · Black Hawk County · one of 387 skilled nursing facilities in Iowa
Its Medicare cost report, line by line ↓
114
certified beds
1 / 5
overall CMS rating
Nonprofit
ownership type
84.1%
occupancy, Nov 2024: 130 residents a day · Iowa 76.2%
1.14
case mix, 0.81x the national average
2.90
nurse hours per resident day · Iowa 3.78
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How Pillar of Cedar Valley compares

Better than most of Black Hawk County on none of 8 lines.

Occupancy, Nov 202484.1%Behind mostHigher than 5 of the 11 other buildings in Black Hawk County

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 87.0%. Source: CMS monthly provider files, Nov 2024.

Nurse hours per resident day2.90Behind mostLower than all 11 other buildings in Black Hawk County

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.91. Source: CMS monthly provider files, Nov 2024.

Overall CMS rating1 / 5Behind mostLevel with 4 of the 11 other buildings in Black Hawk County; the other 7 are ahead

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating2 / 5Mid-packHigher than 4 of the 11 other buildings in Black Hawk County, level with 3

CMS's star rating for the building's recent health inspections. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating3 / 5Behind mostHigher than 2 of the 11 other buildings in Black Hawk County, level with 2

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating1 / 5Behind mostLower than all 11 other buildings in Black Hawk County

CMS's star rating for resident-care quality measures. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day0.40Behind mostLower than all 10 other buildings in Black Hawk County

Registered nurse hours for each resident, each day. The middle of the set: 0.67. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited14Behind mostFewer than 3 of the 11 other buildings in Black Hawk County

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 10. Source: CMS Provider Information, Oct 2026 file.

Better than most of Iowa on 1 of 8 lines.

Occupancy, Nov 202484.1%Better than mostHigher than 242 of the 382 other buildings in Iowa

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 78.6%. Source: CMS monthly provider files, Nov 2024.

Nurse hours per resident day2.90Behind mostHigher than 15 of the 369 other buildings in Iowa

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.64. Source: CMS monthly provider files, Nov 2024.

Overall CMS rating1 / 5Behind mostLevel with 72 of the 384 other buildings in Iowa; the other 312 are ahead

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating2 / 5Behind mostHigher than 77 of the 384 other buildings in Iowa, level with 88

CMS's star rating for the building's recent health inspections. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating3 / 5Behind mostHigher than 45 of the 380 other buildings in Iowa, level with 91

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating1 / 5Behind mostLevel with 15 of the 382 other buildings in Iowa; the other 367 are ahead

CMS's star rating for resident-care quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day0.40Behind mostHigher than 20 of the 377 other buildings in Iowa, level with 4

Registered nurse hours for each resident, each day. The middle of the set: 0.69. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited14Behind mostFewer than 79 of the 386 other buildings in Iowa, the same as 9

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 8. Source: CMS Provider Information, Oct 2026 file.

From its cost report and Medicaid rate, against Iowa
Net margin00.0%

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Medicaid share of days00.0%

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Medicaid rate$000

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Tap a line for what it measures and the middle of the set. Each count leaves this building out. Source: CMS monthly provider files, Nov 2024; CMS Provider Information, Oct 2026 file.

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Street view of Pillar of Cedar Valley
Google Street View · opens in Maps
Street View
1410 West Dunkerton Road, Waterloo, IA
Map around Pillar of Cedar Valley
Map · Black Hawk County
Black Hawk County, Iowa
8 skilled nursing facilities; average overall rating 3.1, Iowa 3.1.
See how Black Hawk County compares ›
Cost report, against Iowa
Each line is what this building filed with Medicare for its latest full year, beside the middle building in Iowa. The rank counts from the top: 1st is the highest figure among Iowa's filing buildings on that line, out of the buildings that filed it. The arrow beside a figure compares it with the building's own full year before: green is better, red is worse, grey is neither. Shares and margins move in points. A line standing on fewer than 20 filings is not ranked. Operating expense is the cost report's own operating line. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus that line.
Medicare cost reports, as filed

What this building filed with Medicare for FY2025 (the year ending 2025-12-31), against the middle Iowa building.

Line
This building
Rank in state
Iowa median
Reports
OccupancyPatient days as a share of available bed days, both off Worksheet S-3 Part I.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
81.2%
369
Medicare share of daysTraditional Medicare days as a share of all patient days, off Worksheet S-3 Part I.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
5.2%
370
Medicaid share of daysMedicaid days as a share of all patient days, off Worksheet S-3 Part I.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
54.1%
368
Patient revenue per patient dayNet patient revenue off Worksheet G-3, divided by patient days off Worksheet S-3 Part I. Blended across every payer.
$0000.0 ptsFY0000: 00.0%
00th of 000
$332
372
Operating expense per patient dayTotal operating expense off Worksheet G-3, divided by patient days. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus this line.
$0000.0 ptsFY0000: 00.0%
00th of 000
$334
372
Net income per patient dayNet income off Worksheet G-3, divided by patient days.
$0000.0 ptsFY0000: 00.0%
00th of 000
$7
372
Net marginNet income off Worksheet G-3 over net patient revenue off the same worksheet.
00.0%0.0 ptsFY0000: 00.0%
00th of 000
2.0%
370

See this building's own numbers

Free account. What it filed, and where it ranks.

Quality and staffing
CMS Care Compare · Oct 2026
Overall rating1 / 5 · state 3.1
Health inspection2 / 5 · state 2.8
Staffing3 / 5 · state 3.8
RN hours per resident per day0.4 · state 0.74
Overall rating, last 8 quarters
053Q3’243Q4’243Q1’253Q2’252Q3’252Q4’252Q1’262Q2’26latest
down 1 star over the 8 quarters shown

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Resident care
CMS quality measures · 2025Q3 to 2026Q2 · Oct 2026
measurethis buildingIowanationrecent quarters
Needed more help with daily activities17.6%worse than state16.6%13.5%2025Q2: 13.8%2025Q3: 16.7%2025Q4: 13.6%2026Q1: 17.9%2026Q2: 22.4%
13.8% → 22.4%
Q2’25 to Q2’26
Catheter inserted and left in1.4%level with state1.4%0.7%2025Q2: 1.7%2025Q3: 0.8%2025Q4: 1.4%2026Q1: 1.4%2026Q2: 2.0%
1.7% → 2.0%
Q2’25 to Q2’26
Urinary tract infection0.8%better than state2.4%1.5%2025Q2: 0.0%2025Q3: 0.7%2025Q4: 0.8%2026Q1: 0.8%2026Q2: 0.8%
0.0% → 0.8%
Q2’25 to Q2’26
Fall with major injury1.5%better than state3.9%3.2%2025Q2: 3.7%2025Q3: 2.9%2025Q4: 2.2%2026Q1: 0.8%2026Q2: 0.0%
3.7% → 0.0%
Q2’25 to Q2’26
Newly given an antipsychotic (short stay)too few residents to report2.1%1.5%too few quarters to chart
Ability to walk independently worsened13.3%better than state15.2%12.7%2025Q2: 13.5%2025Q3: 13.3%2025Q4: 12.8%2026Q1: 12.6%2026Q2: 14.5%
13.5% → 14.5%
Q2’25 to Q2’26
Pressure ulcers4.9%worse than state4.1%4.5%2025Q2: 3.9%2025Q3: 4.0%2025Q4: 4.4%2026Q1: 7.5%2026Q2: 3.9%
3.9% → 3.9%
Q2’25 to Q2’26
Given an antipsychoticnot reported by CMS19.8%15.4%too few quarters to chart

Each figure is the share of residents, so lower is better. The building's figure, the state's and the nation's are CMS's four-quarter averages; the small bars are single quarters, which move more than the average does.

Surveys and enforcement
CMS health inspections
Nov 2025
last standard survey
14
deficiencies cited · Iowa avg 9.3
$0
fines, last 3 years
2019
last change of ownership on the federal file
Not reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

Medicaid in Iowa
state rate files
$303
median daily rate across the Iowa buildings in our rate book, Jul 2026 file
Iowa rates and what changed ›
Black Hawk County
buildingbedsoverallLaporte City Specialty Care465 / 5Martin Health Center, Inc505 / 5The Suites at Western Home Communities725 / 5Friendship Village Retirement723 / 5Newaldaya Lifescapes1122 / 5Northcrest Specialty Care942 / 5Pinnacle Specialty Care1002 / 5Cedar Falls Health Care Center701 / 5
All Iowa buildings in Black Hawk County ›
Also in Waterloo, IA
5 other certified skilled nursing facilities in Waterloo
buildingbedsoverallFriendship Village Retirement723 / 5Harmony House Health Care Center651 / 5Harmony Waterloo881 / 5Northcrest Specialty Care942 / 5Ravenwood Specialty Care1761 / 5
Iowa at a glance
387
buildings
25,131
licensed beds
80%
occupancy
53%
for-profit
Iowa market intelligence report ›
What changed in Iowa
Top Ten States That Lead the Nation in Nursing Home Short-Staffing Violations
Iowa nursing homes lead the nation in short-staffing violations
Live legislation, Iowa ›
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancyNorthcrest Specialty CareWaterloo · 4.5 mi942 / 5over 85%Martin Health Center, IncCedar Falls · 4.8 mi505 / 5over 85%Newaldaya LifescapesCedar Falls · 5.8 mi1122 / 5over 85%Cedar Falls Health Care CenterCedar Falls · 5.8 mi701 / 5under 70%Pinnacle Specialty CareCedar Falls · 6.5 mi1002 / 5over 85%The Suites at Western Home CommunitiesCedar Falls · 6.7 mi725 / 5over 85%
The map and the list carry the same facts, from SNFRadar's system.
About this data
What is the CMS overall rating of Pillar of Cedar Valley?
Pillar of Cedar Valley in Waterloo, IA carries an overall CMS rating of 1 out of 5 stars in the Oct 2026 CMS file.
How many beds does Pillar of Cedar Valley have?
Pillar of Cedar Valley is certified for 114 beds in the Oct 2026 CMS file.
How full is Pillar of Cedar Valley?
CMS's reported average residents put Pillar of Cedar Valley's occupancy in the over 85% band in the Oct 2026 CMS file.
Source: CMS Provider Information, Care Compare and Payroll-Based Journal staffing · CMS files dated October 2026.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.
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Source: CMS Provider Information and Care Compare, Oct 2026 files. Tracked every month in SNFRadar's system.

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