Pillar of Cedar Valley: Staffing, Turnover, and Inspection Record
Pillar of Cedar Valley is a 114-bed nonprofit nursing home in Waterloo, Iowa. In the CMS August 2026 release it reported 1.90 nurse aide hours per resident per day, 24% below the Iowa average of 2.51, and 32.7% nursing staff turnover (Iowa average 44.0%).
Pillar of Cedar Valley
1410 West Dunkerton RoadWaterloo, IA 50703
Black Hawk County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Pillar of Cedar Valley, nurse aides logged 1.90 hours per resident per day, 24% below the Iowa average. With about 133 residents a day, that works out to roughly 254 aide hours a day, or about 32 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 15% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.90 | 2.51 | 2.32 |
| Licensed practical nurses | 0.69 | 0.56 | 0.86 |
| Registered nurses | 0.33 | 0.74 | 0.69 |
| All nursing staff | 2.92 | 3.82 | 3.86 |
| All nursing staff, weekends | 2.49 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
32.7% of nursing staff at Pillar of Cedar Valley left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 28.6%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Nov 17, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 11 health deficiencies (Iowa average 6.5). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Pillar of Cedar Valley holds 1 of 5 overall; the Iowa average is 3.1.
About Pillar of Cedar Valley
- Ownership: Non profit - Corporation
- Legal name: Black Hawk Nursing and Rehabilitation LLC
- Medicare and Medicaid certified since: Mar 13, 1997
- Councils: resident council
- Area: urban
Nursing homes near Pillar of Cedar Valley
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Northcrest Specialty Care Waterloo | 4.5 | 94 | 1.96 | 3.29 | 46.7% | 2 | None |
| Martin Health Center, INC Cedar Falls | 4.8 | 50 | 2.97 | 4.21 | 39.7% | 5 | None |
| Cedar Falls Health Care Center Cedar Falls | 5.8 | 70 | 1.87 | 2.72 | 43.8% | 2 | None |
| Newaldaya Lifescapes Cedar Falls | 5.8 | 112 | 3.13 | 4.52 | 41.6% | 2 | $132,074 |
| Pinnacle Specialty Care Cedar Falls | 6.5 | 100 | 2.15 | 3.31 | 27.4% | 2 | $8,362 |
| The Suites at Western Home Communities Cedar Falls | 6.7 | 72 | 3.10 | 4.56 | 43.6% | 5 | None |
| Harmony Waterloo Waterloo · abuse citation | 7.0 | 88 | 2.04 | 3.24 | 48.8% | 1 | $95,440 |
| Denver Sunset Home Denver | 7.3 | 31 | 2.56 | 3.97 | 40.0% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.