Pinnacle Specialty Care: Staffing, Turnover, and Inspection Record
Pinnacle Specialty Care is a 100-bed for-profit nursing home in Cedar Falls, Iowa, part of Care Initiatives. In the CMS August 2026 release it reported 2.15 nurse aide hours per resident per day, 14% below the Iowa average of 2.51, and 27.4% nursing staff turnover (Iowa average 44.0%).
Pinnacle Specialty Care
1223 Prairieview RoadCedar Falls, IA 50613
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 Pinnacle Specialty Care, nurse aides logged 2.15 hours per resident per day, 14% below the Iowa average. With about 96 residents a day, that works out to roughly 206 aide hours a day, or about 26 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 8% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.15 | 2.51 | 2.32 |
| Licensed practical nurses | 0.65 | 0.56 | 0.86 |
| Registered nurses | 0.51 | 0.74 | 0.69 |
| All nursing staff | 3.31 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.03 | 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
27.4% of nursing staff at Pinnacle Specialty Care left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 35.7%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jul 24, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 15 health deficiencies (Iowa average 6.5). CMS lists 1 fine totaling $8,362 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Nov 13, 2023 | Fine | $8,362 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Pinnacle Specialty Care holds 2 of 5 overall; the Iowa average is 3.1.
About Pinnacle Specialty Care
- Ownership: For profit - Corporation
- Chain: Care Initiatives, 43 homes
- Legal name: Care Initiatives
- Medicare and Medicaid certified since: Nov 1, 1996
- Councils: resident council
- Area: urban
Nursing homes near Pinnacle Specialty Care
The closest homes by distance, with the same CMS figures. Select a column to sort.
| The Suites at Western Home Communities Cedar Falls | 0.3 | 72 | 3.10 | 4.56 | 43.6% | 5 | None |
| Newaldaya Lifescapes Cedar Falls | 1.8 | 112 | 3.13 | 4.52 | 41.6% | 2 | $132,074 |
| Martin Health Center, INC Cedar Falls | 2.7 | 50 | 2.97 | 4.21 | 39.7% | 5 | None |
| Cedar Falls Health Care Center Cedar Falls | 3.3 | 70 | 1.87 | 2.72 | 43.8% | 2 | None |
| Harmony House Health Care Center Waterloo · SFF candidate | 3.4 | 65 | 2.73 | 3.84 | 61.5% | 1 | $48,825 |
| Harmony Waterloo Waterloo · abuse citation | 4.1 | 88 | 2.04 | 3.24 | 48.8% | 1 | $95,440 |
| Friendship Village Retirement Waterloo | 4.6 | 72 | 3.09 | 4.78 | 28.3% | 5 | None |
| Ravenwood Specialty Care Waterloo | 5.0 | 176 | 2.17 | 3.35 | 30.2% | 1 | 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.