| Pillar of Cedar Valley | |
| 1410 West Dunkerton Road, Waterloo, Iowa 50703 | |
| (319) 291-2509 | |
| Name | Pillar of Cedar Valley |
|---|---|
| Location | 1410 West Dunkerton Road, Waterloo, Iowa |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 114 |
| Average Residents per Day | 133.2 |
| Medicare ID (CCN) | 165307 |
| Legal Business Name | Black Hawk Nursing and Rehabilitation LLC |
| Ownership Type | Non Profit - Corporation |
| NPI Number | 1285106567 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Black Hawk Nursing and Rehabilitation, LLC |
| Address | 1410 W Dunkerton Rd, Waterloo, IA 50703 |
| Phone Number | 319-291-2509 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 2.92 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.33 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.69 | 0.86 |
| Nurse aide hours per resident per day | 1.9 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.49 | 3.42 |
| RN hours per resident per day on the weekend | 0.13 | 0.48 |
| Physical therapist hours per resident per day | 0.01 | 0.07 |
| Total nursing staff turnover | 32.7% | 45.8% |
| Registered nurse turnover | 28.6% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 11, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jul 1, 2026 |
| Dec 23, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Jan 20, 2026 |
| Dec 23, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Jan 20, 2026 |
| Dec 23, 2025 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by Jan 20, 2026 |
| Nov 17, 2025 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 1, 2025 |
| Nov 17, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 1, 2025 |
| Nov 17, 2025 | 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. F0688, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 1, 2025 |
| Nov 17, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 1, 2025 |
| Nov 17, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 1, 2025 |
| Nov 17, 2025 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Dec 1, 2025 |
| Nov 17, 2025 | Keep all essential equipment working safely. F0908, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Dec 1, 2025 |
| Oct 3, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Oct 31, 2024 |
| Oct 3, 2024 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. F0577, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Oct 31, 2024 |
| Oct 3, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Oct 31, 2024 |
| Oct 3, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Oct 31, 2024 |
| Oct 3, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Oct 31, 2024 |
| Oct 3, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Oct 31, 2024 |
| Oct 3, 2024 | 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. F0693, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 31, 2024 |
| Oct 3, 2024 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. F0912, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Oct 31, 2024 |
| Oct 3, 2024 | Provide bedrooms that have direct access to an exit hallway. F0913, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Oct 31, 2024 |
| Oct 3, 2024 | Provide bedrooms that don't allow residents to see each other when privacy is needed. F0914, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Oct 31, 2024 |
| Oct 3, 2024 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919, Environmental, Standard inspection | Potential for harm, isolated | Corrected by Oct 31, 2024 |
| Jun 29, 2023 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 21, 2023 |
| Jun 29, 2023 | 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. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jul 21, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.49 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 4.66 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.32 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0.56 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 25.79 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.42 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 74.67 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 76.32 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | Not Available | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 13.06 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 43.13 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.33 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Not Available | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 4.94 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 20.03 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | Not Available | 15.38 |
Harmony House Health Care Center Location: 2950 West Shaulis Road, Waterloo, Iowa 50701 Phone: (319) 234-4495 |