Waterloo · 50703
Northcrest Specialty Care
2001Health Street
Waterloo, IA 50703
Pillar of Cedar Valley
⌖ Waterloo, IA · Black Hawk County
No photos yet
Medicare overall rating 1 of 5 stars
Certified beds114
Medicare / MedicaidMedicare & Medicaid
OwnershipNon-profit (corporation)
About Pillar of Cedar Valley
Pillar of Cedar Valley is a 114-bed nonprofit nursing home in Waterloo, IA. Medicare rates it 1 out of 5 stars overall (much below average); the average in Iowa is 3.1. At its last full inspection (Nov 2025), inspectors found 11 problems, more than the Iowa average of 6.5. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 2 hr 55 min a day with each resident, less than the Iowa average of 3 hr 49 min. About 33% of its nursing staff left in the past year. It has had no federal fines in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility namePillar Of Cedar Valley
LocationBlack Hawk County, Iowa
Phone(319) 291-2509
Address1410 West Dunkerton Road, Waterloo, IA 50703 · Black Hawk County
CMS provider number165307
Ownership typeNon-profit (corporation)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceMarch 13, 1997 (29 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
3 strengths and 3 things to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Nov 2025.Strength
- Fines and penaltiesNoneNo federal fines or payment denials in the last three years.Strength
- Nursing staff turnover33% a yearIowa average: 44%Strength
Things to ask about
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- Health citations at last inspection11 (Nov 2025)Iowa average: 6.5. Most citations are minor and corrected within weeks.Worse than state average
- Nurse staffing per resident2 hr 55 min a dayIowa average: 3 hr 49 minWorse than state average
- Registered nurse time per resident20 min a dayIowa average: 45 minWorse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Iowa average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital12.4%State average: 20.9%Better than average
- Needed an emergency room visit13.6%State average: 13.2%About average
Physical therapist time: about 0 minutes per resident a day. That is less than the state average of 2 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury2.4%State average: 3.8%Better than average
- Pressure sores (bedsores)4.9%State average: 4.2%About average
- Hospital stays per 1,000 resident days2.2State average: 1.5Worse than average
Source: Medicare (CMS) quality measures, compared with the Iowa average. Lower is better for every rate shown.
Who pays, and how full it is
Most residents here have their care paid by Medicaid. In Iowa, Medicaid pays for 50% of resident days at a typical home.
- 98% Medicaid
- 0% Medicare
- 2% Private pay, insurance and other
Beds in use, on average86%Iowa typical: 79%
Cost of care per resident day$318Iowa typical: $311
Shares of resident days, from the home’s Medicare cost report for the year ending December 2024. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 1 star now, down from 4 stars in January 2019. It has ranged from 1 to 4 stars and changed 10 times.
Overall rating1★
Health inspections2★
Staffing3★
Quality of care1★
Nurse hours per resident per day2.9
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 4 | 2 | 4 | 5 | 3.6 |
| Jan 2020 | 1 | 1 | 2 | 4 | 2.7 |
| Jan 2021 | 1 | 1 | 2 | 2 | 2.9 |
| Jan 2022 | 2 | 1 | 2 | 5 | 2.6 |
| Jan 2023 | 1 | 1 | 1 | 3 | 2.3 |
| Jan 2024 | 2 | 2 | 2 | 3 | 2.8 |
| Feb 2025 | 3 | 3 | 3 | 4 | 3.0 |
| Feb 2026 | 2 | 2 | 4 | – | 3.0 |
| Sep 2026 | 1 | 2 | 3 | 1 | 2.9 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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