Pillar of Cedar Valley

Nursing Home · Waterloo, IA

CMS overall rating 1/5 Non profit - Corporation

CMS certification number165307

Contact & location

1410 West Dunkerton Road
Waterloo, IA 50703
Black Hawk County
Phone
(319) 291-2509
ZIP code
50703 – all care providers

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Facility details

Certified beds
114
Residents per day
133.2 (117% occupied)
Ownership
Non profit - Corporation
Legal name
Black Hawk Nursing and Rehabilitation LLC
Medicare certified since
March 13, 1997
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.1
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 3.7
Quality measures★★★★★ 1/5
State avg 3.3
Long-stay quality★★★★★ 1/5
Short-stay qualityNot rated

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
2.92 (state 3.82 · U.S. 3.86)
Registered nurses (RN)
0.33 (state 0.74 · U.S. 0.69)
Licensed practical nurses
0.69 (state 0.56 · U.S. 0.86)
Nurse aides
1.90 (state 2.51 · U.S. 2.32)
Weekend total
2.49 (state 3.37 · U.S. 3.42)
Nursing staff turnover
32.7 (state 44.0 · U.S. 45.8)%
RN turnover
28.6 (state 42.1 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
November 17, 2025
Health deficiencies (last cycle)
11.0 (state 6.5 · U.S. 9.3)
From complaints
4
Citations on record (3 years)
24 health · 17 fire safety
DateCitationSeverityStatus
2026-06-11 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-07-01
2025-12-23 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 Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-20
2025-12-23 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-20
2025-12-23 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-20
2025-11-17 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
F0640 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-01
2025-11-17 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 Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-01
2025-11-17 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 Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-01
2025-11-17 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-01
2025-11-17 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-01
2025-11-17 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-01
2025-11-17 Keep all essential equipment working safely.
F0908 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-01
2024-10-03 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-10-31
2024-10-03 Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
F0577 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-10-31
2024-10-03 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-31
2024-10-03 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-31
2024-10-03 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-31
2024-10-03 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-31
2024-10-03 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 Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-31
2024-10-03 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
F0912 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-31
2024-10-03 Provide bedrooms that have direct access to an exit hallway.
F0913 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-31
2024-10-03 Provide bedrooms that don't allow residents to see each other when privacy is needed.
F0914 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-31
2024-10-03 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-31
2023-06-29 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 Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-21
2023-06-29 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 Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-07-21

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Tamid Waterloo LLC (organization)5%+ Direct Ownership Interest · 100%
Tamid Healthcare NFP (organization)5%+ Indirect Ownership Interest · 100%
Kuzmenko, Michael (individual)Corporate Officer · NOT APPLICABLE
Shir, Anatoliy (individual)Corporate Officer · NOT APPLICABLE
Messing, Michael (individual)Operational/managerial Control · NOT APPLICABLE
Pillar Senior Care LLC (organization)Operational/managerial Control · NOT APPLICABLE
Tarnoff, Michael (individual)Operational/managerial Control · NOT APPLICABLE
Arends, Hilary (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Pillar of Cedar Valley?

Pillar of Cedar Valley has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Iowa.

How many beds does Pillar of Cedar Valley have?

It has 114 certified beds and cares for about 133 residents per day.

Has Pillar of Cedar Valley been fined?

CMS lists no federal fines or payment denials in the last three years.

What is the phone number of Pillar of Cedar Valley?

(319) 291-2509. The facility is located at 1410 West Dunkerton Road, Waterloo, IA 50703.

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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.