Nursing homeActive

Pinnacle Specialty Care

1223 Prairieview Road, Cedar Falls, IA 506133192680489100 certified beds · 96 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
8
since 2023
Deficiencies
25
0241
Penalties · 3 yrs
$8,362
1 fine
Last survey
2026-06-09
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 3
Quality 2
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-06-09Complaint050CMS-2567 (Care Compare)
2026-04-02Complaint040CMS-2567 (Care Compare)
2025-11-19Complaint020CMS-2567 (Care Compare)
2025-07-24Standard040CMS-2567 (Care Compare)
2024-09-05Standard040CMS-2567 (Care Compare)
2024-02-13Complaint020CMS-2567 (Care Compare)
2023-11-13Complaint001CMS-2567 (Care Compare)
2023-06-08Standard030CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-06-09Complaint survey · 5 deficienciesOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-07-01Record 165298-20260609-F609
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-07-01Record 165298-20260609-F656
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-07-01Record 165298-20260609-F725
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-07-01Record 165298-20260609-F760
F865Have a plan that describes the process for conducting QAPI and QAA activities.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-07-01Record 165298-20260609-F865
2026-04-02Complaint survey · 4 deficienciesOfficial report
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-25Record 165298-20260402-F657
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-25Record 165298-20260402-F658
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-25Record 165298-20260402-F698
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-25Record 165298-20260402-F755
2025-11-19Complaint survey · 2 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-11-29Record 165298-20251119-F689
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-11-29Record 165298-20251119-F725
2025-07-24Standard survey · 4 deficienciesOfficial report
F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-23Record 165298-20250724-F584
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-23Record 165298-20250724-F641
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-23Record 165298-20250724-F644
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-23Record 165298-20250724-F657
2024-09-05Standard survey · 4 deficienciesOfficial report
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-24Record 165298-20240905-F623
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-24Record 165298-20240905-F677
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-24Record 165298-20240905-F689
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-24Record 165298-20240905-F805
2024-02-13Complaint survey · 2 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-21Record 165298-20240213-F550
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-21Record 165298-20240213-F919
2023-11-13Complaint survey · 1 deficiencyOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-11-21Record 165298-20231113-F684
2023-06-08Standard survey · 3 deficienciesOfficial report
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-15Record 165298-20230608-F657
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-15Record 165298-20230608-F658
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-06-15Record 165298-20230608-F690

Penalties & enforcement

DateActionAmountSource
2023-11-13Civil money penalty$8,362CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.51
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.31
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours3.03
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover27%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover36%
Facility
Iowa
National
Iowa 42% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityIowaNational
Percentage of long-stay residents with pressure ulcers
lower is better
4.2%4.2%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
1.4%3.8%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
26.5%19.5%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.4%2.4%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.2%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
23.0%17.1%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
7.3%4.6%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
25.2%20.8%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Care Initiatives
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST100%
Arends, Hilary
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Mahler, Carla
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Whyms, Brian
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Arends, Hilary
Individual
ADP OF THE SNFNOT APPLICABLE
Beal, Michael
Individual
CORPORATE DIRECTORNOT APPLICABLE
Beal, Michael
Individual
CORPORATE OFFICERNOT APPLICABLE
Bowen, Lane
Individual
CORPORATE DIRECTORNOT APPLICABLE
Carothers, Mary Jane
Individual
CORPORATE DIRECTORNOT APPLICABLE
Childs, Kevin
Individual
CORPORATE DIRECTORNOT APPLICABLE
Computershare Corporate Trust Company, Na
Organization
ADP OF THE SNFNOT APPLICABLE
Computershare Corporate Trust Company, Na
Organization
5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
Corless, Peter
Individual
CORPORATE DIRECTORNOT APPLICABLE
Dixon, David
Individual
CORPORATE OFFICERNOT APPLICABLE
Drake, Emily
Individual
CORPORATE OFFICERNOT APPLICABLE
Gilyard, Tanya
Individual
CORPORATE OFFICERNOT APPLICABLE
Krein, Keith
Individual
CORPORATE DIRECTORNOT APPLICABLE
Kuhn, Jeramy
Individual
CORPORATE OFFICERNOT APPLICABLE
Mahler, Carla
Individual
ADP OF THE SNFNOT APPLICABLE
Mcdyer, Jessica
Individual
CORPORATE OFFICERNOT APPLICABLE
Rust, Elizabeth
Individual
CORPORATE DIRECTORNOT APPLICABLE
Sturm, Denise
Individual
CORPORATE DIRECTORNOT APPLICABLE
Upmeyer, Linda
Individual
CORPORATE DIRECTORNOT APPLICABLE
Volm, Johanna
Individual
CORPORATE OFFICERNOT APPLICABLE
Whyms, Brian
Individual
ADP OF THE SNFNOT APPLICABLE
Part of a chain
Care Initiatives43 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.

No county cost figures on file for Black Hawk.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
The Suites at Western Home Communities
Cedar Falls
0.3 mi2026-03-260110
Newaldaya Lifescapes
Cedar Falls
1.8 mi2026-04-222101
Martin Health Center, INC
Cedar Falls
2.7 mi2025-05-15061
Harmony House Health Care Center
Waterloo
3.4 mi2026-06-300344
Cedar Falls Health Care Center
Cedar Falls
3.3 mi2026-01-080321
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01