Quick answers
- Where is Pinnacle Specialty Care?
- 1223 Prairieview Road, Cedar Falls, IA 50613, in Black Hawk County, Iowa.
- What is the phone number of Pinnacle Specialty Care?
- (319) 268-0489, as listed by Medicare (CMS).
- What is the Medicare star rating of Pinnacle Specialty Care?
- Medicare overall rating: 2 out of 5 stars (CMS data updated 2026-10-01).
- Has Pinnacle Specialty Care been fined?
- Medicare lists 1 fine totaling $8,362.
- What did inspectors find at Pinnacle Specialty Care?
- In its last three inspection cycles (June 8, 2023 to June 9, 2026), Medicare lists 25 health citations; the most serious was level G. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (June 8, 2023 to June 9, 2026), Pinnacle Specialty Care had 25 health citations; the most serious was level G (actual harm to residents). 1 of them was level G or higher (actual harm or immediate jeopardy). It was fined $8,362 in total (1 fine, the latest on November 13, 2023). Nurse staffing is 3.66 hours per resident per day; the Iowa average is 3.86 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: July 24, 2025 — 15 health citations
Inspections in this cycle: July 24, 2025 (standard health inspection); November 19, 2025 (complaint investigation); April 2, 2026 (complaint investigation); June 9, 2026 (complaint investigation).
Show 15 citations (levels A to F, no actual harm)
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0725 Level D
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0760 Level D
“Ensure that residents are free from significant medication errors.”
F0865 Level D
“Have a plan that describes the process for conducting QAPI and QAA activities.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0725 Level D
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
F0584 Level D
“Honor 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.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0644 Level D
“Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
Previous cycle: September 5, 2024 — 4 health citations
Inspections in this cycle: September 5, 2024 (standard health inspection).
Show 4 citations (levels A to F, no actual harm)
F0623 Level D
“Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0805 Level D
“Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.”
Earlier cycle: June 8, 2023 — 6 health citations
Inspections in this cycle: June 8, 2023 (standard health inspection); November 13, 2023 (complaint investigation); February 13, 2024 (complaint investigation); September 5, 2024 (complaint investigation).
F0684 Level G
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 5 less serious citations (levels A to F)
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0919 Level D
“Make sure that a working call system is available in each resident's bathroom and bathing area.”
F0657 Level D
“Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (4)
E0004 Level F
“Develop and maintain an Emergency Preparedness Program (EP).”
E0029 Level F
“Develop a communication plan.”
E0004 Level F
“Develop and maintain an Emergency Preparedness Program (EP).”
E0029 Level F
“Develop a communication plan.”
Fines and payment denials
Total fines over about the last three years: $8,362 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| November 13, 2023 | Fine | $8,362 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Iowa | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.63 | 0.74 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.71 | 0.56 | 0.86 |
| Nurse aide hours per resident per day | 2.33 | 2.56 | 2.35 |
| Total nurse staff hours per resident per day | 3.66 | 3.86 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.24 | 3.38 | 3.43 |
| RN hours per resident per day on the weekend | 0.37 | 0.51 | 0.48 |
| Nursing staff turnover (per year) | 30.3% | 44.1% | 45.3% |
| RN turnover (per year) | 42.9% | 42.1% | 42.5% |
| Administrators who left in the last year | 1.0 | 0.4 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 43 nursing homes: Care Initiatives.
Legal business name: Care Initiatives.
Owners and managers Medicare lists (1)
| Name | Role | Share | Since |
|---|---|---|---|
| Care Initiatives | Direct owner | 100% | September 1, 2009 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 100 |
| Average residents per day | 93.6 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Group or chain (affiliated entity) | Care Initiatives |
| Legal business name | Care Initiatives |
| First approved by Medicare/Medicaid | 1996-11-01 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 1223 Prairieview Road, Cedar Falls, IA 50613 |
| County | Black Hawk County |
| State | Iowa |
| Phone | (319) 268‑0489 |
| CMS Certification Number | 165298 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- The Suites at Western Home Communities0.3 mi · Cedar Falls, IA · 5 of 5 stars
- Newaldaya Lifescapes1.8 mi · Cedar Falls, IA · 2 of 5 stars
- Martin Health Center, Inc2.7 mi · Cedar Falls, IA · 5 of 5 stars
- Cedar Falls Health Care Center3.3 mi · Cedar Falls, IA · 1 of 5 stars
- Harmony House Health Care Center3.4 mi · Waterloo, IA · 1 of 5 stars
Nearest hospital emergency rooms
- Sartori Memorial Hospital, Inc3.2 mi · Cedar Falls, IA · Acute Care Hospital
- MercyOne Waterloo Medical Center4.8 mi · Waterloo, IA · Acute Care Hospital
- Allen Hospital5.4 mi · Waterloo, IA · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13