• CMS rates this facility 2/5 stars (below average)
• Has 114 certified beds with an average of 135.7 residents per day (119% occupancy)
• Last health inspection found 10 deficiencies (inspected Nov 17, 2025)
• No fines on record
• Total nursing staff: 2.95 hours per resident per day
• Staff turnover rate: 40.0%
Pillar of Cedar Valley is a 2-star Medicare and Medicaid certified nursing home in Waterloo, Iowa with 114 certified beds. It has been operating since 1997. The facility scored below average compared to Iowa facilities.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Respond appropriately to all alleged violations.
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide safe and appropriate respiratory care for a resident when needed.
Ensure that residents are free from significant medication errors.
Keep all essential equipment working safely.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Ensure services provided by the nursing facility meet professional standards of quality.
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.
Provide and implement an infection prevention and control program.
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Provide bedrooms that have direct access to an exit hallway.
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Make sure that a working call system is available in each resident's bathroom and bathing area.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
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.
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| TAMID WATERLOO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Dec 15, 2022 |
| TAMID HEALTHCARE NFP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 100% | Dec 15, 2022 |
| PILLAR SENIOR CARE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Dec 15, 2022 |
| MESSING, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 15, 2022 |
| TARNOFF, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 15, 2022 |
| KUZMENKO, MICHAEL | CORPORATE OFFICER | Individual | N/A | Dec 15, 2022 |
| SHIR, ANATOLIY | CORPORATE OFFICER | Individual | N/A | Dec 15, 2022 |
| ARENDS, HILARY | W-2 MANAGING EMPLOYEE | Individual | N/A | Apr 3, 2022 |