ElderGrade
C

67/100

Average

Pinnacle Specialty Care

1223 Prairieview Road, Cedar Falls, IA 50613

CMS 2/5 stars #7 of 12 in Black Hawk County (319) 268-0489
Certified beds
100
Occupancy
96%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $8,362 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

26/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -4 for 1 actual-harm citation(s) in the last 3 years

Staffing

13/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.63 total nurse hours per resident per day (national median 3.77)
  • 0.51 RN hours per resident per day
  • Weekend staffing drops 8% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 27% of nursing staff left in the last year

Resident outcomes

5/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 2 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $8,362 in federal fines across 1 action(s)

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.31 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.51 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.03 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 27.40%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

All 20 citations

Last standard health inspection: July 24, 2025 (1 year ago).

E Apr 2, 2026 F0755 From a complaint

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

No actual harm, potential for more than minimal harm

D Apr 2, 2026 F0657 From a complaint

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

No actual harm, potential for more than minimal harm

D Apr 2, 2026 F0658 From a complaint

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

No actual harm, potential for more than minimal harm

D Apr 2, 2026 F0698 From a complaint

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

No actual harm, potential for more than minimal harm

D Nov 19, 2025 F0689 From a complaint

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

No actual harm, potential for more than minimal harm

D Nov 19, 2025 F0725 From a complaint

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

No actual harm, potential for more than minimal harm

D Jul 24, 2025 F0584

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

D Jul 24, 2025 F0641

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of CARE INITIATIVES, which operates 43 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
COMPUTERSHARE CORPORATE TRUST COMPANY, NA Organization 5% OR GREATER MORTGAGE INTEREST
BEAL, MICHAEL Individual CORPORATE DIRECTOR
BOWEN, LANE Individual CORPORATE DIRECTOR
CAROTHERS, MARY JANE Individual CORPORATE DIRECTOR
CHILDS, KEVIN Individual CORPORATE DIRECTOR
CORLESS, PETER Individual CORPORATE DIRECTOR
KREIN, KEITH Individual CORPORATE DIRECTOR
RUST, ELIZABETH Individual CORPORATE DIRECTOR
STURM, DENISE Individual CORPORATE DIRECTOR
UPMEYER, LINDA Individual CORPORATE DIRECTOR
BEAL, MICHAEL Individual CORPORATE OFFICER
DIXON, DAVID Individual CORPORATE OFFICER

What families say

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Common questions about Pinnacle Specialty Care

What is the ElderGrade for Pinnacle Specialty Care? +

Pinnacle Specialty Care holds an ElderGrade of C (67 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Pinnacle Specialty Care? +

Residents receive an average of 3.31 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Pinnacle Specialty Care been cited for harming residents? +

Yes. 1 of the 20 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Pinnacle Specialty Care accept Medicaid? +

Yes, Pinnacle Specialty Care is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.