Pinnacle Specialty Care

1223 Prairieview Road · Cedar Falls, IA · 50613 · 3192680489

100 certified beds For profit - Corporation Chain: Care Initiatives

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 59
Serious harm & abuse 20% 94
Staffing 20% 70
Federal penalties 15% 77
Trend 10% 60
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.473.48 min · 4.1 strong
RN hours / resident-day0.580.55–0.75
Weekend hours / resident-day3.23≈ weekday level
Nursing turnover / year32%median 45%
Fines (3-yr window)1 · $8,362

Inspection citations (20 in the current record)

  • Potential for harm · D April 2, 2026 · found via complaint

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

    Corrected April 25, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D April 2, 2026 · found via complaint

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

    Corrected April 25, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D April 2, 2026 · found via complaint

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

    Corrected April 25, 2026 · Quality of Life and Care

  • Potential for harm · E April 2, 2026 · found via complaint

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

    Corrected April 25, 2026 · Pharmacy Service

  • Potential for harm · D November 19, 2025 · found via complaint

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

    Corrected November 29, 2025 · Quality of Life and Care

  • Potential for harm · D November 19, 2025 · found via complaint

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

    Corrected November 29, 2025 · Nursing and Physician Services

  • Potential for harm · D July 24, 2025

    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.

    Corrected August 23, 2025 · Resident Rights

  • Potential for harm · D July 24, 2025

    Ensure each resident receives an accurate assessment.

    Corrected August 23, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D July 24, 2025

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected August 23, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D July 24, 2025

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

    Corrected August 23, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D September 5, 2024

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected September 24, 2024 · Resident Rights

  • Potential for harm · D September 5, 2024

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected September 24, 2024 · Quality of Life and Care

  • Potential for harm · D September 5, 2024

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected September 24, 2024 · Nutrition and Dietary

  • Potential for harm · D September 5, 2024 · found via complaint

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

    Corrected September 24, 2024 · Quality of Life and Care

  • Potential for harm · D February 13, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected February 21, 2024 · Resident Rights

  • Potential for harm · D February 13, 2024 · found via complaint

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected February 21, 2024 · Environmental

  • Actual harm · G November 13, 2023 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected November 21, 2023 · Quality of Life and Care

  • Potential for harm · D June 8, 2023

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

    Corrected June 15, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D June 8, 2023

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

    Corrected June 15, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D June 8, 2023

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected June 15, 2023 · Quality of Life and Care

Federal penalties

DateTypeAmount / length
November 13, 2023Fine$8,362

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165298 · certified since November 1, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.