PlainNursing
CMS Nursing Home Compare · March 2026

Pinnacle Specialty Care

Pinnacle Specialty Care is a for profit - corporation facility in Cedar Falls, IA with 100 certified beds and a 3-star overall CMS rating. The inspection file holds 16 deficiency records. Total penalties: $8K.

1223 Prairieview Road, Cedar Falls, IA 50613

Phone: 3192680489

Overall CMS Rating

3/5

vs 3.0 national avg

The verdict

Pinnacle Specialty Care holds a 3-star CMS overall rating — right around the 3.0-star national average, with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

3 / 5
CMS overall rating (nat'l avg 3.0)
3.47
Nursing hrs/resident-day (nat'l 3.89)
16
Inspection findings on file · 1 serious
$8K
Federal penalties (1)

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating. Read the components below — they often tell a sharper story than the headline.

Health Inspection

3/5

Staffing

4/5

Quality Measures

2/5

Long-Stay Quality

2/5

Facility Information

Provider Number
165298
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
100
Residents
92
In Hospital
No
County
Black Hawk
Last Inspection
Jul 24, 2025

Staffing Data

RN Hours
0.58 (nat'l avg: 0.68)
LPN Hours
0.70
CNA Hours
2.19
Total Nursing Hours
3.47 (nat'l avg: 3.89)
PT Hours
0.05
Nursing Turnover
32.2%
RN Turnover
21.4%

What the CMS Record Reveals About Pinnacle Specialty Care

Pinnacle Specialty Care operates 100 certified beds in Cedar Falls, IA with approximately 92 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (4★), and quality measures (2★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 16 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $8K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.47 total nursing hours per resident day (national average 3.89), with RN coverage at 0.58 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Pinnacle Specialty Care falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 32.2%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (16 most recent)

D — Isolated - Minimal harm Nov 19, 2025 Tag: 0725

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

Category: Nursing and Physician Services Deficiencies

Corrected: Nov 29, 2025

D — Isolated - Minimal harm Nov 19, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 29, 2025

D — Isolated - Minimal harm Jul 24, 2025 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 23, 2025

D — Isolated - Minimal harm Jul 24, 2025 Tag: 0644

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 23, 2025

D — Isolated - Minimal harm Jul 24, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 23, 2025

D — Isolated - Minimal harm Jul 24, 2025 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Aug 23, 2025

D — Isolated - Minimal harm Sep 5, 2024 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 24, 2024

D — Isolated - Minimal harm Sep 5, 2024 Tag: 0805

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

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 24, 2024

D — Isolated - Minimal harm Sep 5, 2024 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Sep 24, 2024

D — Isolated - Minimal harm Sep 5, 2024 Tag: 0623

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

Category: Resident Rights Deficiencies

Corrected: Sep 24, 2024

D — Isolated - Minimal harm Feb 13, 2024 Tag: 0919

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

Category: Environmental Deficiencies

Corrected: Feb 21, 2024

D — Isolated - Minimal harm Feb 13, 2024 Tag: 0550

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

Category: Resident Rights Deficiencies

Corrected: Feb 21, 2024

G — Isolated - Actual harm Nov 13, 2023 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 21, 2023

D — Isolated - Minimal harm Jun 8, 2023 Tag: 0690

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

Category: Quality of Life and Care Deficiencies

Corrected: Jun 15, 2023

D — Isolated - Minimal harm Jun 8, 2023 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 15, 2023

D — Isolated - Minimal harm Jun 8, 2023 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 15, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 20.9% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.3% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.7% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.1% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 5.5% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.5% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 97.1% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.5% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 31.7% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 29.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 95.0% No
Percentage of long-stay residents with pressure ulcers Long Stay 4.5% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 24.8% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 30.3% Yes

Penalty History 1 penalties totaling $8K

Date Type Amount
Nov 13, 2023 Fine $8K

Frequently Asked Questions

What is the overall CMS rating for Pinnacle Specialty Care?
Pinnacle Specialty Care has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (4★), and quality measures (2★).
What are the staffing levels at Pinnacle Specialty Care?
Pinnacle Specialty Care reports 3.47 total nursing hours per resident day (national average: 3.89). RN hours are 0.58 per resident day (national average: 0.68). Nursing staff turnover is 32.2%.
How many beds does Pinnacle Specialty Care have?
Pinnacle Specialty Care has 100 certified beds with approximately 92 residents. The facility is located at 1223 Prairieview Road, Cedar Falls, IA 50613.
Does Pinnacle Specialty Care have any deficiencies on record?
Yes, Pinnacle Specialty Care has 16 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Pinnacle Specialty Care received any fines or penalties?
Yes, Pinnacle Specialty Care has received 1 penalties totaling $8K.
Who owns Pinnacle Specialty Care?
Pinnacle Specialty Care is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Pinnacle Specialty Care last inspected?
The most recent health inspection for Pinnacle Specialty Care was on Jul 24, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Pinnacle Specialty Care?
Pinnacle Specialty Care is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.