Pinnacle Specialty Care
Pinnacle Specialty Care – Medicare Certified Since 1996
Pinnacle Specialty Care is a Medicare and Medicaid certified skilled nursing facility located in Cedar Falls, Iowa. This facility has been serving the community for 30 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.
This facility has 100 certified beds with a current occupancy rate of 89% (averaging 89 residents per day), which is high. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.
Staffing Levels: Based on CMS payroll data, this facility provides approximately 3.53 hours of total nursing care per resident per day (2.18 hours from CNAs, 0.7 hours from LPNs, 0.65 hours from RNs). Physical therapy staffing is 0.05 hours per resident per day.
Medicare Quality Ratings: According to CMS, Pinnacle Specialty Care has an overall quality rating of 3 out of 5 stars, which is average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 3 stars, staffing: 4 stars, quality measures: 3 stars.
Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.
Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.
Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.
Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.
Local Comparison Snapshot
How Pinnacle Specialty Care compares to 20 facilities in Waterloo-Cedar Falls, IA
Click a measure name to jump to details • Hover over ⓘ for definitions
Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 20 facilities in Waterloo-Cedar Falls, IA.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.
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Medicare Star Ratings
Official CMS ratings based on health inspections, staffing, and quality measures
Data as of December 2025
Star Ratings History
Quarterly performance from 2013-2026
How Does This Facility Compare?
Compared to 20 other nursing homes in Waterloo-Cedar Falls, IA
Based on CMS Medicare star ratings. Higher ratings indicate better performance.
Staffing Hours per Resident Day
Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.
Staff Turnover Rate
Lower turnover rates generally indicate a more stable workforce and better continuity of care.
Agency/Contract Staff Usage
Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.
Agency Staff Trends
Historical agency/contract staff usage by role
Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.
Direct Care Staffing
Average minutes of direct nursing care per resident per day
Data as of December 2025
Staffing Trends
Direct care minutes per resident per day
Occupancy Rate History
Average daily residents as a percentage of certified beds
Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.
Staff Turnover History
Annual percentage of nursing staff who left the facility
Data as of December 2025
Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.
Average Daily Rate
Average daily charge for care at this facility
Based on CMS Cost Report data (inpatient revenue ÷ total patient days)
Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.
Financial Health
Comprehensive financial indicators from CMS Cost Reports
Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.
Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.
Who Stays Here
Breakdown of residents by payment type
Based on fiscal year 2023 cost report data
Average Length of Stay
How long residents typically stay at this facility
Based on fiscal year 2023 cost report data
Services
Comprehensive skilled nursing services, rehabilitation programs, and medical care in CEDAR FALLS
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Find Jobs Near MeReviews
LOOKS of this place can be deceiving! Only a FEW good people there! They lost my clothes, let me sit in someone’s nasty peed on wheelchair to where I REEKED of pee & all the elderly were confined in their rooms like me (most days) due to “covid.” Their dietary couldn’t get a CLUE how allergic I was or intolerant of foods! I had to make my own foods a LOT. Also found 3rd shift staff having munchies reeking of MJ! I could care less about them smoking it, yet ON SHIFT?!!! How would they help your loved one if high in the middle of the night?! The rooms were nice, I had to help keep it clean (thankfully I was younger) as no one vacuumed for a MONTH or really wiped things clean. God have mercy. Coolest thing there…sounds like the Hunger Games around the nurses station lol. TO whomever wants me to call, I don’t want to, please just be sure you do the right things, like monitor staff, have better cleaning, get dietary straight, clean the shower rooms better (gross & smelled at times), have staff read door notes like CLOSE the door when you leave, follow through on family patient requests, & have some activities. People are already depressed there, Covid or not they need to feel like they have some sort of life too. Like in other reviews, maybe require all employees to watch Patch Adams. 😎
The nurses and cna and physical therapy were awesome, I would recommended anyone that going in nursing home, there the best, cafeteria was great, when I wanted soup whenever they made sure I had it. Activities are awesome too. They gave many activities to keep you busy. I miss teasing my nurses, and my friends if it wouldnt work out here, I defiantly go back to Pinnacle, thank you all for taking good care of me
My wife was cared for by the staff for about 2 weeks. We had our favorite nurses and caretakers but the majority were very caring. Response time was slow at times but we knew they were short staffed and doing their best. Overall a very good experience!
I arrived at Pinnacle after knee replacement surgery (only because the other care facilities were full). The night I got there I pressed the call button all night long because I had to get up and go to the bathroom and nobody responded to my call. Not sure what time it was in the morning, but somebody finally came in to give me my medication, and I told her that I was unhappy with the care I was receiving she got somebody who moved me to the other side of the facility where it is more trafficked. There were two people working during that night and neither one of them came in when I called. I also sent my daughter a message and she came down to help me. Those two girls should’ve been fired on the spot in my opinion. Once moved, I did receive better care. It still wasn’t that good and I hope to never have to go there again. I really liked the physical therapists and there were a couple of my favorite nurses and some aides. At the very end of my visit there, they were gonna let me walk out after after total knee replacement surgery knee surgery. I wanted to go out in a wheelchair which I did.
Pinnacle Specialty Care has been a wonderful home for my mother for over two years. The staff is consistently loving, caring, and attentive, ensuring she receives the highest level of care. Their professionalism and expertise shine through in every interaction, and they go above and beyond to make her feel comfortable and valued. The team is always engaged, providing not only medical support but also emotional care, which has made a huge difference in my mother's quality of life. I highly recommend Pinnacle for anyone seeking compassionate, skilled care.
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