Pillar Of Cedar Valley
Pillar of Cedar Valley in Waterloo, IA — inspection on December 23, 2025.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
at someone. As the CNAs started running toward the person and Resident #1, the other resident struck Resident #1 in the right ear.
The staff separated the residents and escorted the other resident (Resident #2) to her room. Resident #2 gave no reason for hitting Resident #1.The Progress Notes dated 12/9/25 at 7:14 AM Resident #1 sat at a table with another resident. Resident #2 saw Resident #1 and approached him, she called him a name and hit him on the back of the head. Resident #1 then hit Resident #2 in her right hip.
The staff separated both residents.3. Resident #5 MDS assessment dated [DATE] documented a BIMS score of 14, indicating intact cognition.
The MDS documented the resident had verbal behavior symptoms directed toward others that occurred 1 to 3 days during the look back period.
The MDS included diagnoses of anxiety and bipolar disorder.
The Progress Notes dated 12/15/25 at 10:35 AM indicated Resident #5 and the Social Worker met following an altercation between Resident #5 and Resident #2 in the common area.
The staff witnessed Resident #2 approach Resident #5 from behind and, without provocation, struck Resident #5 on the shoulder and back of the head. In addition, the staff reported Resident #2 stated, I am going to take a big sh*t and put it on you.
Staff immediately intervened, separated the residents, and redirected Resident #2 to her room to de-escalate. Resident #5 reported as she sat in the common area, Resident #2 struck her from behind three times. Resident #5 stated she felt fine physically but expressed emotional distress related to feeling Resident #2 didn't like her. Resident #5 Progress Notes lacked documentation of the resident-to-resident altercation from 12/10/25.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
12/23/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Pillar of Cedar Valley
1410 West Dunkerton Road Waterloo, IA 50703
SUMMARY STATEMENT OF DEFICIENCIES
injuries of unknown sourceReporting determinations will be made promptly and in consultation with facility leadership as appropriate.
Review of the facility policy titled Skilled and Senior Living Abuse, Neglect and Exploitation Policy and Procedure dated October 2022 directed any employee who suspects an alleged violation immediately notify the Administrator.
The Administrator notifies the appropriate state agency of allegations of neglect, exploitation, misappropriation of resident property or mistreatment that do not result in serious bodily injury in no later than 24-hours.
Allegations of abuse resulting in serious bodily injury must report immediately, but not later than 2 hours after the allegation is made.
Initial reports must include sufficient information to describe the alleged violation with as much information as possible based on the knowledge at the time of the submission and indicate how resident(s) are being protected.
The results of all investigations are reported to the Administrator and to the appropriate state agency as required by state law and/or within five (5) working days of the alleged violation.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
12/23/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Pillar of Cedar Valley
1410 West Dunkerton Road Waterloo, IA 50703
SUMMARY STATEMENT OF DEFICIENCIES
Review of the facility policy titled Skilled and Senior Living Abuse, Neglect and Exploitation Policy and Procedure dated October 2022 directed any employee to take appropriate steps to ensure that all alleged violations of the federal and state laws which involve abuse are reported immediately to the administrator of the community.
The community investigates each such alleged violation thoroughly and reports the results of all investigations to the administrator, as well as to the State agencies, as required by State and Federal law.
Facility ID: