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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K1 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D15 | E3 | F6 |
| Minimal | A· | B2 | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jul 9, 2026 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Jul 9, 2026 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Apr 22, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 22, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| May 22, 2025 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Feb 25, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 27, 2024 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jun 27, 2024 | Health | Health Complaint, Health Standard | 9 | Immediate jeopardy | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jun 27, 2024 | Civil money penalty (fine) | $132,074 | — | 165465|Fine|79442 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K1 | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D15 | E3 | F6 |
| Minimal | A· | B2 | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 9, 2026 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 14, 2026 | |
| Jul 9, 2026 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 16, 2026 | |
| Jul 9, 2026 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Cedar Falls Lutheran Home | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Mar 15, 2015 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Cedar Falls Lutheran Home | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Mar 15, 2015 |
| Amy Curley | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 13, 2025 |
| Jeff Fishel | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 13, 2025 |
| Darrin Gillett | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 13, 2025 |
| Annelie Heinen | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 13, 2025 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Martin Health Center, Inc 410 East 10th Street, Cedar Falls, IA 50613 CCN 165508 | 1.9 km | 50 | Jul 9, 2026 | 221 harm | — | |
| Cedar Falls Health Care Center 1728 West Eighth Street, Cedar Falls, IA 50613 CCN 165197 | 2.5 km | 70 | Jul 30, 2026 | 721 harm | — | |
| The Suites at Western Home Communities 5301 Caraway Lane, Cedar Falls, IA 50613 CCN 165622 | 2.7 km | 72 | Mar 26, 2026 | 18 | — | |
| Pinnacle Specialty Care 1223 Prairieview Road, Cedar Falls, IA 50613 CCN 165298 | 2.8 km | 100 | Jun 9, 2026 | 291 harm | $8,362 | |
| Harmony House Health Care Center 2950 West Shaulis Road, Waterloo, IA 50701 CCN 165152SFF Candidate | 8.3 km | 65 | Jun 30, 2026 | 392 IJ2 harm | $32k | |
| Harmony Waterloo 201 West Ridgeway Avenue, Waterloo, IA 50701 CCN 165034Abuse icon | 8.9 km | 88 | Jun 11, 2026 | 571 IJ | $95k | |
| Pillar of Cedar Valley 1410 West Dunkerton Road, Waterloo, IA 50703 CCN 165307 | 9.4 km | 114 | Jun 11, 2026 | 39 | — | |
| Friendship Village Retirement 600 Park Lane, Waterloo, IA 50702 CCN 165081 | 9.7 km | 72 | Jul 8, 2026 | 271 harm | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 165465 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 165465 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Clinical care |
| D · Potential harm Isolated |
| Corrected Jul 20, 2026 |
| Jul 9, 2026 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jul 20, 2026 |
| Jul 9, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 20, 2026 |
| Jul 9, 2026 | F-0814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jul 20, 2026 |
| Jul 9, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 20, 2026 |
| Apr 22, 2026 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 4, 2026 | Complaint |
| May 22, 2025 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 28, 2025 |
| May 22, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 20, 2025 |
| May 22, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 20, 2025 |
| May 22, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 10, 2025 |
| May 22, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 10, 2025 |
| Feb 25, 2025 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 13, 2025 | Complaint |
| Jun 27, 2024 | F-0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Clinical care | K · Immediate jeopardy Pattern | Corrected Jul 25, 2024 | Complaint |
| Jun 27, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 9, 2024 |
| Jun 27, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 10, 2024 |
| Jun 27, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 9, 2024 |
| Jun 27, 2024 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 30, 2024 |
| Jun 27, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 25, 2024 |
| Jun 27, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 25, 2024 | Complaint |
| Jun 27, 2024 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 25, 2024 | Complaint |
| Jun 27, 2024 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 25, 2024 |
| Jun 27, 2024 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 25, 2024 |
| Jun 27, 2024 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 25, 2024 | Complaint |
| Jun 27, 2024 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Jul 25, 2024 | Complaint |
| Jun 27, 2024 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Jul 25, 2024 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.89 (case-mix index 1.27).
| Diane Kestner | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 13, 2025 |
| Beverly Lupkes | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 13, 2025 |
| Drew Mcholm | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 13, 2025 |
| Ron Spears | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | May 13, 2025 |
| Shelleen Hatch | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 9, 2025 |
| Crystal Jasper | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 27, 2016 |
| Erin O'neill-Gleason | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 1, 2017 |
| Pradeep Ramesh | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2023 |
| Dawna Scheff | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jun 14, 2022 |
| Shelleen Hatch | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 4, 1992 |
| Crystal Jasper | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 14, 2025 |
| Pradeep Ramesh | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 28, 2025 |