CCN 165307 · Black Hawk County, Iowa
Pillar of Cedar Valley
1410 West Dunkerton Road, Waterloo, IA 50703
Pillar of Cedar Valley is a 114-bed nonprofit nursing home in Waterloo, Iowa, first certified for Medicare or Medicaid in 1997. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 133.2 residents a day, about 117% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 114
- Average residents per day
- 133.2 (116.8% of beds)
- Ownership type
- Non profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- Black Hawk Nursing and Rehabilitation LLC
- Certified since
- Mar 13, 1997
- Chain or affiliated group
- None listed by CMS
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Iowa median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 78 at 1, 61 at 2, 86 at 3, 69 at 4, 91 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 1 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 2.92 | 3.69 | 3.68 |
| RN hours per resident per day | 0.33 | 0.70 | 0.58 |
| Weekend nurse hours per resident per day | 2.49 | ||
| Nursing staff turnover | 32.7% | 41.9% | 44.9% |
| Occupancy (residents / beds) | 116.8% | 83.6% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 11 (Nov 17, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Pillar of Cedar Valley does not meet it today: overall rating 1. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Tamid Waterloo LLCOrganization | Direct Ownership Interest | 100% | 12/15/2022 |
| Tamid Healthcare NfpOrganization | Indirect Ownership Interest | 100% | 12/15/2022 |
| Pillar Senior Care LLCOrganization | Operational / Managerial Control | n/a | 12/15/2022 |
| Messing, MichaelIndividual | Operational / Managerial Control | n/a | 12/15/2022 |
| Tarnoff, MichaelIndividual | Operational / Managerial Control | n/a | 12/15/2022 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Jan 1, 2019 | Black Hawk Nursing and Rehabilitation LLC | County of Blackhawk |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.