Pinnacle Specialty Care

    1223 Prairie View Rd, Cedar Falls, IA, 50613
    3.0 · 45 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousCurrent/former resident
    2.0

    Compassionate staff but serious problems

    I had a mixed stay. Many nurses, CNAs and therapists were compassionate, skilled and went above and beyond - rehab, activities and some meals were good - but chronic understaffing, slow or unanswered call lights, hygiene and meal problems, missing belongings, medication/communication errors and several rude or abusive staff left me and my family very worried. I'm grateful to the caring staff who helped me, but I'd be cautious about returning.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    2.96 · 45 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.6
    • Staff

      2.6
    • Meals

      2.4
    • Amenities

      2.3
    • Value

      1.0

    Pros

    • Compassionate, caring nurses and CNAs noted by multiple reviewers
    • Skilled and effective physical and occupational therapy teams
    • Rehab/restorative care often described as above-average or wonderful
    • Accommodating administration and nursing directors on some occasions
    • Wide range of activities and amenities (beauty parlor, many activities, music)
    • Ala-carte and cafeteria dining options available
    • Some units/newer building with clean, well-designed rooms
    • Individual staff who go above-and-beyond and provide family-like care
    • Good communication and culturally/language-appropriate care for some patients
    • Red emergency call button system working when staff respond
    • Some reviewers reported comfortable, attentive end-of-life support
    • Positive overall inspections noted (outstanding annual survey mentioned)
    • Therapists and some CNAs/nurses praised for personalized attention

    Cons

    • Widespread poor cleanliness and hygiene (dirty rooms, shower rooms, unwashed surfaces)
    • Call lights often unresponsive or very slow to be answered
    • Chronic short-staffing and overwhelmed RNs
    • Inconsistent staff quality—wide variability between wings and shifts
    • Rude, belittling, or uncaring staff behavior and verbal abuse reported
    • Medication problems: delayed doses, medications given without explanation, overmedication alleged
    • Inadequate nursing presence and perceived poor medical care; ER visits/readmissions reported
    • Lack of dementia training and mishandling of residents with memory issues
    • Missing personal belongings and allegations of financial or property mishandling
    • Allegations of neglect and abuse, including staff sleeping on duty
    • Poor food quality: stale snacks, underfed residents, unappealing meals frequently cited
    • Management problems: toxic management, poor follow-through, broken promises from brochures
    • Privacy and HIPAA violations alleged
    • Third-shift staff reportedly smelled of marijuana
    • Insufficient housekeeping practices (vacuuming not done, surfaces not wiped, sheets unchanged)
    • Some rooms small, dark, too hot, and lacking in-room showers or tubs
    • Poor wound care and infection control problems; hand-hygiene lapses cited
    • Guests often required to fetch staff; visitors needed to obtain basic care
    • Limited therapy coverage on weekends and inconsistent therapy scheduling
    • Pest and sanitation issues (spiders, unclean urinals, musty smells)
    • Staff failing to introduce themselves or identify their roles
    • Staff lecturing or being defensive with families; lack of transparent communication
    • Allegations of financial abuse and threats of abandonment for lack of funds
    • Revolving door of staff and agency workers treated poorly, producing instability
    • Some reviewers strongly recommend avoiding the facility due to safety/quality concerns

    Summary review

    Overall sentiment from the reviews is highly mixed with a strong polarity: several reviewers describe excellent, compassionate, and skilled care—particularly from individual nurses, CNAs, and therapy teams—while many others report serious and recurrent problems with hygiene, responsiveness, management, and safety. The facility appears capable of providing very good rehabilitative care and compassionate attention in some cases (multiple reviews praise PT/OT, rehab outcomes, and staff who "go above and beyond"). However, an equally large set of reviews recounts systemic failures that are serious enough to raise safety, regulatory, and ethical concerns.

    Care quality and clinical concerns: Reviews repeatedly note variability in clinical care. Some patients experienced timely, effective rehabilitation and attentive nursing that led to good recoveries and positive experiences. Conversely, a significant number of reviews allege delayed or missed medications, medication administration without explanation, overmedication, poor wound care, infections linked to poor hand hygiene, and ER transfers/readmissions. Several reviewers specifically state that nursing presence is lacking, third-shift coverage is poor, and RNs are overwhelmed. There are also multiple mentions that physical therapy coverage is limited (especially on weekends) or inconsistent, although therapy quality when available is often praised.

    Staff behavior, training, and responsiveness: Staff performance is described as highly inconsistent. Many reviewers praise specific nurses, CNAs, and therapists as caring, communicative, and professional. At the same time, numerous complaints describe rude, belittling, or verbally abusive behavior from aides and some nurses, including name-calling and lecturing families. Call lights and emergency buttons are frequently reported as unanswered or very slow to be answered, particularly at night. Additional reports include staff sleeping or socializing on shift, third-shift staff smelling of marijuana, and agency staff being poorly treated—contributing to turnover and instability. A recurring theme is poor dementia training and mishandling of memory-impaired residents, with anecdotes of staff causing distress through inappropriate communication or actions.

    Facilities, cleanliness, and safety: Cleanliness and maintenance are major areas of concern for many reviewers. Complaints detail dirty rooms, soiled wheelchairs, unwashed sheets, unclean showers, lingering odors, pest sightings, and lax surface cleaning (vacuuming and wiping not done). Some reviewers report no bed baths, broken recliners, uncomfortable beds, and ill-fitting sheets. Conversely, other reviews mention newer construction or a beautiful exterior and well-designed rooms in some areas. This contrast suggests uneven facility conditions across different wings or units. Infection-control lapses, missing belongings (dentures, hearing aids, clothes), and allegations of theft or financial mishandling also appear repeatedly and compound the safety concerns.

    Dining and activities: Dining experiences are similarly mixed. Several reviewers enjoyed meals, noted accommodating dining services (ala carte, soup on demand), and praised staff flexibility around dietary needs. Yet many others criticize the food quality—reporting stale snacks, poor or unappetizing meals (burnt eggs, repetitive oatmeal), and inadequate nutrition. Activities and amenities receive positive remarks when present: reviewers mention a range of activities, a beauty parlor, music, and engaged activity staff. However, some families felt there were insufficient activities for certain residents and variability in how well activities were run.

    Management, communication, and regulatory issues: Many grievances focus on management and communication failures. Families describe broken promises from marketing materials, lack of follow-through on requests, defensive or lecturing behavior from leadership, and poor transparency about care plans and staff roles (staff not introducing themselves, no names/positions provided). Several reviews mention formal complaints to regulatory agencies and cite survey or compliance issues. There are also serious allegations ranging from neglect and abuse to financial exploitation and threats of abandonment, reflecting deep distrust by some reviewers. On the positive side, a subset of reviewers praised administration and nursing directors for being accommodating and easy to contact.

    Patterns and overall impression: The dominant pattern is inconsistency—within the same facility some residents and families report exceptional, compassionate, and effective care, while others report neglect, unsafe practices, and face-to-face abuse. Problems concentrate around staffing levels (especially nights and weekends), infection control and housekeeping, dementia care training, medication management, and management responsiveness. These systemic and recurrent issues—combined with reports of missing items, privacy/HIPAA concerns, and alleged regulatory violations—are significant red flags for prospective residents and families.

    In summary, Pinnacle Specialty Care elicits polarized experiences. Prospective families should weigh the facility’s capacity to provide strong, individualized therapy and the presence of clearly outstanding staff members against multiple reports of safety, hygiene, staffing, dignity, and management failures. If considering this facility, visitors should directly inquire about staffing ratios, dementia training, infection-control practices, housekeeping protocols, medication administration policies, incident reporting and resolution, and verify recent regulatory survey outcomes. The reviews justify cautious, case-by-case evaluation: the facility can deliver excellent care in some instances, but multiple, specific, and recurring negative themes indicate risks that warrant careful investigation and close oversight if a resident is placed there.

    Location

    Map showing location of Pinnacle Specialty Care

    About Pinnacle Specialty Care

    Pinnacle Specialty Care sits over on Prairie View Road in Cedar Falls, Iowa, and serves as a for-profit nursing home with space for up to 100 residents, staffed by more than 130 people, led by Administrator Kristi Kremer, and folks will quickly spot its indoor lounges where residents can gather for daily social activities, along with landscaped outdoor areas with walking paths and garden programs where people can spend time under the sky. The building has private rooms and a special wing for short-term rehab patients who need a smooth transition between the hospital and home, and for those needing extra care, they've got a therapy pool handy for post-surgery recovery sessions or other special therapies. At Pinnacle Specialty Care you'll notice long-term care, skilled nursing, rehabilitation, and memory care services available, delivered by dedicated staff who tailor support to individual needs, whether a person stays long-term or comes for rehab. The facility pays attention to both physical health and emotional support, offering hospice care and resources to keep folks as active and comfortable as possible, and activities encourage a sense of community and purpose each day. Residents get the advantage of a home-like setting and can take part in regular educational and social programs, and the healthcare standards here have led to some accreditations though none are currently verified or certified, and no telehealth is on hand. Pinnacle Specialty Care holds an average review score of about 3.0 from families and visitors, and anyone seeking more official details can look up provider number 279388 or NPI 1578536983 on websites like Medicare.gov for further information about the nursing home's offerings in Black Hawk County.

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