Cedar Falls Health Care Center
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 16 Google reviews
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What this means for your family
While some families report positive outcomes regarding resident dignity, the recurring reports of unsanitary conditions and staff neglect are significant red flags. We strongly advise conducting an unannounced visit during a weekend or evening shift to personally verify the cleanliness and staff-to-resident interaction levels before making a decision.
Google Reviews
Google Reviews
16 reviews on Google“Cedar Falls Health Care Center receives highly polarized feedback, with recent reviews highlighting severe concerns regarding staff neglect, poor hygiene, and unprofessional communication. While some visitors have praised the facility for restoring resident dignity and providing caring support, a significant number of reports describe a facility struggling with cleanliness, resident safety, and basic care standards.”
Quality Themes
Tap a score for detailsStrengths
- Restoration of resident dignity
- Responsive therapy and dietary teams
- Visible improvements under specific management periods
Concerns
- Unsanitary conditions including odors of urine and feces (mentioned by 3 reviewers)
- Staff neglect and lack of responsiveness to resident needs (mentioned by 4 reviewers)
- Poor communication and unprofessional conduct by leadership (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 22 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1We've heard wonderful things about how the therapy and dietary teams prioritize resident dignity; could you tell us more about how those teams interact with residents daily?
- 2What specific steps is the facility taking to ensure the environment remains clean, fresh, and comfortable for all residents?
- 3How does the nursing team manage medication schedules and ensure there are no lapses in care during shift changes?
- 4In the event of a medical emergency during the night, what is the protocol for contacting the family and getting immediate care?
- 5How does the leadership team ensure that communication remains open and transparent with families regarding a resident's well-being?
- 6What kind of daily activities or social outings are available to help residents stay engaged with the community?
Personalized based on this facility's data
Key Review Excerpts
“My son came from a horrible nursing home where he was going downhill fast. This place has stepped up to the plate and make him feel comfortable and they respect him. He has his dignity back.”
“I’ve seen them make residents sit in pee and talk to the residents any type of way, the halls ALWAYS smell like pee and feces, after washing residents clothes they get them mixed up or have them wearing each others clothes”
“The Social Worker had very little training for her job and continuously got me anxious. And I had Bad anxieties however since I've moved back to my home into another nursing home and I'm going to therapy I'm no longer as Anxious as I was due to not having that Social Worker yelling at me”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
8
measures
7
measures
2
measures
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Cedar Falls Health Care Center shows concerning patterns with families filing 18 complaint-triggered reports across recent surveys. Recurring issues involve medication management errors, accident prevention failures, and problems with resident rights and care planning. Most deficiencies have correction dates, though some medication errors and safety concerns have persisted across multiple surveys, suggesting ongoing challenges with consistent care quality and safety protocols.
Jan 8, 2026Routine18
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
Have restrictions on the use of highly flammable decorations.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
Dec 1, 2025Complaint2
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Mar 26, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Feb 13, 2025Complaint1
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Dec 12, 2024Routine14
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the use and maintenance of medical gas equipment.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Construction Deficiencies
Use approved construction type or materials.
Oct 1, 2024Complaint1
Administration Deficiencies
Provide training in compliance and ethics.
Federal Penalties
Payment Denial
Jan 8, 2026
12-day denial
State Inspection History
State Inspections
Source: Iowa Dept. of Inspections, Appeals & Licensing
Jan 8, 2026InspectionClean
Fed violations: 10, State violations: 2
Dec 16, 2025OtherClean
Fed violations: 0, State violations: 0
Dec 1, 2025OtherClean
Fed violations: 2, State violations: 0
Jul 29, 2025ComplaintClean
Fed violations: 0, State violations: 0
Apr 14, 2025OtherClean
Fed violations: 0, State violations: 0
Mar 26, 2025OtherClean
Fed violations: 1, State violations: 1
Mar 4, 2025ComplaintClean
Fed violations: 0, State violations: 0
Feb 13, 2025ComplaintClean
Fed violations: 1, State violations: 0
Ownership & Operations
Who Operates This Facility
Cedar Falls Health Care Center
for profit
Chain Affiliation
Campbell Street Services
20 facilities nationwide
Chain avg rating: 2.1/5 · Rank 4 of 16
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
16 reviews from families & visitors
Official Website
Visit arboretahealthcare.com
Medicare data downloads
Original nursing home datasets
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