Iowa › Linn County › Cedar Rapids
Heritage Specialty Care
200 Clive Drive Sw, Cedar Rapids, IA 52404
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 171 beds, Heritage Specialty Care serves Cedar Rapids in Linn County, Iowa and has taken Medicare and Medicaid residents since 1997.
CMS gives it 1 of 5 stars overall, below the Iowa median of 3; the health inspection rating is 1, staffing 3 and quality measures 1.
Inspectors recorded 50 health deficiencies across the three most recent survey cycles (15, 16, 19 by cycle, most recent first), 6 of them at the actual-harm or immediate-jeopardy level. That is 29.2 per 100 beds, about the same as the state median of 27.5.
CMS lists 1 penalty in the period covered: fines totalling $14K.
Reported nurse staffing is 3.5 hours per resident per day (0.5 RN), close to the Iowa median of 3.7; nursing staff turnover is 48.9%.
Compared with county, state and nation
| Measure | This facility | Linn Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 50 | 18 | 16 | 28.7 |
| Citations per 100 beds | 29.2 | 32.5 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.5 | 3.9 | 3.7 | 3.9 |
| RN hours per resident day | 0.5 | 0.7 | 0.7 | 0.7 |
| Nursing staff turnover | 48.9% | 40.9% | 41.9% | 45.8% |
| Fines listed | $14,365 | $0 | $0 | — |
County and state figures are medians across facilities (18 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 28 May 2026, 22 May 2025.
Severity mix: J ×1 G ×5 D ×29 E ×11 F ×3 B ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 28 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 8 May 2026 |
| 28 May 2026 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Standard survey | 12 Jun 2026 |
| 28 May 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 12 Jun 2026 |
| 28 May 2026 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 12 Jun 2026 |
| 28 May 2026 | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | D | Standard survey | 12 Jun 2026 |
| 28 May 2026 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Standard survey | 12 Jun 2026 |
| 2 Mar 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 26 Mar 2026 |
| 2 Mar 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 26 Mar 2026 |
| 2 Mar 2026 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Complaint investigation | 26 Mar 2026 |
| 6 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 13 Nov 2025 |
| 26 Aug 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint investigation | 23 Sep 2025 |
| 26 Aug 2025 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint investigation | 23 Sep 2025 |
| 26 Aug 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Complaint investigation | 23 Sep 2025 |
| 26 Aug 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 23 Sep 2025 |
| 26 Aug 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 23 Sep 2025 |
| 12 Jun 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | G | Complaint investigation | 19 Jun 2025 |
| 12 Jun 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 19 Jun 2025 |
| 12 Jun 2025 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | Deficient, Provider has no plan of correction |
| 22 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 6 Jun 2025 |
| 22 May 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 6 Jun 2025 |
| 22 May 2025 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Standard survey | 6 Jun 2025 |
| 22 May 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 6 Jun 2025 |
| 5 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 4 Apr 2025 |
| 5 Mar 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 4 Apr 2025 |
| 5 Mar 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 4 Apr 2025 |
| 4 Feb 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 6 Mar 2025 |
| 4 Feb 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 6 Mar 2025 |
| 20 Nov 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 13 Dec 2024 |
| 20 Nov 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 13 Dec 2024 |
| 16 Oct 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 1 Nov 2024 |
| 16 Oct 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint investigation | 1 Nov 2024 |
| 22 Aug 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Standard survey | 11 Sep 2024 |
| 22 Aug 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 11 Sep 2024 |
| 22 Aug 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 11 Sep 2024 |
| 22 Aug 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 11 Sep 2024 |
| 22 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 11 Sep 2024 |
| 22 Aug 2024 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Standard survey | 11 Sep 2024 |
| 22 Aug 2024 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | Standard survey | 11 Sep 2024 |
| 30 Nov 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 21 Dec 2023 |
| 30 Nov 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 21 Dec 2023 |
| 2 Nov 2023 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Complaint investigation | 21 Dec 2023 |
| 2 Nov 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 21 Dec 2023 |
| 2 Nov 2023 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Complaint investigation | 21 Dec 2023 |
| 2 Nov 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 21 Dec 2023 |
| 2 Nov 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 21 Dec 2023 |
| 16 Aug 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 14 Sep 2023 |
| 16 Aug 2023 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint investigation | 14 Sep 2023 |
| 16 Aug 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 14 Sep 2023 |
| 16 Aug 2023 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | Complaint investigation | 14 Sep 2023 |
| 16 Aug 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 14 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 6 Nov 2025 | Fine | $14,365 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 48.9%, RNs 63.6%; 3 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.3% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.8% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.9% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.8% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.2% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 4.2% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 26.3% | 18.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Care Initiatives. Chain: Care Initiatives (43 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Care Initiatives | 5% or greater direct ownership interest | 100% | 10/01/2009 |
| Computershare Corporate Trust Company, Na | 5% or greater mortgage interest | NOT APPLICABLE | 02/01/2025 |
| Cse Cedar Rapids LLC | 5% or greater security interest | NOT APPLICABLE | 09/29/1998 |
| Computershare Corporate Trust Company, Na | Adp of the snf | NOT APPLICABLE | 04/13/2025 |
| Cse Cedar Rapids LLC | Adp of the snf | NOT APPLICABLE | 09/29/1998 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Linn County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Meth-Wick Health Center | Cedar Rapids | 69 | 5 | 5 | 5 | 2 | 2.9 | — | 26 Oct 2023 |
| St Luke'S Helen G Nassif Transitional Care Center | Cedar Rapids | 46 | 5 | 4 | 5 | 6 | 13.0 | — | 5 Mar 2026 |
| Terrace Glen Village | Marion | 40 | 5 | 4 | 5 | 10 | 25.0 | — | 19 Nov 2025 |
| West Ridge Care Center | Cedar Rapids | 60 | 5 | 5 | 5 | 1 | 1.7 | — | 16 Nov 2023 |
| Oakview Nursing & Rehablitation - Marion | Marion | 40 | 4 | 4 | 4 | 13 | 32.5 | — | 11 Mar 2026 |
| Rehabilitation Center of Lisbon | Lisbon | 64 | 4 | 4 | 3 | 3 | 4.7 | — | 21 Jan 2026 |
| The Gardens of Cedar Rapids | Cedar Rapids | 40 | 4 | 3 | 5 | 17 | 42.5 | $19K | 9 Jan 2025 |
| Hiawatha Care Center | Hiawatha | 109 | 3 | 3 | 4 | 10 | 9.2 | — | 2 Apr 2026 |
All 18 facilities in Linn County
Questions and answers
How many deficiencies has Heritage Specialty Care been cited for?
50 health deficiencies across the three most recent survey cycles, 6 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Heritage Specialty Care been fined?
Yes. CMS lists fines totalling $14K in the period covered.
How does staffing at Heritage Specialty Care compare?
Reported total nurse staffing is 3.5 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Heritage Specialty Care?
It is part of the Care Initiatives chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Care Initiatives. Individual owners and managers are not listed on this site.
When was Heritage Specialty Care last inspected?
The most recent survey or investigation in the CMS record is dated 28 May 2026; the most recent standard health survey was 28 May 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.