nursing home in Cedar Rapids, IA

Heritage Specialty Care

200 Clive Drive SW, Cedar Rapids, IA 52404 · (319) 396-7171

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★1
  • Staffing★★★★★3
  • Quality measures★★★★★1

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Heritage Specialty Care at a glance

Heritage Specialty Care is a 171-bed for-profit nursing home in Cedar Rapids, Iowa (Linn County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Iowa average of 3.1.

Residents receive about 3.5 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.8 hours.

Its most recent standard health inspection (May 28, 2026) found 10 health citations. The Iowa average is 6.5.

Federal regulators fined it 1 time in the past three years, totaling $14,365.

Nursing staff turnover is 48.9% per year (state average 44%).

Facility details

Type
Nursing home
Ownership
For Profit - Corporation
Beds
171
Certified for
Medicare and Medicaid
Chain / affiliated entity
Care Initiatives
Medicare-certified since
February 1, 1997
Resident/family council
Resident
County
Linn County
CMS Certification Number
165310

Ratings

MeasureThis facilityIowa avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 53.1 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)1 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)3 / 53.7 / 52.9 / 5Average
Quality measures rating ⓘ (higher is better)1 / 53.3 / 53.6 / 5Worse
Long-stay quality rating (higher is better)3 / 53.3 / 53.8 / 5Worse
Short-stay (rehab) quality rating (higher is better)1 / 53.3 / 53.3 / 5Worse

Staffing

This facility3.53 hrsIowa average3.82 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Iowa and U.S. averages
MeasureThis facilityIowa avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.53 hrs3.82 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.50 hrs0.74 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.47 hrs2.52 hrs2.32 hrsBetter
Weekend nurse staff hours per resident per day (higher is better)3.24 hrs3.37 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)48.9%44%45.8%Worse
Registered nurse turnover (yearly) (lower is better)63.6%42.1%42.9%Worse
Administrators who left in the past year (lower is better)301Worse

Inspections

This facility10Iowa average6U.S. average9
Health citations in the most recent inspection: this facility vs. Iowa and U.S. averages
MeasureThis facilityIowa avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)1069Worse
Citations from complaint investigations (latest cycle) (lower is better)433Worse
Weighted health inspection score ⓘ (lower is better)9954.580.6Worse

Penalties

This facility1Iowa average1U.S. average1
Fines in the past 3 years: this facility vs. Iowa and U.S. averages
MeasureThis facilityIowa avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)111Worse
Total fines in the past 3 years (lower is better)$14,365$19,286$30,972Better
All federal penalties in the past 3 years (lower is better)111Average

Size

MeasureThis facilityIowa avg.U.S. avg.vs. U.S.
Certified beds17165107
Average residents per day1195286
Occupancy69.8%81.5%80.9%

Long-stay residents

This facility1.8%Iowa average3.8%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Iowa and U.S. averages
MeasureThis facilityIowa avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)1.8%3.8%3.2%Better
Long-stay residents with pressure ulcers (lower is better)4.2%4.2%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)26.3%19.5%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)2.9%2.4%1.6%Worse
Long-stay residents with a catheter left in the bladder (lower is better)0.8%1.5%0.8%Average
Long-stay residents needing more help with daily activities (lower is better)13.3%17.1%13.9%Average
Long-stay residents whose walking worsened (lower is better)13.2%16.6%14.1%Better
Long-stay residents who lose too much weight (lower is better)3%4.6%5.2%Better
Long-stay residents with depressive symptoms (lower is better)8.4%4.2%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0.2%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)23.6%20.8%19.5%Worse
Long-stay residents with new or worse incontinence (lower is better)26.8%25.6%19%Worse
Long-stay residents given a flu vaccine (higher is better)72.1%95.3%95.5%Worse
Long-stay residents given a pneumonia vaccine (higher is better)91%94%93.6%Average

Short-stay residents

This facility3%Iowa average2.1%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Iowa and U.S. averages
MeasureThis facilityIowa avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)3%2.1%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)67.4%73.3%79.8%Worse
Short-stay residents given a pneumonia vaccine (higher is better)65.2%84%82%Worse

Inspection citations

State inspectors cited this home for 45 health deficiencies and 10 fire safety deficiencies in the inspection records CMS currently publishes. 5 citations involved actual harm.

DateCitationSeverityStatus
May 28, 2026
Fire safety
Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies · Tag E0039
F
Potential harm, widespread
Corrected May 20, 2026
May 28, 2026
Fire safety
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 · Tag K0222
F
Potential harm, widespread
Corrected May 11, 2026
May 28, 2026
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
F
Potential harm, widespread
Corrected May 11, 2026
May 28, 2026
Fire safety
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies · Tag E0004
F
Potential harm, widespread
Corrected May 19, 2026
May 28, 2026
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected May 11, 2026
May 28, 2026
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected May 8, 2026
May 28, 2026
Standard
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.
Infection Control Deficiencies · Tag F0887
D
Potential harm, isolated
Corrected June 12, 2026
May 28, 2026
Standard
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Quality of Life and Care Deficiencies · Tag F0741
D
Potential harm, isolated
Corrected June 12, 2026
May 28, 2026
Standard
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0698
D
Potential harm, isolated
Corrected June 12, 2026
May 28, 2026
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected June 12, 2026
May 28, 2026
Standard
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Tag F0628
D
Potential harm, isolated
Corrected June 12, 2026
March 2, 2026
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected March 26, 2026
March 2, 2026
Complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected March 26, 2026
March 2, 2026
Complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
D
Potential harm, isolated
Corrected March 26, 2026
November 6, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
G
Actual harm, isolated
Corrected November 13, 2025
August 26, 2025
Complaint
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
E
Potential harm, pattern
Corrected September 23, 2025
August 26, 2025
Complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Tag F0865
E
Potential harm, pattern
Corrected September 23, 2025
August 26, 2025
Complaint
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.
Resident Rights Deficiencies · Tag F0584
E
Potential harm, pattern
Corrected September 23, 2025
August 26, 2025
Complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected September 23, 2025
August 26, 2025
Complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected September 23, 2025
June 12, 2025
Complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
G
Actual harm, isolated
Corrected June 19, 2025
June 12, 2025
Complaint
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
G
Actual harm, isolated
Deficient, Provider has no plan of correction
June 12, 2025
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
G
Actual harm, isolated
Corrected June 19, 2025
May 22, 2025
Fire safety
Ensure proper usage of power strips and extension cords.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920
E
Potential harm, pattern
Corrected May 23, 2025
May 22, 2025
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
E
Potential harm, pattern
Corrected May 23, 2025
May 22, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected June 6, 2025
May 22, 2025
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected June 6, 2025
May 22, 2025
Standard
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Tag F0883
D
Potential harm, isolated
Corrected June 6, 2025
May 22, 2025
Standard
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.
Nutrition and Dietary Deficiencies · Tag F0803
D
Potential harm, isolated
Corrected June 6, 2025
March 5, 2025
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected April 4, 2025
March 5, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected April 4, 2025
March 5, 2025
Complaint
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0697
D
Potential harm, isolated
Corrected April 4, 2025
February 4, 2025
Complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Tag F0921
E
Potential harm, pattern
Corrected March 6, 2025
February 4, 2025
Complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected March 6, 2025
November 20, 2024
Complaint
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected December 13, 2024
November 20, 2024
Complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected December 13, 2024
October 16, 2024
Complaint
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 · Tag F0725
D
Potential harm, isolated
Corrected November 1, 2024
October 16, 2024
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected November 1, 2024
August 22, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected August 30, 2024
August 22, 2024
Fire safety
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 · Tag K0222
F
Potential harm, widespread
Corrected September 3, 2024
August 22, 2024
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
E
Potential harm, pattern
Corrected October 1, 2024
August 22, 2024
Standard
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0697
G
Actual harm, isolated
Corrected September 11, 2024
August 22, 2024
Standard
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.
Resident Rights Deficiencies · Tag F0584
E
Potential harm, pattern
Corrected September 11, 2024
August 22, 2024
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected September 11, 2024
August 22, 2024
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected September 11, 2024
August 22, 2024
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected September 11, 2024
August 22, 2024
Standard
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.
Nutrition and Dietary Deficiencies · Tag F0803
D
Potential harm, isolated
Corrected September 11, 2024
August 22, 2024
Standard
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Tag F0582
B
No harm, pattern
Corrected September 11, 2024
November 30, 2023
Complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected December 21, 2023
November 30, 2023
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected December 21, 2023
November 2, 2023
Complaint
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.
Nutrition and Dietary Deficiencies · Tag F0801
F
Potential harm, widespread
Corrected December 21, 2023
November 2, 2023
Complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Tag F0865
F
Potential harm, widespread
Corrected December 21, 2023
November 2, 2023
Complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected December 21, 2023
November 2, 2023
Complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected December 21, 2023
November 2, 2023
Complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected December 21, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 1 federal penalty in the past three years, including $14,365 in fines.

DatePenaltyAmount / length
November 6, 2025Fine$14,365

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
CARE INITIATIVES
Organization
5% or greater direct ownership interest100%10/01/2009
COMPUTERSHARE CORPORATE TRUST COMPANY, NA
Organization
5% or greater mortgage interestNOT APPLICABLE02/01/2025
CSE CEDAR RAPIDS LLC
Organization
5% or greater security interestNOT APPLICABLE09/29/1998
COMPUTERSHARE CORPORATE TRUST COMPANY, NA
Organization
adp of the snfNOT APPLICABLE04/13/2025
CSE CEDAR RAPIDS LLC
Organization
adp of the snfNOT APPLICABLE09/29/1998
GLEASON, MAIVETTE
Individual
adp of the snfNOT APPLICABLE12/17/2025
KERSCHNER, MICHELLE
Individual
adp of the snfNOT APPLICABLE04/13/2025
NGUYEN, THAI
Individual
adp of the snfNOT APPLICABLE07/31/2025
SWEET-KEECH, RICHARD
Individual
adp of the snfNOT APPLICABLE12/17/2025
BEAL, MICHAEL
Individual
corporate directorNOT APPLICABLE06/01/2020
BOWEN, LANE
Individual
corporate directorNOT APPLICABLE01/01/2021
CAROTHERS, MARY JANE
Individual
corporate directorNOT APPLICABLE01/01/2023
CHILDS, KEVIN
Individual
corporate directorNOT APPLICABLE04/01/2023
CORLESS, PETER
Individual
corporate directorNOT APPLICABLE01/01/2025
KREIN, KEITH
Individual
corporate directorNOT APPLICABLE06/29/2022
RUST, ELIZABETH
Individual
corporate directorNOT APPLICABLE01/01/2023
STURM, DENISE
Individual
corporate directorNOT APPLICABLE01/01/2021
UPMEYER, LINDA
Individual
corporate directorNOT APPLICABLE06/29/2022
BEAL, MICHAEL
Individual
corporate officerNOT APPLICABLE06/01/2020
DIXON, DAVID
Individual
corporate officerNOT APPLICABLE06/01/2016
DRAKE, EMILY
Individual
corporate officerNOT APPLICABLE01/04/2023
GILYARD, TANYA
Individual
corporate officerNOT APPLICABLE05/23/2025
KUHN, JERAMY
Individual
corporate officerNOT APPLICABLE06/25/2008
MCDYER, JESSICA
Individual
corporate officerNOT APPLICABLE02/22/2023
VOLM, JOHANNA
Individual
corporate officerNOT APPLICABLE01/01/2021
BAEDKE, CHARISSA
Individual
operational/managerial controlNOT APPLICABLE01/01/2024
GLEASON, MAIVETTE
Individual
operational/managerial controlNOT APPLICABLE05/15/2025
KERSCHNER, MICHELLE
Individual
operational/managerial controlNOT APPLICABLE02/04/2025
NGUYEN, THAI
Individual
operational/managerial controlNOT APPLICABLE01/01/2024
SWEET-KEECH, RICHARD
Individual
operational/managerial controlNOT APPLICABLE12/08/2025

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  5. Harmony Cedar Rapids

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  6. St Luke's Helen G Nassif Transitional Care Center

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Frequently asked questions

What is Heritage Specialty Care's rating?

Heritage Specialty Care has 1 out of 5 stars on the CMS overall star rating. The average for Iowa nursing homes is 3.1 stars.

How many inspection citations did Heritage Specialty Care receive?

Its most recent standard health inspection found 10 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.

Does Heritage Specialty Care accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Heritage Specialty Care?

It is for profit - corporation and part of Care Initiatives. The ownership section on this page lists the owners and managers reported to CMS.

Where is Heritage Specialty Care and how do I contact it?

Heritage Specialty Care is at 200 Clive Drive SW, Cedar Rapids, IA 52404. Phone: (319) 396-7171.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.