ElderGrade
D

43.1/100

Below average

Heritage Specialty Care

200 Clive Drive Sw, Cedar Rapids, IA 52404

CMS 1/5 stars #15 of 18 in Linn County (319) 396-7171
Certified beds
171
Occupancy
70%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 6 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $14,365 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection 8.1/30 Staffing 18/30 Stability 7/15 Outcomes 2/15 Enforcement 8/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

8.1/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -12 for 5 actual-harm citation(s) in the last 3 years
  • -9.9 for 45 total citations against a national median of 17

Staffing

18/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 4.27 total nurse hours per resident per day (national median 3.77)
  • 0.5 RN hours per resident per day
  • Weekend staffing drops 8% against weekdays

Staff stability

7/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 49% of nursing staff left in the last year
  • -2 for 3 administrator departures

Resident outcomes

2/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 1 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $14,365 in federal fines across 1 action(s)

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.53 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.50 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.24 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 48.90%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 50 citations

Last standard health inspection: May 28, 2026 (2 months ago).

E May 28, 2026 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

D May 28, 2026 F0628

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

No actual harm, potential for more than minimal harm

D May 28, 2026 F0641

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

No actual harm, potential for more than minimal harm

D May 28, 2026 F0698

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

No actual harm, potential for more than minimal harm

D May 28, 2026 F0741

Quality of Life and Care Deficiencies

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

No actual harm, potential for more than minimal harm

D May 28, 2026 F0887

Infection Control Deficiencies

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.

No actual harm, potential for more than minimal harm

D Mar 2, 2026 F0677 From a complaint

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

No actual harm, potential for more than minimal harm

D Mar 2, 2026 F0684 From a complaint

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of CARE INITIATIVES, which operates 43 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
COMPUTERSHARE CORPORATE TRUST COMPANY, NA Organization 5% OR GREATER MORTGAGE INTEREST
CSE CEDAR RAPIDS LLC Organization 5% OR GREATER SECURITY INTEREST
BEAL, MICHAEL Individual CORPORATE DIRECTOR
BOWEN, LANE Individual CORPORATE DIRECTOR
CAROTHERS, MARY JANE Individual CORPORATE DIRECTOR
CHILDS, KEVIN Individual CORPORATE DIRECTOR
CORLESS, PETER Individual CORPORATE DIRECTOR
KREIN, KEITH Individual CORPORATE DIRECTOR
RUST, ELIZABETH Individual CORPORATE DIRECTOR
STURM, DENISE Individual CORPORATE DIRECTOR
UPMEYER, LINDA Individual CORPORATE DIRECTOR
BEAL, MICHAEL Individual CORPORATE OFFICER

What families say

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Common questions about Heritage Specialty Care

What is the ElderGrade for Heritage Specialty Care? +

Heritage Specialty Care holds an ElderGrade of D (43.1 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Heritage Specialty Care? +

Residents receive an average of 3.53 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Heritage Specialty Care been cited for harming residents? +

Yes. 6 of the 50 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Heritage Specialty Care accept Medicaid? +

Yes, Heritage Specialty Care is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.