Quick answers
- Where is Heritage Specialty Care?
- 200 Clive Drive SW, Cedar Rapids, IA 52404, in Linn County, Iowa.
- What is the phone number of Heritage Specialty Care?
- (319) 396-7171, as listed by Medicare (CMS).
- What is the Medicare star rating of Heritage Specialty Care?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Heritage Specialty Care been fined?
- Medicare lists 1 fine totaling $14,365.
- What did inspectors find at Heritage Specialty Care?
- In its last three inspection cycles (November 2, 2023 to May 28, 2026), Medicare lists 45 health citations; the most serious was level G. 5 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (November 2, 2023 to May 28, 2026), Heritage Specialty Care had 45 health citations; the most serious was level G (actual harm to residents). 5 of them were level G or higher (actual harm or immediate jeopardy). It was fined $14,365 in total (1 fine, the latest on November 6, 2025). Nurse staffing is 3.56 hours per resident per day; the Iowa average is 3.86 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: May 28, 2026 — 10 health citations
Inspections in this cycle: November 6, 2025 (complaint investigation); March 2, 2026 (complaint investigation); May 28, 2026 (standard health inspection).
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 9 less serious citations (levels A to F)
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0628 Level D
“Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0698 Level D
“Provide safe, appropriate dialysis care/services for a resident who requires such services.”
F0741 Level D
“Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.”
F0887 Level D
“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.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0804 Level D
“Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.”
Previous cycle: May 22, 2025 — 21 health citations
Inspections in this cycle: October 16, 2024 (complaint investigation); November 20, 2024 (complaint investigation); February 4, 2025 (complaint investigation); March 5, 2025 (complaint investigation); May 22, 2025 (standard health inspection); June 12, 2025 (complaint investigation); August 26, 2025 (complaint investigation).
F0658 Level G
“Ensure services provided by the nursing facility meet professional standards of quality.”
actual harm to residents; isolated (a few residents) · Resident Assessment and Care Planning Deficiencies
F0684 Level G
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
F0760 Level G
“Ensure that residents are free from significant medication errors.”
actual harm to residents; isolated (a few residents) · Pharmacy Service Deficiencies
Show 18 less serious citations (levels A to F)
F0558 Level E
“Reasonably accommodate the needs and preferences of each resident.”
F0584 Level E
“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.”
F0865 Level E
“Have a plan that describes the process for conducting QAPI and QAA activities.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0921 Level E
“Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0803 Level D
“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.”
F0883 Level D
“Develop and implement policies and procedures for flu and pneumonia vaccinations.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0697 Level D
“Provide safe, appropriate pain management for a resident who requires such services.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0695 Level D
“Provide safe and appropriate respiratory care for a resident when needed.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0725 Level D
“Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.”
Earlier cycle: August 22, 2024 — 14 health citations
Inspections in this cycle: November 2, 2023 (complaint investigation); November 30, 2023 (complaint investigation); August 22, 2024 (standard health inspection).
F0697 Level G
“Provide safe, appropriate pain management for a resident who requires such services.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 13 less serious citations (levels A to F)
F0801 Level F
“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.”
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0865 Level F
“Have a plan that describes the process for conducting QAPI and QAA activities.”
F0584 Level E
“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.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0686 Level D
“Provide appropriate pressure ulcer care and prevent new ulcers from developing.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0803 Level D
“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.”
F0658 Level D
“Ensure services provided by the nursing facility meet professional standards of quality.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0582 Level B
“Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (10)
E0004 Level F
“Develop and maintain an Emergency Preparedness Program (EP).”
E0039 Level F
“Conduct testing and exercise requirements.”
K0211 Level F
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0222 Level F
“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.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0355 Level E
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0920 Level E
“Ensure proper usage of power strips and extension cords.”
K0222 Level F
“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.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0211 Level E
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
Fines and payment denials
Total fines over about the last three years: $14,365 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| November 6, 2025 | Fine | $14,365 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Iowa | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.63 | 0.74 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.38 | 0.56 | 0.86 |
| Nurse aide hours per resident per day | 2.55 | 2.56 | 2.35 |
| Total nurse staff hours per resident per day | 3.56 | 3.86 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 3.21 | 3.38 | 3.43 |
| RN hours per resident per day on the weekend | 0.48 | 0.51 | 0.48 |
| Nursing staff turnover (per year) | 45.3% | 44.1% | 45.3% |
| RN turnover (per year) | 50.0% | 42.1% | 42.5% |
| Administrators who left in the last year | 3.0 | 0.4 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 43 nursing homes: Care Initiatives.
Legal business name: Care Initiatives.
Owners and managers Medicare lists (1)
| Name | Role | Share | Since |
|---|---|---|---|
| Care Initiatives | Direct owner | 100% | October 1, 2009 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 171 |
| Average residents per day | 124.6 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Group or chain (affiliated entity) | Care Initiatives |
| Legal business name | Care Initiatives |
| First approved by Medicare/Medicaid | 1997-02-01 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 200 Clive Drive SW, Cedar Rapids, IA 52404 |
| County | Linn County |
| State | Iowa |
| Phone | (319) 396‑7171 |
| CMS Certification Number | 165310 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- West Ridge Care Center1.0 mi · Cedar Rapids, IA · 5 of 5 stars
- Meth-Wick Health Center2.0 mi · Cedar Rapids, IA · 5 of 5 stars
- The Gardens of Cedar Rapids2.1 mi · Cedar Rapids, IA · 5 of 5 stars
- Living Center West3.5 mi · Cedar Rapids, IA · 3 of 5 stars
- Harmony Cedar Rapids4.5 mi · Cedar Rapids, IA · 2 of 5 stars
Nearest hospital emergency rooms
- St Lukes Hospital3.4 mi · Cedar Rapids, IA · Acute Care Hospital
- Mercy Medical Center - Cedar Rapids3.5 mi · Cedar Rapids, IA · Acute Care Hospital
- Virginia Gay Hospital21 mi · Vinton, IA · Critical Access Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13