Heritage Specialty Care
200 Clive Drive Sw · Cedar Rapids, IA · 52404 · 3193967171
171 certified beds Non profit - Corporation Chain: Care Initiatives
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- 6 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
4 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.59 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.46 | 0.55–0.75 |
| Weekend hours / resident-day | 3.27 | ≈ weekday level |
| Nursing turnover / year | 44% | median 45% |
| Fines (3-yr window) | 1 · $14,365 |
Inspection citations (53 in the current record)
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Potential for harm · D March 2, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 26, 2026 · Quality of Life and Care
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Potential for harm · D March 2, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 26, 2026 · Quality of Life and Care
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Potential for harm · D March 2, 2026 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 26, 2026 · Nutrition and Dietary
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Actual harm · G November 6, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 13, 2025 · Quality of Life and Care
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Potential for harm · E August 26, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected September 23, 2025 · Resident Rights
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Potential for harm · E August 26, 2025 · found via 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.
Corrected September 23, 2025 · Resident Rights
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Potential for harm · D August 26, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 23, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 26, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected September 23, 2025 · Quality of Life and Care
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Potential for harm · E August 26, 2025 · found via complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected September 23, 2025 · Administration
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Actual harm · G June 12, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected June 19, 2025 · Resident Assessment and Care Planning
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Actual harm · G June 12, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 19, 2025 · Quality of Life and Care
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Actual harm · G June 12, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Deficient, Provider has no plan of correction · Pharmacy Service
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Potential for harm · D May 22, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 6, 2025 · Quality of Life and Care
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Potential for harm · D May 22, 2025
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.
Corrected June 6, 2025 · Nutrition and Dietary
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Potential for harm · E May 22, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 6, 2025 · Nutrition and Dietary
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Potential for harm · D May 22, 2025
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected June 6, 2025 · Infection Control
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Potential for harm · D March 5, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 4, 2025 · Quality of Life and Care
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Potential for harm · D March 5, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 4, 2025 · Quality of Life and Care
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Potential for harm · D March 5, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 4, 2025 · Quality of Life and Care
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Potential for harm · D February 4, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 6, 2025 · Resident Assessment and Care Planning
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Potential for harm · E February 4, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected March 6, 2025 · Environmental
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Potential for harm · D November 20, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 13, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 20, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected December 13, 2024 · Quality of Life and Care
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Potential for harm · D October 16, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 1, 2024 · Quality of Life and Care
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Potential for harm · D October 16, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected November 1, 2024 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 6, 2025 | Fine | $14,365 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165310 · certified since February 1, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.