Heritage Specialty Care

Nursing home in Cedar Rapids, IA

Medicare & Medicaid certified1★ overall (CMS)

Call (319) 396-7171 Send a message Map ↗

Public-record details

Address: 200 Clive Drive SW, Cedar Rapids, IA 52404
Phone: (319) 396-7171
Listed under: For-profit
Medicare CCN: 165310
Overall star rating: 1 of 5 ★☆☆☆☆
Health inspection rating: 1 of 5
Staffing rating: 3 of 5
Quality measures rating: 1 of 5
Certified beds: 171
Average residents per day: 119
Ownership: For-profit, corporation
Legal business name: Care Initiatives
Chain: Care Initiatives (43 facilities)
Certified for: Medicare and Medicaid
First approved by Medicare/Medicaid: Feb 1, 1997
Changed ownership in last 12 months: No
Continuing care retirement community: No
Located inside a hospital: No
Resident or family council: Resident council
Sprinklers in all required areas: Yes

CMS certification number 165310. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 28, 2026. CMS lists 50 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 16, 2023 to May 28, 2026): 33 from complaint inspections, 6 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

Inspection	Citation	Severity
May 28, 2026	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights	D Potential for more than minimal harm, isolated
May 28, 2026	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning	D Potential for more than minimal harm, isolated
May 28, 2026	Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care	D Potential for more than minimal harm, isolated
May 28, 2026	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	D Potential for more than minimal harm, isolated
May 28, 2026	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… Infection Control	D Potential for more than minimal harm, isolated
May 28, 2026	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary	E Potential for more than minimal harm, pattern
Mar 2, 2026	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Mar 2, 2026	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated
Mar 2, 2026	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary · complaint inspection	D Potential for more than minimal harm, isolated
Nov 6, 2025	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care · complaint inspection	G Actual harm, isolated
Aug 26, 2025	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning · complaint inspection	D Potential for more than minimal harm, isolated
Aug 26, 2025	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care · complaint inspection	D Potential for more than minimal harm, isolated

Showing the 12 most recent of 50. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $14,365 in the last three years.

Nov 6, 2025

Fine: $14,365

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day: 3.53 hours
Registered nurse (RN) time per resident per day: 0.50 hours
Nurse aide time per resident per day: 2.47 hours
Total nurse staffing on weekends: 3.24 hours
Nursing staff turnover (yearly): 49%
RN turnover (yearly): 64%
Administrators who left in the past year: 3

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Cedar Rapids

All 10 in Cedar Rapids →