Nursing home
Heritage Specialty Care
200 Clive Drive Sw, Cedar Rapids, IA 52404 · Map
Non profit - Corporation · Part of Care Initiatives (43 facilities) · 171 certified beds
Heritage Specialty Care is a Medicare-certified nursing home in Cedar Rapids, Iowa. CMS rates it 1 out of 5 stars overall (4/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.59 hours per resident per day, below the Iowa average of 3.83. Its most recent inspection on May 22, 2025 cited 16 deficiencies.
- 1 fine totaling $43,680In CMS records: 2 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Heritage Specialty Care compares
This facility vs. the Iowa and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Iowa avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.59 | 3.83 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.46 | 0.73 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.56 | 2.53 | 2.34 | above avg |
| Nursing staff turnover | 43.3% | 43.9% | 46.4% | below avg |
| Deficiencies cited, last inspection | 16.0 | 6.2 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $43,680, 2 total penalties, 1 Medicare payment denial.
What inspectors found at Heritage Specialty Care
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Mar 2, 2026 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Mar 2, 2026 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Mar 2, 2026 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Nov 6, 2025 · Full report (PDF) - Potential for harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Aug 26, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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 · Aug 26, 2025 · Full report (PDF) - Potential for harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Aug 26, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Aug 26, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Aug 26, 2025 · Full report (PDF) - Actual harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Jun 12, 2025 · Full report (PDF) - Actual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Jun 12, 2025 · Full report (PDF) - Actual harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Jun 12, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 200 Clive Drive Sw
Cedar Rapids, IA 52404 - CMS certification #
- 165310
- Ownership
- Non profit - Corporation
- Certified beds
- 171
- Avg residents/day
- 120.5
- Provider type
- Medicare and Medicaid
- First certified
- 1997-02-01
- Chain
- Care Initiatives (43 facilities)
- Setting
- Urban
Part of Care Initiatives
Care Initiatives operates 43 nursing facilities across the United States. View all Care Initiatives facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Heritage Specialty Care using Google Maps.
Other public records
- Website says Works with hospice
- Staff pay 1 federal wage case with violations found, since 2006
Full public records, with dates and sources
Care and services
From the community’s website
What Heritage Specialty Care says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers hospice care on site or works with hospice providers.
Care Initiatives is Iowa’s largest nonprofit provider of high-quality skilled nursing care, hospice care, assisted living, independent living, memory care and more.
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Feb 1, 2006 to Jan 31, 2008. Violations found: Child labor. Employer as DOL recorded it: Heritage Nursing & Rehab Center (Care Initiatives). Case 1497651.
DOL also concluded 1 case here with no violations found, most recently for a period ending Apr 6, 2023.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- St Lukes Hospital, Cedar Rapids. 3.4 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- West Ridge Care Center, Cedar Rapids. 1.0 mile away, straight line.
- Nearest home health agency office
- Compassion North America Home Health Services Corp, Cedar Rapids. 0.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- CVS Pharmacy. 0.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 52404 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Davita Five Seasons Dialysis, Cedar Rapids, 3.5 miles away, straight line (CMS rating 3 of 5 stars)
Usrc Mercy Plaza Dialysis, Cedar Rapids, 5.5 miles away, straight line (CMS rating 4 of 5 stars)
Davita Cedar Rapids Dialysis, Cedar Rapids, 5.9 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 13 Medicare hospices tell CMS they serve ZIP code 52404.
Care Initiatives Hospice - Cedar Rapids, office in Cedar Rapids, 1.8 miles away, straight line
Hospice Compassus - Northeast Iowa, office in Cedar Rapids, 4.2 miles away, straight line (CMS family survey rating 4 of 5 stars)
Hospice Of Mercy, office in Hiawatha, 5.0 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- State University Of Iowa, Coralville. 21.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively low, wildfire very low, tornado relatively high, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Heritage Specialty Care a good nursing home?
CMS gives Heritage Specialty Care an overall rating of 1 out of 5 stars, including 4/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Heritage Specialty Care staffed?
Heritage Specialty Care reports 3.59 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has Heritage Specialty Care had inspection problems?
Its most recent CMS inspection cited 16 deficiencies.
How many beds does Heritage Specialty Care have?
Heritage Specialty Care is certified for 171 beds.