Heritage Specialty Care

Nursing Home · Cedar Rapids, IA

CMS overall rating 1/5 For profit - Corporation

CMS certification number165310

Contact & location

200 Clive Drive SW
Cedar Rapids, IA 52404
Linn County
Phone
(319) 396-7171
ZIP code
52404 – all care providers

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Facility details

Certified beds
171
Residents per day
119.4 (70% occupied)
Ownership
For profit - Corporation
Legal name
Care Initiatives
Chain
Care Initiatives (43 facilities, avg 2.9★)
Medicare certified since
February 1, 1997
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.1
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 3.7
Quality measures★★★★★ 1/5
State avg 3.3
Long-stay quality★★★★★ 3/5
Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.53 (state 3.82 · U.S. 3.86)
Registered nurses (RN)
0.50 (state 0.74 · U.S. 0.69)
Licensed practical nurses
0.56 (state 0.56 · U.S. 0.86)
Nurse aides
2.47 (state 2.51 · U.S. 2.32)
Weekend total
3.24 (state 3.37 · U.S. 3.42)
Nursing staff turnover
48.9 (state 44.0 · U.S. 45.8)%
RN turnover
63.6 (state 42.1 · U.S. 42.9)%
Administrators who left
3 in the last year

Inspections

Last standard inspection
May 28, 2026
Health deficiencies (last cycle)
15.0 (state 6.5 · U.S. 9.3)
From complaints
9
Citations on record (3 years)
50 health · 10 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-05-28 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-05-08
2026-05-28 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-12
2026-05-28 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-12
2026-05-28 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-12
2026-05-28 Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
F0741 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-12
2026-05-28 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.
F0887 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-12
2026-03-02 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-26
2026-03-02 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-26
2026-03-02 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-26
2025-11-06 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-11-13
2025-08-26 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-09-23
2025-08-26 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-09-23
2025-08-26 Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-09-23
2025-08-26 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-23
2025-08-26 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-23
2025-06-12 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-06-19
2025-06-12 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-06-19
2025-06-12 Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · complaint inspection		 G
Actual harm		 Deficient, Provider has no plan of correction
2025-05-22 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-06-06
2025-05-22 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-06
2025-05-22 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.
F0803 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-06
2025-05-22 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-06-06
2025-03-05 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-04
2025-03-05 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-04
2025-03-05 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-04
2025-02-04 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-06
2025-02-04 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-06
2024-11-20 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-13
2024-11-20 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-12-13
2024-10-16 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-01
2024-10-16 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-01
2024-08-22 Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies		 G
Actual harm		 Corrected 2024-09-11
2024-08-22 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.
F0584 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-09-11
2024-08-22 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-11
2024-08-22 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-11
2024-08-22 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-11
2024-08-22 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.
F0803 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-09-11
2024-08-22 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2024-09-11
2023-11-30 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-21
2023-11-30 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-21
2023-11-02 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.
F0801 · Nutrition and Dietary Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-12-21
2023-11-02 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-12-21
2023-11-02 Have a plan that describes the process for conducting QAPI and QAA activities.
F0865 · Administration Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-12-21
2023-11-02 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-21
2023-11-02 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-12-21
2023-08-16 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2023-09-14
2023-08-16 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-14
2023-08-16 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-14
2023-08-16 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
F0761 · Pharmacy Service Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-14
2023-08-16 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-14

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

1 penalty in the last three years, including $14,365 in fines.

DateTypeAmount
2025-11-06Fine$14,365

Ownership & management

NameRoleSince
Care Initiatives (organization)5%+ Direct Ownership Interest · 100%
Computershare Corporate Trust Company, Na (organization)5%+ Mortgage Interest · NOT APPLICABLE
Cse Cedar Rapids LLC (organization)5%+ Security Interest · NOT APPLICABLE
Computershare Corporate Trust Company, Na (organization)Administrator · NOT APPLICABLE
Cse Cedar Rapids LLC (organization)Administrator · NOT APPLICABLE
Gleason, Maivette (individual)Administrator · NOT APPLICABLE
Kerschner, Michelle (individual)Administrator · NOT APPLICABLE
Nguyen, Thai (individual)Administrator · NOT APPLICABLE
Sweet-Keech, Richard (individual)Administrator · NOT APPLICABLE
Beal, Michael (individual)Corporate Director · NOT APPLICABLE
Bowen, Lane (individual)Corporate Director · NOT APPLICABLE
Carothers, Mary Jane (individual)Corporate Director · NOT APPLICABLE
Childs, Kevin (individual)Corporate Director · NOT APPLICABLE
Corless, Peter (individual)Corporate Director · NOT APPLICABLE
Krein, Keith (individual)Corporate Director · NOT APPLICABLE
Rust, Elizabeth (individual)Corporate Director · NOT APPLICABLE
Sturm, Denise (individual)Corporate Director · NOT APPLICABLE
Upmeyer, Linda (individual)Corporate Director · NOT APPLICABLE
Beal, Michael (individual)Corporate Officer · NOT APPLICABLE
Dixon, David (individual)Corporate Officer · NOT APPLICABLE
Drake, Emily (individual)Corporate Officer · NOT APPLICABLE
Gilyard, Tanya (individual)Corporate Officer · NOT APPLICABLE
Kuhn, Jeramy (individual)Corporate Officer · NOT APPLICABLE
McDyer, Jessica (individual)Corporate Officer · NOT APPLICABLE
Volm, Johanna (individual)Corporate Officer · NOT APPLICABLE
Baedke, Charissa (individual)Operational/managerial Control · NOT APPLICABLE
Gleason, Maivette (individual)Operational/managerial Control · NOT APPLICABLE
Kerschner, Michelle (individual)Operational/managerial Control · NOT APPLICABLE
Nguyen, Thai (individual)Operational/managerial Control · NOT APPLICABLE
Sweet-Keech, Richard (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Heritage Specialty Care?

Heritage Specialty Care has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Iowa.

How many beds does Heritage Specialty Care have?

It has 171 certified beds and cares for about 119 residents per day.

Has Heritage Specialty Care been fined?

Yes. CMS lists 1 penalty totaling $14,365 in the last three years.

Who owns Heritage Specialty Care?

It is part of Care Initiatives and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Heritage Specialty Care?

(319) 396-7171. The facility is located at 200 Clive Drive SW, Cedar Rapids, IA 52404.

Other nursing homes in Cedar Rapids

Compare all nursing homes in Cedar Rapids, IA →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.