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Nursing home report

Heritage Specialty Care

Cedar Rapids, IA · Medicare-certified · 171 beds

Needs attention
Non-profitChain member
1 of 5 overall

1 of 5 stars overall. Heritage Specialty Care has 1-star health inspection and quality ratings, a 3-star staffing rating, and reported nurse staffing of 3.59 hours per resident per day, below the 4.1-hour federal benchmark. It also has $22,100 in fines in the last 24 months and a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.5877 hrs/resident/day

Quality measures

Last inspection: March 2, 2026Penalties, last 24 months: $22,100recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5877.

Staffing detail

Registered nurses
0.46
Licensed practical nurses
0.54
Nurse aides
2.59
Weekend nursing
3.27

Hours per resident per day.

Total staff turnover: 44%
Registered nurse turnover: 65%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

26.6%Worsening

Residents with a fall causing major injury

1.5%Steady

Residents with pressure ulcers (bedsores)

3.7%Worsening

Residents with a urinary tract infection

2.2%Steady

Residents who lost too much weight

3.7%Improving

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

15.3%Improving

Residents whose ability to walk got worse

12.4%Improving
Show all measures

Long-stay residents on antianxiety or sleep medication

22.5%Worsening

Short-stay residents newly given an antipsychotic

4.5%Improving

Residents with a long-term catheter

1.3%Improving

Residents with new or worsening incontinence

28%Worsening

Residents with depressive symptoms

9.7%Improving

Long-stay residents given the seasonal flu vaccine

72.1%Steady

Long-stay residents given the pneumonia vaccine

88%Improving

Short-stay residents given the seasonal flu vaccine

67.4%Steady

Short-stay residents given the pneumonia vaccine

67.6%Worsening

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2023 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: G

The nursing home failed to provide services that met professional standards of quality. Cited June 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: G

The nursing home failed to ensure residents were free from significant medication errors. Cited June 2025 — isolated incident, actual harm.

View the original federal record

F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G

The home failed to provide safe, appropriate pain management for a resident who needed it. Cited August 2024 — isolated incident, actual harm.

View the original federal record

F-Tag 697 — 42 CFR §483.25(k) — S/S: G

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal fine of $22,100 was recorded.

  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  5. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 2 fines · $65,780 in total fines · 1 payment denial.

  • Federal fine

    Nov 6, 2025

    $22,100
  • Medicare/Medicaid payment denial

    Jun 1, 2023

    69 days
  • Federal fine

    Jun 1, 2023

    $43,680

Operator & ownership

Ownership
Non profit - Corporation
Chain
Part of CARE INITIATIVES · 43 homes · 3.1 stars avg
Occupancy
118 residents on an average day (69% of 171 beds)
Resident voice
Resident council
Medicare history
Certified for 29 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.