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Data / Nursing homes / Iowa / Heritage Specialty Care

Heritage Specialty Care, Cedar Rapids, IA: 1 star rating, fined $14,365 across 1 fine

Heritage Specialty Care in Cedar Rapids, IA is owned by Care Initiatives, is rated 1 of 5 stars by Medicare, and was fined $14,365 across 1 fine in the three years to October 1, 2026. CMS lists 45 health citations from inspections in that time, the latest survey on May 28, 2026, and 5 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

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Address
200 Clive Drive SW, Cedar Rapids, IA 52404
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measure rating
3 of 5
Certified beds
171
Residents per day
125 on average
Ownership type
For profit, corporation
Legal business name
Care Initiatives
Chain
Care Initiatives, 43 facilities
Fines
$14,365 across 1 fine, three years to October 1, 2026
Payment denials
0
Health citations
45, of which 5 with actual harm or immediate jeopardy
Latest survey
May 28, 2026
CMS Certification Number
165310
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
November 6, 2025Fine$14,365Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
May 28, 2026F887Educate 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 12, 2026data.cms.gov
May 28, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedMay 8, 2026data.cms.gov
May 28, 2026F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 12, 2026data.cms.gov
May 28, 2026F698Provide safe, appropriate dialysis care/services for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 12, 2026data.cms.gov
May 28, 2026F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 12, 2026data.cms.gov
May 28, 2026F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 12, 2026data.cms.gov
March 2, 2026F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 26, 2026data.cms.gov
March 2, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 26, 2026data.cms.gov
March 2, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 26, 2026data.cms.gov
November 6, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedNovember 13, 2025data.cms.gov
August 26, 2025F865Have a plan that describes the process for conducting QAPI and QAA activities.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 23, 2025data.cms.gov
August 26, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 23, 2025data.cms.gov
August 26, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 23, 2025data.cms.gov
August 26, 2025F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 23, 2025data.cms.gov
August 26, 2025F558Reasonably accommodate the needs and preferences of each resident.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 23, 2025data.cms.gov
June 12, 2025F760Ensure that residents are free from significant medication errors.G: isolated, actual harmNo plan of correctiondata.cms.gov
June 12, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmCorrectedJune 19, 2025data.cms.gov
June 12, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.G: isolated, actual harmCorrectedJune 19, 2025data.cms.gov
May 22, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 6, 2025data.cms.gov
May 22, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 6, 2025data.cms.gov
May 22, 2025F803Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 6, 2025data.cms.gov
May 22, 2025F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 6, 2025data.cms.gov
March 5, 2025F697Provide safe, appropriate pain management for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 4, 2025data.cms.gov
March 5, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 4, 2025data.cms.gov
March 5, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 4, 2025data.cms.gov
February 4, 2025F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 6, 2025data.cms.gov
February 4, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 6, 2025data.cms.gov
November 20, 2024F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 13, 2024data.cms.gov
November 20, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 13, 2024data.cms.gov
October 16, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 1, 2024data.cms.gov
October 16, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 1, 2024data.cms.gov
August 22, 2024F697Provide safe, appropriate pain management for a resident who requires such services.G: isolated, actual harmCorrectedSeptember 11, 2024data.cms.gov
August 22, 2024F803Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 11, 2024data.cms.gov
August 22, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 11, 2024data.cms.gov
August 22, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 11, 2024data.cms.gov
August 22, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 11, 2024data.cms.gov
August 22, 2024F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 11, 2024data.cms.gov
August 22, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.B: pattern, minimal harm potentialCorrectedSeptember 11, 2024data.cms.gov
November 30, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 21, 2023data.cms.gov
November 30, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 21, 2023data.cms.gov
November 2, 2023F865Have a plan that describes the process for conducting QAPI and QAA activities.F: widespread, no actual harm, potential for more than minimal harmCorrectedDecember 21, 2023data.cms.gov
November 2, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedDecember 21, 2023data.cms.gov
November 2, 2023F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F: widespread, no actual harm, potential for more than minimal harmCorrectedDecember 21, 2023data.cms.gov
November 2, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 21, 2023data.cms.gov
November 2, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 21, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 25 individual or personal trusts (5 managers, 16 officers, directors or trustees, 4 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Care InitiativesDirect owner100%October 1, 2009data.cms.gov
Computershare Corporate Trust Company, NAMortgage interestNot listedFebruary 1, 2025data.cms.gov
Cse Cedar Rapids LLCSecurity interestNot listedSeptember 29, 1998data.cms.gov
Computershare Corporate Trust Company, NAAdditional disclosable partyNot listedApril 13, 2025data.cms.gov
Cse Cedar Rapids LLCAdditional disclosable partyNot listedSeptember 29, 1998data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.