Heritage Specialty Care
Heritage Specialty Care is a 171-bed nursing home in Cedar Rapids, Iowa. CMS has certified it for Medicare and Medicaid since 1997-02-01. It averages 119.4 residents a day.
What harm was found in the violations cited at Heritage Specialty Care?
CMS lists 50 health-inspection deficiencies for Heritage Specialty Care, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-05-28.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-28 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2026-05-28 | F0628, F0641, F0698, F0741, F0887 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure each resident receives an accurate assessment. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. / 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. | D |
| 2026-03-02 | F0677, F0684, F0804 | Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D |
| 2025-11-06 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-08-26 | F0558, F0584, F0865 | Reasonably accommodate the needs and preferences of each resident. / 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. / Have a plan that describes the process for conducting QAPI and QAA activities. | E |
| 2025-08-26 | F0658, F0677 | Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2025-06-12 | F0658, F0684, F0760 | Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that residents are free from significant medication errors. | G |
| 2025-05-22 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2025-05-22 | F0695, F0803, F0883 | Provide safe and appropriate respiratory care for a resident when needed. / 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. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2025-03-05 | F0684, F0689, F0697 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate pain management for a resident who requires such services. | D |
| 2025-02-04 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2025-02-04 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2024-11-20 | F0658, F0695 | Ensure services provided by the nursing facility meet professional standards of quality. / Provide safe and appropriate respiratory care for a resident when needed. | D |
| 2024-10-16 | F0684, F0725 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D |
| 2024-08-22 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G |
| 2024-08-22 | F0584 | 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. | E |
| 2024-08-22 | F0658, F0686, F0689, F0803 | Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. | D |
| 2024-08-22 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B |
| 2023-11-30 | F0658, F0689 | Ensure services provided by the nursing facility meet professional standards of quality. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2023-11-02 | F0801, F0812, F0865 | 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have a plan that describes the process for conducting QAPI and QAA activities. | F |
| 2023-11-02 | F0550, F0677 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2023-08-16 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2023-08-16 | F0584, F0755, F0761, F0812 | 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
Why was Heritage Specialty Care fined?
| Date | Type | Amount |
|---|---|---|
| 2025-11-06 | Fine | $14,365 |
How is Heritage Specialty Care staffed relative to the IA average?
| Measure | This facility | IA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.53180 | 3.81506 |
| Total nursing staff turnover (%) | 48.9 | 44.0 |
| Average number of residents per day | 119.4 | 52.4 |
Who owns Heritage Specialty Care, and what chain is it in?
Heritage Specialty Care is registered with CMS as For profit - Corporation, operates under the legal business name CARE INITIATIVES and belongs to the CARE INITIATIVES chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | CARE INITIATIVES | since 10/01/2009 |
| 5% OR GREATER MORTGAGE INTEREST | COMPUTERSHARE CORPORATE TRUST COMPANY, NA | since 02/01/2025 |
| 5% OR GREATER SECURITY INTEREST | CSE CEDAR RAPIDS LLC | since 09/29/1998 |
| CORPORATE DIRECTOR | BEAL, MICHAEL, BOWEN, LANE, CAROTHERS, MARY JANE, CHILDS, KEVIN, CORLESS, PETER, KREIN, KEITH, RUST, ELIZABETH, STURM, DENISE, UPMEYER, LINDA | since 01/01/2021 |
| CORPORATE OFFICER | BEAL, MICHAEL, DIXON, DAVID, DRAKE, EMILY, GILYARD, TANYA, KUHN, JERAMY, MCDYER, JESSICA, VOLM, JOHANNA | since 01/01/2021 |
| OPERATIONAL/MANAGERIAL CONTROL | BAEDKE, CHARISSA, GLEASON, MAIVETTE, KERSCHNER, MICHELLE, NGUYEN, THAI, SWEET-KEECH, RICHARD | since 01/01/2024 |
| ADP OF THE SNF | COMPUTERSHARE CORPORATE TRUST COMPANY, NA, CSE CEDAR RAPIDS LLC, GLEASON, MAIVETTE, KERSCHNER, MICHELLE, NGUYEN, THAI, SWEET-KEECH, RICHARD | since 04/13/2025 |
Were you or a family member harmed at Heritage Specialty Care?