193 Jacolyn Dr Nw, Cedar Rapids, IA 52405
Independent LivingActive Adult Living
Affordable senior housingIndependent livingAge 62+ community
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Medicare-certifiedSkilled Nursing
Heritage Specialty Care
Cedar Rapids, IowaMedicare inspection record
About Heritage Specialty Care
Heritage Specialty Care brings together Cedar Rapids' most experienced team for skilled nursing and rehabilitation. From recovery after surgery to managing complex medical needs, our Iowa facility provides personalized care plans that help residents regain independence and return home stronger.
Community at a glance
Capacity
171 residents
Location
Cedar Rapids, IA
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
200 Clive Drive SW, Cedar Rapids, Iowa 52404
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on May 28, 2026, state inspectors cited 10 health deficiencies (the Iowa average is 6.5).
Nurses and nurse aides spend 3 hours 32 minutes with each resident a day, below the Iowa average of 3 hours 49 minutes.
Medicare fined Heritage Specialty Care once in the last three years, $14,365 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 32 minutesBelow the Iowa average |
| Registered nurse time per resident, per day | 30 minutesBelow the Iowa average |
| Nursing staff who left in the past year | 49%Above the Iowa average |
3 administrators have left the home in the past year.
Inspections
45 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
May 28, 2026 · Standard inspection · 6 citations
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected May 8, 2026Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 12, 2026Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 12, 2026Provide safe, appropriate dialysis care/services for a resident who requires such services.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 12, 2026Educate 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.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jun 12, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 12, 2026
March 2, 2026 · Complaint investigation · 3 citations
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Mar 26, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Mar 26, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Mar 26, 2026
November 6, 2025 · Complaint investigation · 1 citation+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Nov 13, 2025
August 26, 2025 · Complaint investigation · 5 citations+
Have a plan that describes the process for conducting QAPI and QAA activities.
Risk of harm, no one hurt, a pattern (level E)AdministrationFrom a complaintCorrected Sep 23, 2025Honor 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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Sep 23, 2025Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Sep 23, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Sep 23, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Sep 23, 2025
June 12, 2025 · Complaint investigation · 3 citations+
Ensure services provided by the nursing facility meet professional standards of quality.
Residents were harmed, a few residents (level G)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 19, 2025Ensure that residents are free from significant medication errors.
Residents were harmed, a few residents (level G)Pharmacy ServiceFrom a complaintPlan to fix it acceptedProvide appropriate treatment and care according to orders, resident’s preferences and goals.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Jun 19, 2025
May 22, 2025 · Standard inspection · 4 citations+
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jun 6, 2025Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 6, 2025Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jun 6, 2025Develop and implement policies and procedures for flu and pneumonia vaccinations.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jun 6, 2025
March 5, 2025 · Complaint investigation · 3 citations+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Apr 4, 2025Provide safe, appropriate pain management for a resident who requires such services.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Apr 4, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Apr 4, 2025
February 4, 2025 · Complaint investigation · 2 citations+
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintCorrected Mar 6, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Mar 6, 2025
November 20, 2024 · Complaint investigation · 2 citations+
Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Dec 13, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Dec 13, 2024
October 16, 2024 · Complaint investigation · 2 citations+
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected Nov 1, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Nov 1, 2024
August 22, 2024 · Standard inspection · 7 citations+
Provide safe, appropriate pain management for a resident who requires such services.
Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Sep 11, 2024Honor 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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Sep 11, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Sep 11, 2024Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Sep 11, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Sep 11, 2024Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Sep 11, 2024Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Minimal harm or risk, a pattern (level B)Resident RightsCorrected Sep 11, 2024
November 30, 2023 · Complaint investigation · 2 citations+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Dec 21, 2023Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Dec 21, 2023
November 2, 2023 · Complaint investigation · 5 citations+
Have a plan that describes the process for conducting QAPI and QAA activities.
Risk of harm, no one hurt, widespread (level F)AdministrationFrom a complaintCorrected Dec 21, 2023Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryFrom a complaintCorrected Dec 21, 2023Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryFrom a complaintCorrected Dec 21, 2023Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Dec 21, 2023Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Dec 21, 2023
Fines and payment denials
1 fine totaling $14,365 in the last three years.
- November 6, 2025Fine: $14,365
About the home, per Medicare
- Ownership
- For profit - Corporation
- Legal business name
- Care Initiatives
- Medicare-certified beds
- 171
- Average residents per day
- 119
- Accepts
- Medicare and Medicaid
- First certified
- February 1, 1997
- Part of a chain
- Care Initiatives, 43 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 165310
Location
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200 Clive Drive SWCedar Rapids, IA 52404
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Questions about Heritage Specialty Care
How did Heritage Specialty Care do on its last inspection?+
State inspectors visited on May 28, 2026 and cited 10 health deficiencies, 4 of them from complaint investigations. The Iowa average is 6.5.
How much nursing care does each resident get at Heritage Specialty Care?+
Nurses and aides spend 3 hours 32 minutes with each resident per day, including 30 minutes from registered nurses. 49% of nursing staff left over the past year.
Has Heritage Specialty Care been fined by Medicare?+
Yes. Medicare fined Heritage Specialty Care once in the last three years, totaling $14,365.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.