About Heritage Specialty CareHeritage Specialty Care is located at 200 Clive Drive Sw, Cedar Rapids, IA, reachable at (319) 396-7171. This Non profit – Corporation facility operates 171.0 certified beds and serves an average of 120 residents per day. It is part of the Care Initiatives network (43 facilities nationwide). Medicare and Medicaid services have been provided since 1997-02-01. The facility currently holds a poor (1-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Heritage Specialty Care may be considered for families with limited options in Cedar Rapids, IA, but its lower CMS ratings suggest careful due diligence is warranted. Above-average staffing levels make it a good option for residents needing intensive nursing care.
Overall Rating 2022-2026
Total Nurse Hours/Day 2022-2026
Current Ratings (2026)
Overall Rating
★★★★★1 / 5
Health Inspection
★★★★★1 / 5
Staffing Rating
★★★★★4 / 5
Quality Measures (QM)
★★★★★2 / 5
Long-Stay QM Rating
★★★★★2 / 5
Short-Stay QM Rating
★★★★★1 / 5
5-Year Rating Trends
Overall Rating
Health Inspection Rating
Quality of Care (QM)
Staffing Rating
Average Residents per Day
Occupancy % (Residents / Beds)
Staffing InsightHeritage Specialty Care currently provides 3 hours 35 minutes of total nurse staffing per resident per day, including 28 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 4 out of 5 reflects strong nurse coverage. Total nursing staff turnover stands at 43.3% — above the national average of ~35%.
Current Staffing Hours Per Resident Per Day (2026)
Total Nurse Staffing3 hours 35 minutes
Nurse Aide Hours2 hours 34 minutes
Licensed Practical Nurse (LPN) Hours34 minutes
Registered Nurse (RN) Hours28 minutes
Physical Therapist Hours4 minutes
National average total nurse staffing is approximately 3.5 hours per day
Weekend Staffing Hours Per Resident Per Day (2026)
Weekend Total Nurse Hours3 hours 22 minutes
Weekend Registered Nurse (RN) Hours24 minutes
Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.
5-Year Staffing Trends
Total Nurse Hours/Day
Registered Nurse (RN) Hours/Day
Licensed Practical Nurse (LPN) Hours/Day
Nurse Aide Hours/Day
Total Staff Turnover %
Registered Nurse (RN) Turnover %
Compliance SummaryIn the current reporting period, the facility received 1 fine(s) totaling $43,680. 83 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 1 Medicare payment denial(s) in the current period.
Nationally, Heritage Specialty Care ranks 14015th out of 14,703 facilities (composite score: 50.0/100), placing it in the bottom 25% nationwide. Within IA, it ranks 372nd out of 390 nursing homes. In Cedar Rapids, it ranks 10th out of 10 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 2. For 2026 staffing: total nurse hours rank #8,239 nationally and RN hours rank #9,552 nationally (#323 in IA).
Total Nurse Staffing – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
IA State Rank
Note
2022
3.14
#10,773 / 14,703
#283 / 390
Below average
2023
3.35
#9,140 / 14,703
#235 / 390
Below average
2024
3.65
#6,791 / 14,703
#161 / 390
Above average
2025
3.48
#9,064 / 14,703
#243 / 390
Below average
2026
3.59
#8,239 / 14,703
#215 / 390
Below average
Registered Nurse (RN) Hours – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
IA State Rank
Note
2022
0.49
#8,925 / 14,703
#311 / 390
Below average
2023
0.47
#8,676 / 14,703
#302 / 390
Below average
2024
0.40
#10,307 / 14,703
#344 / 390
Below average
2025
0.46
#9,470 / 14,703
#330 / 390
Below average
2026
0.46
#9,552 / 14,703
#323 / 390
Below average
Total Nurse Rank – National (lower number = better)
Registered Nurse Rank – National (lower number = better)
Frequently Asked Questions
Heritage Specialty Care is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1997-02-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (319) 396-7171 or your local Medicaid office to verify current eligibility.
Heritage Specialty Care holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (4★), and Quality of Resident Care (2★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 50.0/100, placing it #14015 of 14703 facilities nationally and #372 of 390 in Iowa. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.
Each resident at Heritage Specialty Care receives a reported average of 3 hours 35 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 28 minutes; Licensed Practical Nurse (LPN) — 34 minutes; Nurse Aide — 2 hours 34 minutes. On weekends, total nurse staffing is 3 hours 22 minutes per resident per day. The CMS Staffing Rating for this facility is 4 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 43.3%. Families are encouraged to ask about current staffing schedules during their facility visit.
In the current reporting period, the facility received 1 fine(s) totaling $43,680. 83 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 1 Medicare payment denial(s) in the current period. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $43,680, and 1 Medicare payment denial(s). Total penalties: 2. The Total Weighted Health Survey Score is 181.75 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.
Nationally, Heritage Specialty Care ranks 14015th out of 14,703 facilities (composite score: 50.0/100), placing it in the bottom 25% nationwide. Within IA, it ranks 372nd out of 390 nursing homes. In Cedar Rapids, it ranks 10th out of 10 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 2. For 2026 staffing: total nurse hours rank #8,239 nationally and RN hours rank #9,552 nationally (#323 in IA). Our composite quality score of 50.0/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Cedar Rapids, visit: https://nursinghomesnearme.org/iowa/cedar-rapids/
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.