CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 1653102026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Heritage Specialty Care

200 Clive Drive Sw · Cedar Rapids, IA 52404 · Linn County

CMS OVERALL RATING★☆☆☆☆1/5CMS field—not our score or recommendation
Certified beds171CMS provider file
Recent citation rows60current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12026-05-28152026-05-285
Cycle 22025-05-22162025-05-222
Cycle 32024-08-22192024-08-223
02 / CITATION DETAIL

60 rows in the current release

6 rows carry G–L scope/severity codes; 1 carry J–L. 12 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-05-28 · FIREE0004Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

Correction field: Deficient, Provider has date of correction · 2026-05-19
2026-05-28 · FIREE0039Severity F · widespread; potential for more than minimal harm

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

Correction field: Deficient, Provider has date of correction · 2026-05-20
2026-05-28 · HEALTHF0628Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Correction field: Deficient, Provider has date of correction · 2026-06-12
2026-05-28 · HEALTHF0641Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Correction field: Deficient, Provider has date of correction · 2026-06-12
2026-05-28 · HEALTHF0698Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Correction field: Deficient, Provider has date of correction · 2026-06-12
2026-05-28 · HEALTHF0741Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Correction field: Deficient, Provider has date of correction · 2026-06-12
2026-05-28 · HEALTHF0812Severity E · pattern; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Correction field: Deficient, Provider has date of correction · 2026-05-08
2026-05-28 · HEALTHF0887Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2026-06-12
2026-05-28 · FIREK0211Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Correction field: Deficient, Provider has date of correction · 2026-05-11
2026-05-28 · FIREK0222Severity F · widespread; potential for more than minimal harm

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Correction field: Deficient, Provider has date of correction · 2026-05-11
2026-05-28 · FIREK0321Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Correction field: Deficient, Provider has date of correction · 2026-05-11
2026-03-02 · HEALTHF0677Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Correction field: Deficient, Provider has date of correction · 2026-03-26 · complaint
2026-03-02 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction field: Deficient, Provider has date of correction · 2026-03-26 · complaint
2026-03-02 · HEALTHF0804Severity D · isolated; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Correction field: Deficient, Provider has date of correction · 2026-03-26 · complaint
2025-11-06 · HEALTHF0689Severity G · isolated actual harm

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Correction field: Deficient, Provider has date of correction · 2025-11-13 · complaint
2025-08-26 · HEALTHF0558Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

Correction field: Deficient, Provider has date of correction · 2025-09-23 · complaint
2025-08-26 · HEALTHF0584Severity E · pattern; potential for more than minimal harm

Resident Rights Deficiencies

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.

Correction field: Deficient, Provider has date of correction · 2025-09-23 · complaint
2025-08-26 · HEALTHF0658Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Correction field: Deficient, Provider has date of correction · 2025-09-23 · complaint
2025-08-26 · HEALTHF0677Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Correction field: Deficient, Provider has date of correction · 2025-09-23 · complaint
2025-08-26 · HEALTHF0865Severity E · pattern; potential for more than minimal harm

Administration Deficiencies

Have a plan that describes the process for conducting QAPI and QAA activities.

Correction field: Deficient, Provider has date of correction · 2025-09-23 · complaint
2025-06-12 · HEALTHF0658Severity G · isolated actual harm

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Correction field: Deficient, Provider has date of correction · 2025-06-19 · complaint
2025-06-12 · HEALTHF0684Severity G · isolated actual harm

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Correction field: Deficient, Provider has date of correction · 2025-06-19 · complaint
2025-06-12 · HEALTHF0760Severity G · isolated actual harm

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Correction field: Deficient, Provider has no plan of correction · complaint
2025-05-22 · HEALTHF0695Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Correction field: Deficient, Provider has date of correction · 2025-06-06
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
2025-11-06Fine$14,3650
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • CARE INITIATIVESOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    100% · since 10/01/2009
  • COMPUTERSHARE CORPORATE TRUST COMPANY, NAOrganization · 5% OR GREATER MORTGAGE INTEREST
    NOT APPLICABLE · since 02/01/2025
  • CSE CEDAR RAPIDS LLCOrganization · 5% OR GREATER SECURITY INTEREST
    NOT APPLICABLE · since 09/29/1998
  • BEAL, MICHAELIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 06/01/2020
  • BOWEN, LANEIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2021
  • CAROTHERS, MARY JANEIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2023
  • CHILDS, KEVINIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 04/01/2023
  • CORLESS, PETERIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2025
  • KREIN, KEITHIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 06/29/2022
  • RUST, ELIZABETHIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2023
  • STURM, DENISEIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 01/01/2021
  • UPMEYER, LINDAIndividual · CORPORATE DIRECTOR
    NOT APPLICABLE · since 06/29/2022
  • BEAL, MICHAELIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 06/01/2020
  • DIXON, DAVIDIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 06/01/2016
  • DRAKE, EMILYIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/04/2023
  • GILYARD, TANYAIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 05/23/2025
  • KUHN, JERAMYIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 06/25/2008
  • MCDYER, JESSICAIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 02/22/2023

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours3.53per resident day
RN hours0.50per resident day
Weekend nurse hours3.24per resident day
Staff turnover48.9%CMS reported field
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.