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C
Below Standard

Heritage Specialty Care

200 Clive Drive SW · Cedar Rapids, IA 52404

3193967171 · Non profit - Corporation

171 beds120.5 residents180 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Heritage Specialty Care receives an overall staffing grade of C (Below Standard). With 3.5861 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.4627 HPRD, below the recommended 0.75. It is 0.31 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 8.47% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.4627 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (5)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
✅Consistent weekend staffing — only 8.47% drop-off
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.5861hrs/resident/day▼ 0.31
CMS benchmark: 3.48
RN HPRD
0.4627hrs/resident/day▼ 0.22
Recommended: 0.75
Weekend Drop-off
8.47%
3.6741 weekday → 3.3627 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.0553hrs/resident/day
Direct care aides
LPN HPRD
0.5622hrs/resident/day
Licensed practical nurses
Consistency
0.244std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Linn County Average-0.29 HPRD
3.88
03.59 HPRD
vs. Iowa State Average-0.23 HPRD
3.82
03.59 HPRD
vs. National Average-0.31 HPRD
3.90
03.59 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Heritage Specialty Care ★
Cedar Rapids · This facility
—
C
3.58610.4627★☆☆☆☆
Living Center West
CEDAR RAPIDS
3.5 mi
C
3.09190.4024★★★☆☆
Harmony Cedar Rapids
Cedar Rapids
4.5 mi
C
3.7510.495★☆☆☆☆
St Luke's Helen G Nassif Transitional Care Center
Cedar Rapids
4.6 mi
A
4.14691.1758★★★★★
Cottage Grove Place
Cedar Rapids
4.8 mi
B
4.48760.6269★★★☆☆
Silver Oak Nursing and Rehabilitation Center LLC
Marion
8.6 mi
C
3.44810.5018★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

14
Inspections
51
Total Deficiencies
$43,680
Fines Assessed
Nov 6, 2025Health
1 deficiency cited· Includes actual harm
▼
Aug 26, 2025Health
5 deficiencies cited
▼
Jun 12, 2025Health
3 deficiencies cited· Includes actual harm
▼
May 22, 2025Health
4 deficiencies cited
▼
Mar 5, 2025Health
3 deficiencies cited
▼
Feb 4, 2025Health
2 deficiencies cited
▼
Nov 20, 2024Health
2 deficiencies cited
▼
Oct 16, 2024Health
2 deficiencies cited
▼
Aug 22, 2024Health
7 deficiencies cited· Includes actual harm
▼
Nov 30, 2023Health
2 deficiencies cited
▼
Nov 2, 2023Health
8 deficiencies cited
▼
Aug 16, 2023Health
5 deficiencies cited· Includes actual harm
▼
Jun 1, 2023Health
6 deficiencies cited· Includes actual harm
▼
Feb 9, 2023Health
1 deficiency cited· Includes actual harm
▼

Penalty History

Jun 1, 2023Fine
$43,680
Jun 1, 2023Payment Denial
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.