MyLivingChoice

Heritage Specialty Care

1239 1st Ave SE D

2.5(71 ratings)· Cedar Rapids average: 4.2

Part of Care Initiatives · 43 communities · 3.6★ average

Heritage Specialty Care, photo 11 / 9

Quick Facts

Year opened
1971
Medicare rating
1 of 5

CMS Care Compare

Ownership
Non profit, Corporation
Certified beds
171
Memory care setting
Secured, locked memory care unit on-site
Rehab outcomes
65% of rehab patients return home after stay

What Families Think

Reviews of Heritage Specialty Care, a skilled nursing and rehab facility in Cedar Rapids operated by Care Initiatives, are sharply mixed: many families and residents praise individual nurses, CNAs, and the therapy team, while a large number of other reviewers describe serious lapses in food quality, medication management, and communication. The facility's 2.5-star average across dozens of Google reviews reflects this split between staff-level care that many find compassionate and system-level problems that others describe as dangerous or neglectful.

The Good

  • Nursing and CNA staff frequently praised by name
  • Physical and occupational therapy consistently rated highly
  • Rehab-to-Home wing offers private rooms with private baths
  • On-site X-ray and lab testing in resident rooms
  • Active activity calendar including bingo and outings
  • Smooth admissions process described by some families

The Bad

  • Multiple reviewers report food is cold, late, or portions too small
  • Several reports of medication management errors, including insulin dosing
  • Reviewers describe slow or unanswered call lights and phones
  • Multiple accounts of staff turnover and understaffing affecting care
  • Reports of lost or stolen resident belongings
  • Some families describe unexpected or high billing surprises

AI-generated from reviews and community data.

Heritage Specialty Care is a senior living community in Cedar Rapids, Iowa offering Assisted Living, Memory Care and Skilled Nursing / Long Term Care. Amenities include Professional Chef, Outdoor Patio and Fitness Center. Families rate it 2.5 out of 5 across 63 reviews.

About Heritage Specialty Care

Heritage Specialty Care

We Are Here For You

To help residents gain their highest wellbeing.

We provide compassionate transitional health care to Iowans at all walks of life, and we also care for the family's wellbeing. We are committed to providing compassionate, dignified and custom care for almost any need.

Experience our "5-Star" Quality Care as rated by the federal government's Centers for Medicare and Medicaid Services (CMS).

We offer rehabilitation services, skilled nursing care, long term care and, when the time comes to transition to end-of-life care, we can coordinate compassionate hospice care.  

Our Mission

Improving quality of life for Iowans and their families during life's health transitions through compassionate individualized care.

Our Core Values

•    Commitment to continuously improve quality in everything we do.
•    Demonstrate compassion, integrity, respect and dignity in all interactions.
•    Compassionately serve others and their needs as defined by them.
•    Cultivate a culture of skill development and staffpersonal growth among all .
•    Recognize the power of teamwork to make effective, efficient and transparent decisions.
•    Commit to consistency and excellence in all processes.

Heritage Specialty Care offers the following services

•    24-hour Skilled Nursing Care
•    Accelerated Care Plus Therapy Equipment
•    Bariatric Accommodations
•    Beauty Shop/Barber Shop
•    Care Initiatives Hospice
•    Discharge Planning / Home Visits
•    Individualized Care Plans
•    Intravenous (IV) Therapy
•    Lymphedema & Wound Therapy
•    Medication Management
•    Memory Care Units
•    Occupational Therapy
•    Outpatient Therapy
•    Pain Management
•    Pastoral Services
•    Physical Therapy
•    Planned Activities
•    Rehab-To-Home
•    Respite Care
•    Select/Choice Menus
•    Special Dietary Accommodations
•    Speech Therapy
•    Tube Feedings
•    Wound Care Management

About

Since 1971, Heritage Specialty Care has been providing care for eastern Iowans in need of long term and short term care. In the spring of 2013, we reconfirmed our commitment to providing, quality health care for area residents by adding a new wing to our building specifically to serve the needs of those who need a little extra time to heal before returning home and others requiring therapeutic treatments as an outpatient.

Our  35-room Rehab to Home wing offers each patient a private room with a private bath, cable television, telephone, and Wi-Fi access in addition to state-of-the-art therapy programs in physical therapy, occupational therapy, and speech therapy. We are proud to say that 65 percent of patients, who come to Rehab for Home, return to their homes. For outpatient clients, we have an easy-access, private entrance to make your trip and therapy appointment as convenient as possible.

Located in southwestern Cedar Rapids, our dedicated staff works as a team with each patient’s primary physician and family to develop a personal plan of care. We are dedicated to each of our residents to help them reach their highest level of function possible.

We also “play” a lot too. From regular Bingo games to guest entertainers, small group activities and to a variety of outings that include  shopping, out to eat or take in a baseball game, there is always something going on.

Another specialty area is our memory care wing that is dedicated to residents with memory loss. In this unique setting, residents are offered a low stimulus atmosphere that will provide a calm relaxing environment.

For all of our residents, Heritage Specialty Care has an in-house beauty salon, a soothing whirlpool spa with an entertainment center featuring a built-in TV, podiatry and vision clinics and the ability to perform X-ray and lab work all within a resident’s room.

We look forward to meeting you to see how our team can be of service to you. Please come for a tour!

Heritage Specialty Care  is a 201 bed skilled nursing facility offering rehabilitation services, skilled nursing care, long term care and hospice care. We are a part of Care Initiatives, Iowa’s largest not-for-profit skilled nursing and long term care provider. Heritage Specialty Care accepts Medicare and Medicaid.

 

Types of Care at Heritage Specialty Care

Assisted LivingHome Health and HospiceMemory CareRespite / Short-Term CareSkilled Nursing / Long Term Care

Amenities

Room Amenities

  • Private Rooms

Meals & Dining

  • Dietary Accommodations (Gluten-Free, Low / No Sodium, No Sugar, Vegan)
  • Professional Chef

Community Amenities

  • 24-Hour Staff
  • Fitness Center
  • Gathering / Activity Spaces
  • Housekeeping
  • Laundry Service
  • Medication Management
  • On-Site Medical Staff
  • Outdoor Patio
  • Security
  • Transportation Services
  • Walking Paths

Activities

  • Social Activities (Happy Hour, Wine Tasting, Dances, Karaoke)

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Reviews of Heritage Specialty Care

2.5overall · 71 ratings combined

2.5★ on Google (63) · 2.5★ on Yelp (8) · Yelp page ↗

J Rahn

May 2026

via Google

1. Nurses and helpers = 5 stars<br>2. Food = “0 - Stars” Always Cold and Late. Bread and butter are so crusty or soggy and old hard. Very small portions. Make the staff eat the food.<br>3. Cleanliness = 4 stars<br>4. Physical Therapy = 5 Stars<br>5. Pill/Insulin distribution = 5 Stars<br>6. Need more helpers.<br>7. Activities , Art, Painting and Puzzles<br>= 5 Stars<br>8. Leadership needs to improve.

J Rahn

May 2026

via Google

1. Nurses and helpers = 5 stars 2. Food = “0 - Stars” Always Cold and Late. Bread and butter are so crusty or soggy and old hard. Very small portions. Make the staff eat the food. 3. Cleanliness = 4 stars 4. Physical Therapy = 5 Stars 5. Pill/Insulin distribution = 5 Stars 6. Need more helpers. 7. Activities , Art, Painting and Puzzles = 5 Stars 8. Leadership needs to improve.

Vincent Nelson

May 2026

via Google

the nurses and the CNA’s are great. everybody here that took care of is behind appreciated

Giselle Donally

May 2026

via Google

This facility is awesome, staff is very friendly they treat you with respect the food choices could be better should be order your meals better than just them serving what they decide to. Nursing staff are awesome as well Taylor is awesome.

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Government Inspection History

14 inspection visits in the last three years, 60 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).

May 28, 2026Fire Safety StandardHealth Standard11 citations
  • Conduct testing and exercise requirements.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 20, 2026

  • Develop and maintain an Emergency Preparedness Program (EP).

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 19, 2026

  • 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.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 11, 2026

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

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected May 11, 2026

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 11, 2026

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 8, 2026

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 12, 2026

  • 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 12, 2026

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 12, 2026

  • Ensure each resident receives an accurate assessment.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 12, 2026

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 12, 2026

Mar 2, 2026Health Complaint3 citations
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 26, 2026

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 26, 2026

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 26, 2026

Nov 6, 2025Health Complaint1 citation
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Nov 13, 2025

Aug 26, 2025Health Complaint5 citations
  • 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.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 23, 2025

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 23, 2025

  • Reasonably accommodate the needs and preferences of each resident.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 23, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 23, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 23, 2025

Jun 12, 2025Health Complaint3 citations
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Jun 19, 2025

  • Ensure that residents are free from significant medication errors.

    Severity G of L: actual harm, isolatedFound during a complaint inspectionDeficient, Provider has no plan of correction

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

    Severity G of L: actual harm, isolatedFound during a complaint inspectionCorrected Jun 19, 2025

May 22, 2025Fire Safety StandardHealth Standard6 citations
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 6, 2025

  • Ensure proper usage of power strips and extension cords.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 23, 2025

  • Properly select, install, inspect, or maintain portable fire extinguishes.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected May 23, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 6, 2025

  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 6, 2025

  • 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 6, 2025

Mar 5, 2025Health Complaint3 citations
  • Provide safe, appropriate pain management for a resident who requires such services.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 4, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 4, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 4, 2025

Feb 4, 2025Health Complaint2 citations
  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Mar 6, 2025

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 6, 2025

Nov 20, 2024Health Complaint2 citations
  • Provide safe and appropriate respiratory care for a resident when needed.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 13, 2024

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 13, 2024

Oct 16, 2024Health Complaint2 citations
  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 1, 2024

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Nov 1, 2024

Aug 22, 2024Fire Safety StandardHealth Standard10 citations
  • Provide safe, appropriate pain management for a resident who requires such services.

    Severity G of L: actual harm, isolatedCorrected Sep 11, 2024

  • Inspect, test, and maintain automatic sprinkler systems.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Aug 30, 2024

  • 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.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 3, 2024

  • 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.

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 11, 2024

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 1, 2024

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 11, 2024

  • 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.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 11, 2024

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 11, 2024

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Sep 11, 2024

  • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Severity B of L: potential for minimal harm, patternCorrected Sep 11, 2024

Nov 30, 2023Health Complaint2 citations
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 21, 2023

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 21, 2023

Nov 2, 2023Health Complaint5 citations
  • Have a plan that describes the process for conducting QAPI and QAA activities.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Dec 21, 2023

  • 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.

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Dec 21, 2023

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

    Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Dec 21, 2023

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

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 21, 2023

  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 21, 2023

Aug 16, 2023Health Complaint5 citations
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Sep 14, 2023

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

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 14, 2023

  • 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.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 14, 2023

  • 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.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 14, 2023

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 14, 2023

Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.

Frequently Asked Questions

What types of care does Heritage Specialty Care offer?

Heritage Specialty Care offers Assisted Living, Memory Care, Respite / Short-Term Care and Skilled Nursing / Long Term Care.

How much does Heritage Specialty Care cost?

Heritage Specialty Care has not published its pricing. For context, communities in Cedar Rapids that publish rates start around $3,900 per month at the median. Final costs depend on care needs and apartment selection, so contact the community for a quote.

Does Heritage Specialty Care offer respite or short-term stays?

Yes. Heritage Specialty Care lists respite and short-term care among its options. A respite stay gives a family caregiver a planned break while your loved one receives full care, and it also works as a low-commitment trial before a permanent move.

Where is Heritage Specialty Care located?

Heritage Specialty Care is located at 1239 1st Ave SE D in Cedar Rapids, Iowa.

What do families say about Heritage Specialty Care?

Reviews of Heritage Specialty Care, a skilled nursing and rehab facility in Cedar Rapids operated by Care Initiatives, are sharply mixed: many families and residents praise individual nurses, CNAs, and the therapy team, while a large number of other reviewers describe serious lapses in food quality, medication management, and communication. The facility's 2.5-star average across dozens of Google reviews reflects this split between staff-level care that many find compassionate and system-level problems that others describe as dangerous or neglectful.

How did Heritage Specialty Care do on recent health and safety inspections?

Heritage Specialty Care had 14 government inspection visits in the last three years, with 60 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.

How can families visit Heritage Specialty Care?

Submit the Request Information form on this page to connect with Heritage Specialty Care and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.

Work at Heritage Specialty Care? Claim this listing to update photos, pricing, and details. It's free.

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