Overview

Address
200 Clive Drive SW, Cedar Rapids, IA 52404
Phone
3193967171
Certified beds
171
Avg daily residents
121 (70% of beds filled)
Ownership
Non-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1997-02-01
Setting
Urban
1 /5
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
1/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
1/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
4/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
2/5
Quality Measures breakdown
Long-Stay Quality Measures 2/5
Short-Stay Quality Measures 1/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
3.59 3.24 4.27 ≥ 3.48
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
0.46 0.57 0.55 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
0.56 0.72 0.67
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
2.56 1.95 3.05
Licensed (RN + LPN)
Combined licensed nurse coverage.
1.02
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
0.07

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
3.36
hrs / resident / day
RN (weekend)
0.40
hrs / resident / day
Total nurse (adjusted, weekend)
4.01
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
43.3%
annual
RN turnover
58.8%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.15
near national average
Case-Mix Index Ratio
0.83
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2025-05-22 16 4 12 144 1 144
Cycle 2/3 (prior) 2024-08-22 31 7 24 295 1 295
Total weighted health score
181.8
lower is better

Deficiencies (50)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

1 A/B/C No actual harm — minor
42 D/E/F Actual harm — potential for minor
6 G/H/I Actual harm
1 J/K/L Immediate jeopardy
Tag Description Scope/Severity Survey date Corrected
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. G 2025-11-06 2025-11-13
0558 Reasonably accommodate the needs and preferences of each resident. E 2025-08-26 2025-09-23
0584 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. E 2025-08-26 2025-09-23
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-08-26 2025-09-23
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2025-08-26 2025-09-23
0865 Have a plan that describes the process for conducting QAPI and QAA activities. E 2025-08-26 2025-09-23
0658 Ensure services provided by the nursing facility meet professional standards of quality. G 2025-06-12 2025-06-19
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. G 2025-06-12 2025-06-19
0760 Ensure that residents are free from significant medication errors. G 2025-06-12
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2025-05-22 2025-06-06
0803 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. D 2025-05-22 2025-06-06
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2025-05-22 2025-06-06
0883 Develop and implement policies and procedures for flu and pneumonia vaccinations. D 2025-05-22 2025-06-06
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2025-03-05 2025-04-04
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2025-03-05 2025-04-04
0697 Provide safe, appropriate pain management for a resident who requires such services. D 2025-03-05 2025-04-04
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-02-04 2025-03-06
0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. E 2025-02-04 2025-03-06
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2024-11-20 2024-12-13
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2024-11-20 2024-12-13
0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. D 2024-10-16 2024-11-01
0725 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. D 2024-10-16 2024-11-01
0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. B 2024-08-22 2024-09-11
0584 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. E 2024-08-22 2024-09-11
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2024-08-22 2024-09-11
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. D 2024-08-22 2024-09-11
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2024-08-22 2024-09-11
0697 Provide safe, appropriate pain management for a resident who requires such services. G 2024-08-22 2024-09-11
0803 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. D 2024-08-22 2024-09-11
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2023-11-30 2023-12-21
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2023-11-30 2023-12-21
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2023-11-02 2023-12-21
0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. D 2023-11-02 2023-12-21
0880 Provide and implement an infection prevention and control program. E 2023-11-02 2023-12-21
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2023-11-02 2023-12-21
0677 Provide care and assistance to perform activities of daily living for any resident who is unable. D 2023-11-02 2023-12-21
0801 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. F 2023-11-02 2023-12-21
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2023-11-02 2023-12-21
0865 Have a plan that describes the process for conducting QAPI and QAA activities. F 2023-11-02 2023-12-21
0584 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. E 2023-08-16 2023-09-14
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. J 2023-08-16 2023-09-14
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2023-08-16 2023-09-14
0761 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. E 2023-08-16 2023-09-14
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2023-08-16 2023-09-14
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. G 2023-06-01 2023-08-16
0609 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. E 2023-06-01 2023-07-01
0610 Respond appropriately to all alleged violations. E 2023-06-01 2023-07-01
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2023-06-01 2023-09-14
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2023-06-01 2023-07-01
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2023-06-01 2023-07-01

Penalties (2)

Fines issued
1
last 3 years
Total fines
$43,680
Payment denials
1
Date Type Fine amount
2023-06-01 Fine $43,680
2023-06-01 Payment Denial

Source: CMS Nursing Home Penalties.

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 3.3% Medicaid 85.6% Other 11.1%

Operating performance

Operating Margin
-5.5%
Total Margin
-6.8%
Occupancy Rate
72.6%

Revenue & costs

Net Patient Revenue
$15.4M
Total Costs
$1.0M
Net Income
-$1.1M

Balance sheet

Total Assets
-$10.3M
Total Liabilities
$1.1M
Fund Balance
-$11.3M
Current Ratio
1.21

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: CARE INITIATIVES

Chain ID
106
Facilities in chain
43
Legal business name
CARE INITIATIVES
Chain-average star ratings (for peer context)
Overall
3.0
Health
2.7
Staffing
3.6
QM
3.6

Owner / manager organizations (2)

Organization Role Association
CARE INITIATIVES 5% OR GREATER DIRECT OWNERSHIP INTEREST since 10/01/2009
WELLS FARGO BANK, N.A. 5% OR GREATER MORTGAGE INTEREST since 05/01/1996

Owner / manager individuals (15)

Name Role Association
BEAL, MICHAEL CORPORATE DIRECTOR since 06/01/2020
BOWEN, LANE CORPORATE DIRECTOR since 01/01/2021
CAROTHERS, MARY JANE CORPORATE DIRECTOR since 01/01/2023
CHILDS, KEVIN CORPORATE DIRECTOR since 04/01/2023
KREIN, KEITH CORPORATE DIRECTOR since 06/29/2022
RUST, ELIZABETH CORPORATE DIRECTOR since 01/01/2023
STURM, DENISE CORPORATE DIRECTOR since 01/01/2021
UPMEYER, LINDA CORPORATE DIRECTOR since 06/29/2022
BEAL, MICHAEL CORPORATE OFFICER since 06/01/2020
DIXON, DAVID CORPORATE OFFICER since 06/01/2016
DRAKE, EMILY CORPORATE OFFICER since 01/04/2023
KUHN, JERAMY CORPORATE OFFICER since 06/25/2008
MCDYER, JESSICA CORPORATE OFFICER since 02/22/2023
BOUSEMAN, TIMOTHY W-2 MANAGING EMPLOYEE since 10/09/2023
NGUYEN, THAI W-2 MANAGING EMPLOYEE since 01/01/2024

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

Download CSV

Show 112 rows
Source Metric Value Raw key
Cost Report Current Ratio 1.21 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 85.6% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 3.3% metrics.medicare_day_share
Cost Report Net Income ($) $-1,050,080 metrics.net_income
Cost Report Net Patient Revenue ($) $15,449,371 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 72.6% metrics.occupancy_rate
Cost Report Operating Margin (%) -5.5% metrics.operating_margin
Cost Report Total Assets ($) $-10,254,473 metrics.total_assets
Cost Report Total Costs ($) $1,021,417 metrics.total_costs
Cost Report Total Fund Balances ($) $-11,326,090 metrics.fund_balance
Cost Report Total Liabilities ($) $1,071,617 metrics.total_liabilities
Cost Report Total Margin (%) -6.8% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 0.66972 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 3.05152 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.55133 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 4.27256 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 4.00560 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 120.5 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.71912 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 1.95440 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.56682 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.24034 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 2.85602 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 2.7 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 3.0 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 3.6 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 3.6 Chain Average Staffing Rating
Provider Information Chain ID 106 Chain ID
Provider Information Chain Name CARE INITIATIVES Chain Name
Provider Information City/Town Cedar Rapids City/Town
Provider Information CMS Certification Number (CCN) 165310 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Linn County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1997-02-01 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote Geocoding Footnote
Provider Information Health Inspection Rating 1 Health Inspection Rating
Provider Information Health Inspection Rating Footnote Health Inspection Rating Footnote
Provider Information Latitude 41.9669 Latitude
Provider Information Legal Business Name CARE INITIATIVES Legal Business Name
Provider Information Location 200 Clive Drive SW,Cedar Rapids,IA,52404 Location
Provider Information Long-Stay QM Rating 2 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote Long-Stay QM Rating Footnote
Provider Information Longitude -91.722 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago N Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 1 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 171 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 43 Number of Facilities in Chain
Provider Information Number of Fines 1 Number of Fines
Provider Information Number of Payment Denials 1 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.14791 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 0.83324 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 1 Overall Rating
Provider Information Overall Rating Footnote Overall Rating Footnote
Provider Information Ownership Type Non profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 200 Clive Drive SW Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name Heritage Specialty Care Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 560 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 2 QM Rating
Provider Information QM Rating Footnote QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 144 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 12 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 4 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-05-22 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 144 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 16 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 7 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-08-22 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 295 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 24 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 295 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 31 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.39996 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 58.8 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.02478 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 0.56207 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 2.56103 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.07044 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.46271 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 3.58581 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 1 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote Short-Stay QM Rating Footnote
Provider Information Special Focus Status Special Focus Status
Provider Information Staffing Rating 4 Staffing Rating
Provider Information Staffing Rating Footnote Staffing Rating Footnote
Provider Information State IA State
Provider Information Telephone Number 3193967171 Telephone Number
Provider Information Total Amount of Fines in Dollars 43680.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 3.36175 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 2 Total Number of Penalties
Provider Information Total nursing staff turnover 43.3 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 181.750 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 52404 ZIP Code