Heritage Specialty Care

    200 Clive Dr SW, Cedar Rapids, IA, 52404
    2.4 · 54 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Clean building, unsafe nursing care

    I had a mixed, mostly worrying experience. The building is bright, clean and well-maintained, therapy and activities exist, and a few nurses/CNAs (Ryan stood out) were genuinely caring and went above and beyond. However nursing care and management were inconsistent and often unsafe: call lights ignored, residents left unattended or poorly fed, CPAP/medication and diabetes care mishandled, unsupervised hospital drop-offs, theft/vaping allegations, and high staff turnover and favoritism. Communication, discharge and billing were frequently a mess and night staff less responsive. Despite some wonderful caregivers, I would not recommend this place overall.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    2.37 · 54 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      1.9
    • Staff

      2.4
    • Meals

      1.5
    • Amenities

      3.5
    • Value

      1.5

    Pros

    • Several individual staff members praised for compassion and going above and beyond (notably "Ryan")
    • Supportive and effective rehabilitation therapists (OT/PT) and rehab support
    • Some CNAs and nurses described as caring and attentive
    • Clean, well-maintained common areas (cafeteria, landscaping) in some reports
    • Smooth admissions and transition experience for some families
    • Good coordination with hospitals and dialysis for certain residents
    • Welcoming admissions staff and helpful front-office personnel reported by some
    • Available therapy and entertainment options mentioned positively by some reviewers
    • Bright, open visiting areas enjoyed by some families
    • Occasional value-for-money satisfaction when care met expectations
    • Administrator and select staff commended in several reviews
    • Successful discharges home and positive recovery experiences in some cases

    Cons

    • Unresponsive nursing staff and delayed call-light responses
    • Repeated allegations of neglectful care and abuse
    • Poor diabetes management (high-carbohydrate/sugary meals, missed mealtime insulin)
    • Withheld or delayed medications, including life‑saving medication allegations
    • Failure to monitor blood sugar, hemoglobin, and clinical warning signs
    • Ignored swelling/Congestive Heart Failure concerns leading to hospitalization or worse
    • Staffing shortages, aides forced to work alone, and high staff turnover
    • Negative work environment: mocking, favoritism, nepotism, and HR problems
    • Language barriers and reports of unlicensed or poorly trained staff
    • Substance use on premises (vaping, marijuana) alleged by reviewers
    • Unprofessional behavior: arguing, verbal altercations, threats, and laughing at families
    • Unsafe patient handling and transport: unescorted ER drop-offs and no medical transfer info
    • Inadequate personal care: bed repositioning neglected, residents left in waste
    • Dietary failures: low-sodium diets ignored, poor meal quality, cold or missing food
    • Activities program lacking or minimal; accusations of not meeting required activity hours
    • Poor cleaning and housekeeping in some units: unwashed sheets, crowded memory unit, bugs
    • Theft and missing personal belongings reported
    • Problems with discharge process, billing, payroll, and unresponsive phone lines
    • Allegations of state investigations and regulatory presence
    • High cost with many reporting poor value for money
    • Risk of falls and wandering due to inadequate supervision

    Summary review

    Overall sentiment in these reviews is deeply polarized but leans heavily toward serious concern. A sizable portion of reviewers describe experiences ranging from indifferent to actively dangerous clinical care: unresponsiveness to call lights, failure to administer mealtime insulin, withheld medications, inadequate monitoring of blood glucose and hemoglobin, ignored signs of congestive heart failure and swelling, and reports of residents being left in soiled bedding or on the floor. Several accounts describe escalation to emergency care, hospitalization, and at least one death that reviewers attribute to failures in care. These are not isolated minor complaints but represent systemic clinical lapses in medication management, monitoring, and timely response that directly affected residents' health and safety.

    Staffing and workplace culture are recurring themes that help explain many clinical failures. Multiple reviewers report chronic understaffing — aides forced to manage entire floors alone, night staff being less responsive, high turnover, and suspension of aides without clear corrective action. Several reviews describe a toxic culture: management allegedly mocking staff, favoritism and nepotism in HR, and unprofessional behaviors such as arguing or threatening one another while residents are present. Language barriers, reports of unlicensed workers, and alleged substance use (vaping and marijuana on site) further signal staffing/competency issues that undermine safe and consistent care. State regulators and investigations are mentioned in multiple summaries, indicating external concern about the facility's operations.

    Professionalism and communication with families are also highly inconsistent. Many reviewers describe staff who are rude, hang up on callers, laugh at concerns, or otherwise dismiss family requests. Conversely, several comments praise individual staff — repeatedly named caregivers (for example, "Ryan") and others such as Dorese, Albaunie, and Norah — as compassionate, dependable, and instrumental in positive experiences. Rehab therapists (OT/PT) and some admissions and administrative staff also receive positive mention for smooth transitions, coordination with hospitals/dialysis, and helping residents return home. This pattern suggests that while pockets of competent and caring personnel exist, the overall organizational systems and staffing levels fail to deliver consistently safe care across shifts and units.

    Facilities, cleanliness, and the memory-care unit present mixed impressions. Some reviewers describe a clean, bright, and well-maintained environment with pleasant landscaping and a tidy cafeteria. Others report crowded, poorly cleaned memory-unit conditions, unwashed linens, pest problems in rooms, and insufficient housekeeping. Theft of personal items in memory care and infrequent room cleaning were also reported. These conflicting reports imply variability by unit or shift rather than uniform facility-wide standards being reliably enforced.

    Dining and nutrition are important recurring issues. Several reviewers report poor meal quality, cold food, small portions, or meals inappropriate for medical needs (notably high-carbohydrate/sugary meals for diabetics and low-sodium diets being ignored). There are also descriptions of meals being missed entirely, residents not being fed or assisted, drinks seldom served, and even occasions when the facility reportedly ran out of supper. Given the specific allegation of missed mealtime insulin and poor diabetic meal offerings, nutrition and medication timing appear to be an area of real clinical risk.

    Activities, engagement, and rehabilitative programming vary significantly. Some reviewers cite robust therapy, activities, music guests, and events that enhanced recovery and satisfaction. Others say the activities program is minimal or nonexistent (e.g., very short "sit and fit" sessions, missed required activity hours, and long delays between personal grooming services like nail care). This again points to inconsistency across the facility and shifts rather than a uniformly delivered program.

    Administrative processes, transitions, and safety in transports are recurrent pain points. Families report poor discharge coordination, patients sent to the ER unaccompanied and without medical records, missing personal belongings after discharge, billing disputes, withheld pay statements from HR, and perceived attempts to prioritize revenue over care (comments about payee arrangements and money-centered policies). These administrative failures compound clinical concerns and increase family anxiety about safety, liability, and financial value.

    A notable pattern is the highly polarized nature of the feedback: some families and reviewers strongly recommend the facility and praise individual staff and successful discharges, while many others counsel avoidance and even report state investigations. The cost complaints (examples citing $8,000/month or $9,000/week) intensify dissatisfaction when care and oversight are perceived as inadequate. For prospective families this means that outcomes may depend heavily on unit assignment, specific caregivers, and time of day/shift.

    In conclusion, the reviews indicate serious and recurring problems in clinical safety (medication and monitoring failures), staffing and workplace culture (understaffing, unprofessional behavior, and potential regulatory concerns), and inconsistent operational performance (meals, activities, housekeeping, and administrative transitions). At the same time, there are clear strengths in individual staff members, rehab therapy services, and certain administrative or admissions experiences. If you are evaluating Heritage Specialty Care, weigh the documented reports of clinical neglect and safety lapses heavily; ask for specifics about staffing ratios, medication administration protocols (especially for diabetes and CPAP), supervision in memory care, incident/complaint history, and evidence of regulatory remediation. Also request to meet direct-care staff who will work with your loved one, tour the specific unit they would occupy at the times they will be there, and obtain written policies on transfers to hospital, medication administration, and activities programming to try to reduce the variability reflected in these reviews.

    Location

    Map showing location of Heritage Specialty Care

    About Heritage Specialty Care

    Heritage Specialty Care sits at 200 Clive Dr SW in Cedar Rapids, Iowa, as a licensed skilled nursing and rehabilitation center with space for up to 201 residents, though 61 beds are certified for care as of June 2025. The place runs as a for-profit corporation and belongs to a broader senior care network linked with organizations like the Iowa Health Care Association. The facility takes Medicare and Medicaid, offering financial help for those who qualify. Residents get nursing care, rehabilitation, memory care for those with Alzheimer's, and short-term respite services, with registered nurses, licensed practical nurses, certified nursing assistants, and therapy teams nearby.

    The building has a big dining room that looks almost like a restaurant, with meals for many diets including allergy-friendly and diabetic options, and all-day meal service available. A professional chef plans the meals, and special diets are managed by staff. Rooms are furnished and include extras like cable TV, phone hookups, in-room fridges, Wi-Fi, and emergency alert systems for safety, with a 24-hour call system in place. Residents needing help get assistance with bathing, dressing, moving around, and taking their medicine, and the care team supervises health needs both day and night, offering 12-16 hour shifts of hands-on nursing.

    There's quite a bit to do, with movie nights, a game room, community-led activities, outdoor programs, walking paths, and a garden that's been landscaped and taken care of. There's a dedicated music room, a wellness and spa area, places to watch movies, and rooms for games or activities. Residents can join fitness classes, use the exercise space, and get out for scheduled outings with transportation provided. Heritage Specialty Care also includes beauty shops and space for visiting podiatrists and eye doctors, plus in-house therapy from speech, occupational, and physical therapists.

    Residents and families can meet through councils to address concerns or ways to improve care, and a personalized approach aims to match care to each person's needs and wishes. Heritage is part of a Continuing Care Retirement Community, so folks can move between different levels of care over time. Management encourages community, dignity, and support, especially following recent renovations that helped modernize the living and shared areas. Despite all efforts, incidents involving medication mistakes have been reported and led to fines, with state inspection records on file, so there's ongoing oversight in place. The facility carries an average rating and has been reviewed on different websites.

    Staff work on making a comfortable atmosphere where residents and families feel respected, with move-in help, daily housekeeping, a concierge, and plenty of community-sponsored events. The Alzheimer's unit includes a security system, special activity programs, and added nutrition support. Parking is available, and family and visitors can take part when they come by. Heritage Specialty Care tries to offer a full range of long-term housing and home healthcare options for seniors as needs change. The facility stays committed to providing basic needs, safety features, and programs for a range of residents, focusing on comfort, care, and community involvement.

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