With a score of 26/100, Heritage Specialty Care ranks in the bottom tier of Iowa nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing at Heritage Specialty Care is near the national average, with 3.59 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 50 deficiencies at Heritage Specialty Care, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.59 | 3.8 | Average |
| Registered Nurses (RN) | 0.46 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.56 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.56 | 2.4 | Average |
| Weekend Total Nursing | 3.36 | 3.8 | Below Average |
| Weekend RN Hours | 0.40 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0689 Severity GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Nov 5, 2025 · Quality of Life and Care Deficiencies
- Tag 0558 Severity EReasonably accommodate the needs and preferences of each resident.Aug 25, 2025 · Resident Rights Deficiencies
- Tag 0584 Severity EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dAug 25, 2025 · Resident Rights Deficiencies
- Tag 0865 Severity EHave a plan that describes the process for conducting QAPI and QAA activities.Aug 25, 2025 · Administration Deficiencies
- Tag 0658 Severity DEnsure services provided by the nursing facility meet professional standards of quality.Aug 25, 2025 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.3% | 4.5% | Better |
| Falls with major injury | 2.1% | 3.0% | Better |
| On antipsychotic medication | 28.6% | 14.5% | Worse |
| Urinary tract infections | 2.5% | 2.5% | Average |
| ADL decline (daily activities) | 16.1% | 14.0% | Worse |
| Excessive weight loss | 3.7% | 7.5% | Better |
| New/worsened incontinence | 28.3% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $43,680
How This Grade Was Calculated
This facility's grade of F is based on a score of 26 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -4 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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