Heritage Specialty Care
Heritage Specialty Care in Cedar Rapids, IA — inspection on November 6, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
#7 dated 11/5/2025 listed a weight of 210.8 Lbs. On 11/5/25 at 2:46 PM Resident #7 sat in the w/c in the lobby at the table with the full body lift sling under her, the tag read XXL.
Staff B reported Resident #7's weight in the morning on 11/5/25 reflected 210 pounds.
The Transfer Lift chart read that lift weight for an XXL is expected for 280 pounds +. On 11/5/25 at 2:49 PM Staff E, confirmed the staff used the wrong sling for R#6 & #7 transfers. On 11/6/25 at 8:12 AM Staff E reported the staff needed education of the lift sizing per the resident's weight. On 11/6/25 at 11:15 the DON reported she felt the staff can use a larger sling based on the fact she has upper body girth.
She said the CNA's make a judgement on the size of the sling they use.
The Sling Color Sizing Code System, undated, identified large, Burgundy- 190-320 pounds, extra-large- 280-450 pounds, extra extra large 400-600 pounds.The NOTE! The size/weight designations are merely estimates and basic guidelines. A proper fit will depend on factors other than weight measurements, including the height and girth of a patient. A proper fit will involve the judgment of the caregiver.*It is important to evaluate the width of a patient in relation to the width of the sling.**It is important that no portion of the patient overlap the sides of the sling.Color Coding is used on the binding of slings. It is not used with specialty slings.It is important that the base of the sling be positioned two inches below the tailbone and the top of the sling is parallel with the top of the shoulder line (base of neck).
The facility provided a policy titled Safe Lifting and Movement of Residents dated 7/2017, nursing staff, in conjunction with the rehabilitation staff, shall assess individual residents' needs for transfer assistance on an ongoing basis.
Staff will document resident transferring and lifting needs in the care plan.
Such assessment shall include:a.
Resident's preferences for assistance;b.
Resident's mobility (degree of dependency);c.
Resident's size;d.
Weight-bearing ability;e.
Cognitive status;f.
Whether the resident is usually cooperative with staff; andg.
The resident's goals for rehabilitation, including restoring or maintaining functional abilities.Enough slings, in the sizes required by residents in need, will be available at all times. As an alternative, residents with lifting and movement needs will be provided with single-resident use disposable slings.
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