Ravenwood Specialty Care
2651 St Francis Drive · Waterloo, IA · 50702 · 3192326808
176 certified beds Non profit - Corporation Chain: Care Initiatives
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.41 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.72 | 0.55–0.75 |
| Weekend hours / resident-day | 3.13 | ≈ weekday level |
| Nursing turnover / year | 30% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (29 in the current record)
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Potential for harm · E November 17, 2025
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.
Corrected November 28, 2025 · Resident Rights
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Potential for harm · D November 17, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 28, 2025 · Quality of Life and Care
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Potential for harm · D November 17, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected November 28, 2025 · Quality of Life and Care
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Potential for harm · E November 17, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected November 28, 2025 · Nursing and Physician Services
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Potential for harm · D November 17, 2025
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.
Corrected November 28, 2025 · Pharmacy Service
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Potential for harm · D April 10, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 12, 2025 · Quality of Life and Care
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Potential for harm · E December 31, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 1, 2025 · Nutrition and Dietary
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Potential for harm · D October 24, 2024
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected November 6, 2024 · Resident Rights
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Potential for harm · D October 24, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected November 6, 2024 · Resident Rights
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Potential for harm · D October 24, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected November 6, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 24, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 6, 2024 · Quality of Life and Care
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Potential for harm · D October 24, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 6, 2024 · Infection Control
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Potential for harm · D July 13, 2024 · found via complaint
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected August 7, 2024 · Pharmacy Service
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Potential for harm · D March 25, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected April 9, 2024 · Resident Rights
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Potential for harm · D August 3, 2023
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected September 1, 2023 · Resident Rights
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Potential for harm · E August 3, 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.
Corrected September 1, 2023 · Resident Rights
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Potential for harm · D August 3, 2023
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected September 1, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 3, 2023
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected September 1, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 3, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 1, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 3, 2023
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected September 1, 2023 · Quality of Life and Care
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Potential for harm · D August 3, 2023
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected September 1, 2023 · Pharmacy Service
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Potential for harm · D August 3, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 1, 2023 · Nutrition and Dietary
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Potential for harm · D August 3, 2023
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected September 1, 2023 · Environmental
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Potential for harm · D August 3, 2023 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 1, 2023 · Resident Rights
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Potential for harm · D August 3, 2023 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected September 1, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165251 · certified since March 27, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.