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Ravenwood Specialty Care

2651 St Francis Drive, Waterloo, IA 507023192326808Ownership: Non profit - CorporationCertified beds: 176Avg. daily residents: 131Chain: Care Initiatives (43 facilities)County: Black Hawk

The complete public record on Ravenwood Specialty Care, a Medicare & Medicaid–certified nursing home in Waterloo, Iowa, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★☆☆☆☆
CMS’s composite of the three ratings below. Iowa average: 3.1 stars.
Health inspection
★☆☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★★★☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★☆☆☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Ravenwood Specialty Care holds a 1-star overall rating, in the bottom two tiers CMS assigns. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.35 total nurse staff hours per resident per day
below the state average (3.82)
0.64 RN hours per resident per day
below the state average (0.74)
3.07 weekend nurse staff hours per resident per day
30.2% total nursing staff turnover
below the state average (44.2)
14.3% RN turnover
2 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

November 17, 2025 most recent standard health inspection
13 health deficiencies cited in the most recent inspection cycle
above the state average (6.6)
15 health deficiencies in the two prior cycles combined
$0 in federal fines across 0 penalties (last 3 years)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

37 citations on record across recent inspections, 3 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
June 18, 20260689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. ComplaintG · Actual harm
May 21, 20260684Provide appropriate treatment and care according to orders, resident’s preferences and goals. ComplaintG · Actual harm
May 21, 20260689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. ComplaintG · Actual harm
May 21, 20260725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. ComplaintE · Potential for more than minimal harm
May 21, 20260880Provide and implement an infection prevention and control program. ComplaintE · Potential for more than minimal harm
May 21, 20260558Reasonably accommodate the needs and preferences of each resident. ComplaintD · Potential for more than minimal harm
May 21, 20260580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the… ComplaintD · Potential for more than minimal harm
May 21, 20260726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's… ComplaintD · Potential for more than minimal harm
November 17, 20250584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and…E · Potential for more than minimal harm
November 17, 20250725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.