GoodStanding

Nursing home report

Ravenwood Specialty Care

Waterloo, IA · Medicare-certified · 176 beds

In good standing
Non-profitChain member
3 of 5 overall

Ravenwood Specialty Care in Waterloo, IA has a 3 out of 5 star overall rating, with 3-star health inspection, 4-star staffing, and 2-star quality measures. It reported 3.41 nursing hours per resident per day versus the 4.1 federal benchmark, had $0 in fines over the last 24 months, and recent inspection citations included staffing and safe, clean, and food-service concerns.

Facility ratings

Health inspections

Staffing

3.4133 hrs/resident/day

Quality measures

Last inspection: November 17, 2025Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4133.

Staffing detail

Registered nurses
0.72
Licensed practical nurses
0.45
Nurse aides
2.25
Weekend nursing
3.13

Hours per resident per day.

Total staff turnover: 30%
Registered nurse turnover: 14%

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

30.8%Worsening

Residents with a fall causing major injury

2.5%Worsening

Residents with pressure ulcers (bedsores)

0.7%Improving

Residents with a urinary tract infection

5.1%Worsening

Residents who lost too much weight

3.7%Improving

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

19.6%Improving

Residents whose ability to walk got worse

20.2%Improving
Show all measures

Long-stay residents on antianxiety or sleep medication

27.4%Worsening

Short-stay residents newly given an antipsychotic

4.5%Improving

Residents with a long-term catheter

2.6%Worsening

Residents with new or worsening incontinence

25%Improving

Residents with depressive symptoms

4.4%Worsening

Long-stay residents given the seasonal flu vaccine

98.3%Steady

Long-stay residents given the pneumonia vaccine

99.1%Steady

Short-stay residents given the seasonal flu vaccine

82.1%Steady

Short-stay residents given the pneumonia vaccine

80.9%Worsening

What the inspectors found

The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited November 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 584 — 42 CFR §483.10 — S/S: E

The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited November 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 725 — 42 CFR §483.35 — S/S: E

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: E

The nursing home failed to ensure a working call system was available in each resident’s bathroom and bathing area. Cited August 2023 — limited pattern, potential for harm.

View the original federal record

F-Tag 919 — 42 CFR §483.90 — S/S: E

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found

Operator & ownership

Ownership
Non profit - Corporation
Chain
Part of CARE INITIATIVES · 43 homes · 3.1 stars avg
Occupancy
126.5 residents on an average day (72% of 176 beds)
Resident voice
Resident council
Medicare history
Certified for 31 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.