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.
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.
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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.
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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.
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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.
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F-Tag 684 — 42 CFR §483.25 — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 5 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 1 health deficiency.
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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.