68/100
Average
Ravenwood Specialty Care
2651 St Francis Drive, Waterloo, IA 50702
- Certified beds
- 176
- Occupancy
- 74%
- Ownership
- Non-profit
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
$48,335 in federal fines
CMS has fined this facility across 3 penalty action(s).
Our read on Ravenwood Specialty Care
Ravenwood Specialty Care is a 176-bed nonprofit home in Waterloo, and the numbers pull in two directions. Staffing sits at 3.35 nurse hours per resident day, about 13 percent under the national average, and weekends run roughly 8 percent thinner than weekdays. Turnover, though, is a genuine bright spot at 30.2 percent against a national average near 46. What drags the picture down is the inspection record: 36 deficiencies, two of them serious enough to involve harm or jeopardy, and a one-star health inspection rating. The last inspection was recent, in November 2025, so that record reflects current conditions rather than old problems. A 2/5 on quality measures doesn't offset it. Plenty of direct-care hours have left the building, and the state has documented what that looks like.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
15/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →3.71 total nurse hours per resident per day (national median 3.77)
- →0.64 RN hours per resident per day
- →Weekend staffing drops 8% against weekdays
Staff stability
13/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →30% of nursing staff left in the last year
- →-2 for 2 administrator departures
Resident outcomes
5/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →2 of 5 stars on the CMS quality-measure rating
Enforcement history
5/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$48,335 in federal fines across 3 action(s)
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: November 17, 2025 (11 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of CARE INITIATIVES, which operates 43 homes. Staffing budgets are usually set at chain level, not in the building.
What families say
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Common questions about Ravenwood Specialty Care
What is the ElderGrade for Ravenwood Specialty Care? +
Ravenwood Specialty Care holds an ElderGrade of C (68 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Ravenwood Specialty Care? +
Residents receive an average of 3.35 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Ravenwood Specialty Care been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Ravenwood Specialty Care accept Medicaid? +
Yes, Ravenwood Specialty Care is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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