Ravenwood Specialty Care

Nursing Home · Waterloo, IA

CMS overall rating 1/5 Non profit - Corporation

CMS certification number165251

Contact & location

2651 St Francis Drive
Waterloo, IA 50702
Black Hawk County
Phone
(319) 232-6808
ZIP code
50702 – all care providers

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Facility details

Certified beds
176
Residents per day
131.0 (74% occupied)
Ownership
Non profit - Corporation
Legal name
Care Initiatives
Chain
Care Initiatives (43 facilities, avg 2.9★)
Medicare certified since
March 27, 1995
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 3.1
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 4/5
State avg 3.7
Quality measures★★★★★ 2/5
State avg 3.3
Long-stay quality★★★★★ 2/5
Short-stay quality★★★★★ 2/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.35 (state 3.82 · U.S. 3.86)
Registered nurses (RN)
0.64 (state 0.74 · U.S. 0.69)
Licensed practical nurses
0.54 (state 0.56 · U.S. 0.86)
Nurse aides
2.17 (state 2.51 · U.S. 2.32)
Weekend total
3.07 (state 3.37 · U.S. 3.42)
Nursing staff turnover
30.2 (state 44.0 · U.S. 45.8)%
RN turnover
14.3 (state 42.1 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
November 17, 2025
Health deficiencies (last cycle)
13.0 (state 6.5 · U.S. 9.3)
From complaints
8
Citations on record (3 years)
37 health · 30 fire safety · includes actual harm
DateCitationSeverityStatus
2026-06-18 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2026-06-19
2026-05-21 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2026-06-26
2026-05-21 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2026-06-26
2026-05-21 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-26
2026-05-21 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-26
2026-05-21 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-26
2026-05-21 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-26
2026-05-21 Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
F0726 · Nursing and Physician Services Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-26
2025-11-17 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.
F0584 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-11-28
2025-11-17 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-11-28
2025-11-17 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-28
2025-11-17 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-28
2025-11-17 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.
F0761 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-28
2025-04-10 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-05-12
2024-12-31 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-01-01
2024-10-24 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.
F0578 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-06
2024-10-24 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-06
2024-10-24 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-06
2024-10-24 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-06
2024-10-24 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-11-06
2024-07-13 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.
F0758 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-07
2024-03-25 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-04-09
2023-08-03 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.
F0584 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-01
2023-08-03 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-09-01
2023-08-03 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-01
2023-08-03 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-01
2023-08-03 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-01
2023-08-03 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F0585 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-01
2023-08-03 Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-01
2023-08-03 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-01
2023-08-03 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-01
2023-08-03 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-01
2023-08-03 Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
F0688 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-01
2023-08-03 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-01
2023-08-03 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.
F0758 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-01
2023-08-03 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-01
2023-08-03 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-09-01

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Care Initiatives (organization)5%+ Direct Ownership Interest · 100%
Computershare Corporate Trust Company, Na (organization)5%+ Mortgage Interest · NOT APPLICABLE
Computershare Corporate Trust Company, Na (organization)Administrator · NOT APPLICABLE
Dufur, David (individual)Administrator · NOT APPLICABLE
Purdy, Angelena (individual)Administrator · NOT APPLICABLE
Ughetti, Anthony (individual)Administrator · NOT APPLICABLE
Whyms, Brian (individual)Administrator · NOT APPLICABLE
Beal, Michael (individual)Corporate Director · NOT APPLICABLE
Bowen, Lane (individual)Corporate Director · NOT APPLICABLE
Carothers, Mary Jane (individual)Corporate Director · NOT APPLICABLE
Childs, Kevin (individual)Corporate Director · NOT APPLICABLE
Corless, Peter (individual)Corporate Director · NOT APPLICABLE
Krein, Keith (individual)Corporate Director · NOT APPLICABLE
Rust, Elizabeth (individual)Corporate Director · NOT APPLICABLE
Sturm, Denise (individual)Corporate Director · NOT APPLICABLE
Upmeyer, Linda (individual)Corporate Director · NOT APPLICABLE
Beal, Michael (individual)Corporate Officer · NOT APPLICABLE
Dixon, David (individual)Corporate Officer · NOT APPLICABLE
Drake, Emily (individual)Corporate Officer · NOT APPLICABLE
Gilyard, Tanya (individual)Corporate Officer · NOT APPLICABLE
Kuhn, Jeramy (individual)Corporate Officer · NOT APPLICABLE
McDyer, Jessica (individual)Corporate Officer · NOT APPLICABLE
Volm, Johanna (individual)Corporate Officer · NOT APPLICABLE
Baedke, Charissa (individual)Operational/managerial Control · NOT APPLICABLE
Dufur, David (individual)Operational/managerial Control · NOT APPLICABLE
Purdy, Angelena (individual)Operational/managerial Control · NOT APPLICABLE
Ughetti, Anthony (individual)Operational/managerial Control · NOT APPLICABLE
Whyms, Brian (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Ravenwood Specialty Care?

Ravenwood Specialty Care has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Iowa.

How many beds does Ravenwood Specialty Care have?

It has 176 certified beds and cares for about 131 residents per day.

Has Ravenwood Specialty Care been fined?

CMS lists no federal fines or payment denials in the last three years.

Who owns Ravenwood Specialty Care?

It is part of Care Initiatives and is classified as non profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Ravenwood Specialty Care?

(319) 232-6808. The facility is located at 2651 St Francis Drive, Waterloo, IA 50702.

Other nursing homes in Waterloo

Compare all nursing homes in Waterloo, IA →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.