Federal inspection record · CMS data as of October 1, 2026
Ravenwood Specialty Care
2651 St Francis Drive, Waterloo, IA · (319) 232-6808
- Certified beds
- 176
- Residents per day
- 133
- Ownership
- Non-Profit
- Chain
- Care Initiatives
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 27, 1995
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Ravenwood Specialty Care carries 156.25 inspection points. That is fewer than 5% of Iowa's 385 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–7 pts
- 4★ 7–21 pts
- 3★ 21–41 pts
- 2★ 41–86.5 pts
- 1★ over 86.5 pts
Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
39 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (4)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Resident Rights11E
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
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.
- D
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.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Reasonably accommodate the needs and preferences of each resident.
- E
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.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
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.
Quality of Life and Care7D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
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.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Nursing and Physician Services4E
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- D
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.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Resident Assessment and Care Planning4D
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Pharmacy Service3D
- D
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.
- D
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.
- D
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.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental2E
- E
Make sure that a working call system is available in each resident's bathroom and bathing area.
- D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2025-11-17
15 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2024-10-24
7 health deficiencies · 9 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2023-08-03
17 health deficiencies · 16 fire-safety deficiencies
Top issue: Resident Rights (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 29 min of nursing staff time a day, 40 min of it from a registered nurse.
This home
3 h 29 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 32% of nursing staff and 27% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$48,335 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-05-21 | Fine | $13,065 |
| 2026-05-21 | Fine | $13,065 |
| 2026-05-21 | Fine | $22,205 |
| 2026-05-21 | Payment Denial · 37 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts worse | 1.8 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 1.4 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.1 pts better | 97.3% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.2 pts worse | 92.6% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts worse | 4.4% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.7 pts worse | 4.9% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.4 pts better | 2.0% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication8.4 pts worse | 29.4% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10.4 pts worse | 30.2% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened2.4 pts worse | 17.6% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased5.5 pts worse | 22.1% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2 pts worse | 3.4% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.7 pts worse | 4.1% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1 pts better | 24.0% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.2 pts better | 2.9% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6.8 pts worse | 77.2% | 84.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.6 pts better | 10.4% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.5 pts better | 0.6% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine0.3 pts better | 74.7% | 74.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.1 pts worse | 24.8% | 20.7% | 23.4% |
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Who owns and runs it
28 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Care Initiatives | 5% Or Greater Direct Ownership Interest · Organization | 100% | 43 facilities |
| Baedke, Charissa | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Beal, Michael | Corporate Director · Individual | 0% | 43 facilities |
| Beal, Michael | Corporate Officer · Individual | 0% | 43 facilities |
| Bowen, Lane | Corporate Director · Individual | 0% | 44 facilities |
| Carothers, Mary Jane | Corporate Director · Individual | 0% | 43 facilities |
| Childs, Kevin | Corporate Director · Individual | 0% | 43 facilities |
| Computershare Corporate Trust Company, Na | 5% Or Greater Mortgage Interest · Organization | 0% | 59 facilities |
| Computershare Corporate Trust Company, Na | Adp Of The SNF · Organization | 0% | 59 facilities |
| Corless, Peter | Corporate Director · Individual | 0% | 43 facilities |
| Dixon, David | Corporate Officer · Individual | 0% | 44 facilities |
| Drake, Emily | Corporate Officer · Individual | 0% | 43 facilities |
| Dufur, David | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Dufur, David | Adp Of The SNF · Individual | 0% | 2 facilities |
| Gilyard, Tanya | Corporate Officer · Individual | 0% | 42 facilities |
| Krein, Keith | Corporate Director · Individual | 0% | 43 facilities |
| Kuhn, Jeramy | Corporate Officer · Individual | 0% | 43 facilities |
| Mcdyer, Jessica | Corporate Officer · Individual | 0% | 43 facilities |
| Purdy, Angelena | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Purdy, Angelena | Adp Of The SNF · Individual | 0% | 1 facilities |
| Rust, Elizabeth | Corporate Director · Individual | 0% | 43 facilities |
| Sturm, Denise | Corporate Director · Individual | 0% | 43 facilities |
| Ughetti, Anthony | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ughetti, Anthony | Adp Of The SNF · Individual | 0% | 1 facilities |
| Upmeyer, Linda | Corporate Director · Individual | 0% | 43 facilities |
| Volm, Johanna | Corporate Officer · Individual | 0% | 29 facilities |
| Whyms, Brian | Operational/Managerial Control · Individual | 0% | 11 facilities |
| Whyms, Brian | Adp Of The SNF · Individual | 0% | 11 facilities |
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Fire safety
30 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install corridor and hallway doors that block smoke.
- F
Install a fire alarm system that can be heard throughout the facility.
- F
Properly provide smoke detection systems in areas open to corridors.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install corridor and hallway doors that block smoke.
Emergency Preparedness5F
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Conduct testing and exercise requirements.
- F
Develop a communication plan.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
Egress5F
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Gas, Vacuum, and Electrical Systems5F
- D
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Miscellaneous4F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- D
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
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