Ravenwood Specialty Care
Ravenwood Specialty Care is a 176-bed nursing home in Waterloo, Iowa. CMS has certified it for Medicare and Medicaid since 1995-03-27. It averages 131.0 residents a day.
What harm was found in the violations cited at Ravenwood Specialty Care?
CMS lists 37 health-inspection deficiencies for Ravenwood Specialty Care, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-06-18.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-18 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2026-05-21 | F0684, F0689 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2026-05-21 | F0725, F0880 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide and implement an infection prevention and control program. | E |
| 2026-05-21 | F0558, F0580, F0726 | Reasonably accommodate the needs and preferences of each resident. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. | D |
| 2025-11-17 | F0584, F0725 | 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. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| 2025-11-17 | F0684, F0695, F0761 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / 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 |
| 2025-04-10 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2024-12-31 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2024-10-24 | F0578, F0582, F0644, F0689, F0880 | 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. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide and implement an infection prevention and control program. | D |
| 2024-07-13 | F0758 | 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 |
| 2024-03-25 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D |
| 2023-08-03 | F0584, F0919 | 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. / Make sure that a working call system is available in each resident's bathroom and bathing area. | E |
| 2023-08-03 | F0550, F0558, F0582, F0585, F0644, F0645, F0658, F0677, F0688, F0690, F0758, F0812, F0921 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / 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. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / PASARR screening for Mental disorders or Intellectual Disabilities / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
How is Ravenwood Specialty Care staffed relative to the IA average?
| Measure | This facility | IA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.34540 | 3.81506 |
| Total nursing staff turnover (%) | 30.2 | 44.0 |
| Average number of residents per day | 131.0 | 52.4 |
Who owns Ravenwood Specialty Care, and what chain is it in?
Ravenwood Specialty Care is registered with CMS as Non profit - Corporation, operates under the legal business name CARE INITIATIVES and belongs to the CARE INITIATIVES chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | CARE INITIATIVES | since 09/01/2009 |
| 5% OR GREATER MORTGAGE INTEREST | COMPUTERSHARE CORPORATE TRUST COMPANY, NA | since 01/01/2025 |
| CORPORATE DIRECTOR | BEAL, MICHAEL, BOWEN, LANE, CAROTHERS, MARY JANE, CHILDS, KEVIN, CORLESS, PETER, KREIN, KEITH, RUST, ELIZABETH, STURM, DENISE, UPMEYER, LINDA | since 01/01/2020 |
| CORPORATE OFFICER | BEAL, MICHAEL, DIXON, DAVID, DRAKE, EMILY, GILYARD, TANYA, KUHN, JERAMY, MCDYER, JESSICA, VOLM, JOHANNA | since 01/01/2021 |
| OPERATIONAL/MANAGERIAL CONTROL | BAEDKE, CHARISSA, DUFUR, DAVID, PURDY, ANGELENA, UGHETTI, ANTHONY, WHYMS, BRIAN | since 01/01/2024 |
| ADP OF THE SNF | COMPUTERSHARE CORPORATE TRUST COMPANY, NA, DUFUR, DAVID, PURDY, ANGELENA, UGHETTI, ANTHONY, WHYMS, BRIAN | since 08/05/2025 |
Were you or a family member harmed at Ravenwood Specialty Care?