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Nursing HomeMedicaid

Ravenwood Specialty Care

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

2651 St Francis Drive, Waterloo, IA 50702176 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
2.6/5

based on 39 Google reviews

5
4
3
2
1
Ravenwood Specialty Care Nursing Home in Waterloo, IA — Street View
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What this means for your family

While some families report positive experiences with specific staff members and the memory care unit, the frequency of reports regarding neglect, hygiene issues, and slow response times is concerning. If you consider this facility, we strongly recommend unannounced visits during weekends and evenings to observe staffing levels and response times firsthand.

Google Reviews

Google Reviews

39 reviews on Google
Ravenwood Specialty Care receives highly polarized feedback, with some families praising specific staff members and the memory care unit, while others report severe neglect and unsanitary conditions. Recurring complaints focus on slow response times to call lights, poor hygiene, and staff apathy, suggesting inconsistent care quality that varies significantly by individual staff and unit.

Quality Themes

Tap a score for details
Food2.0Staff3.0Clean2.0Activities6.0Meds5.0Memory5.0Comms4.0ValueN/A

Strengths

  • Dedicated individual staff members
  • Effective physical therapy team
  • Well-regarded memory care unit
  • Timely communication from specific administrators

Concerns

  • Slow response times to resident call lights (mentioned by 3 reviewers)
  • Poor hygiene and failure to change soiled linens/residents (mentioned by 6 reviewers)
  • Staff apathy and unprofessional behavior (mentioned by 4 reviewers)
  • Unsanitary facility conditions and odors (mentioned by 3 reviewers)
  • Patient safety incidents and elopement risks (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'13(1)'18(3)'20(4)'22(11)'24(2)'26(1)

Distribution · 40 analyzed

5
15
4
1
3
0
2
0
1
24

How They Respond to Reviews

60%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1I noticed some of your administrators are very active in responding to community feedback; how does the leadership team use that feedback to improve daily care?
  • 2What specific protocols are in place to ensure call lights are answered promptly and that residents' immediate needs are met throughout the shift?
  • 3Could you walk me through your daily routine for maintaining cleanliness in resident rooms and ensuring linens are changed frequently?
  • 4We are looking for a high standard of nutrition; could you tell me more about the meal planning process and how you ensure dining is a high-quality experience?
  • 5How does the nursing team manage medical emergencies or sudden changes in health status during the overnight hours?
  • 6What kind of daily activities or social engagement programs are available to keep residents active and connected to the community?

Personalized based on this facility's data


Key Review Excerpts

The Director of the unit communicated and explained every step of my mothers care. After she passed, staff shared stories about her and how she will be missed.

Memory care family member · 2022★★★★★

She is wonderful on keeping me informed on EVERYTHING when it comes to my Aunt!! Whether it's a medicine change or any health concerns!

Long-term resident's family · 2024★★★★★

They let my sister lay in her own pee for hours with out changeing her bed and they refuse to give her help when she needed it and it would take the aids 2-3 hours to answer her light

Long-term resident's family · 2022☆☆☆☆
Source: 39 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.72hrs
95%
Registered nurses for medical care
Total Nursing
3.41hrs
83%
All nurses + aides combined
Staff Turnover
30%
Lower is better (< 30% = good)
RN Turnover
14%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
2/ 5
Better Than Avg

7

measures

Worse Than Avg

8

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility30.8%
Worse than Avg
Here
30.8%
US
15.5%
IA
19.4%
Black hawk
24.0%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility27.4%
Worse than Avg
Here
27.4%
US
19.5%
IA
20.7%
Black hawk
23.5%
😔

Residents with depression symptoms

↓ Lower is better
This Facility4.4%
Mixed vs Avgs
Here
4.4%
US
12.1%
IA
4.1%
Black hawk
4.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.1%
Better than Avg
Here
99.1%
US
93.4%
IA
93.9%
Black hawk
91.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility25.0%
Mixed vs Avgs
Here
25.0%
US
19.4%
IA
25.9%
Black hawk
29.1%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility19.6%
Worse than Avg
Here
19.6%
US
14.4%
IA
17.6%
Black hawk
16.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility82.1%
Better than Avg
Here
82.1%
US
79.8%
IA
73.3%
Black hawk
79.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility80.9%
Worse than Avg
Here
80.9%
US
81.8%
IA
84.1%
Black hawk
86.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility4.5%
Worse than Avg
Here
4.5%
US
1.6%
IA
2.0%
Black hawk
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

5deficiencies
Near state avg (6.2)
12 complaint-triggered

Ravenwood Specialty Care has persistent issues with fire safety, emergency preparedness, and resident rights that recur across multiple surveys, with families filing complaints about resident dignity, medication management, and daily living care. The facility shows a concerning pattern of the same deficiencies reappearing despite corrections, including problems with sprinkler systems, emergency lighting, and smoke detection appearing in 2023, 2024, and 2025 inspections.

Nov 17, 2025Routine
10
0004Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0222Potential for harm · WidespreadCorrected

Egress Deficiencies

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.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Apr 10, 2025Complaint
1
0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Dec 31, 2024Complaint
1
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Oct 24, 2024Routine
12
0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0324Potential for harm · WidespreadCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0920Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Oct 24, 2024Complaint
2
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jul 13, 2024Complaint
1
0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
17deficiencies
Jun 18, 2026Complaint
Clean

Fed violations: 1, State violations: 1

May 21, 2026Complaint
Clean

Fed violations: 7, State violations: 2

Jan 7, 2026Other
Clean

Fed violations: 0, State violations: 0

Dec 17, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Dec 9, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Nov 17, 2025Inspection
Clean

Fed violations: 5, State violations: 0

Nov 17, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Jul 31, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Ravenwood Specialty Care

Organization Type

nonprofit

Chain Affiliation

Chain Name

Care Initiatives

Chain Size

43 facilities nationwide

Chain avg rating: 3.0/5 · Rank 20 of 43

Ownership & Management

Owners

Care Initiatives

Owner · Organization

100%

Key personnel

Computershare Corporate Trust Company, Na5% or Greater Mortgage InterestBeal, MichaelOfficer / DirectorBowen, LaneOfficer / DirectorCarothers, Mary JaneOfficer / DirectorChilds, KevinOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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