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Data / Nursing homes / Iowa / Ravenwood Specialty Care

Ravenwood Specialty Care, Waterloo, IA: 1 star rating, fined $48,335 across 3 fines and had 1 payment denial

Ravenwood Specialty Care in Waterloo, IA is owned by Care Initiatives, is rated 1 of 5 stars by Medicare, and was fined $48,335 across 3 fines and had 1 payment denial in the three years to October 1, 2026. CMS lists 24 health citations from inspections in that time, the latest survey on August 3, 2026, and 4 of them found actual harm or immediate jeopardy.

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Address
2651 St Francis Drive, Waterloo, IA 50702
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measure rating
2 of 5
Certified beds
176
Residents per day
132 on average
Ownership type
Nonprofit, corporation
Legal business name
Care Initiatives
Chain
Care Initiatives, 43 facilities
Fines
$48,335 across 3 fines, three years to October 1, 2026
Payment denials
1
Health citations
24, of which 4 with actual harm or immediate jeopardy
Latest survey
August 3, 2026
CMS Certification Number
165251
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
May 21, 2026Fine$22,205Not listeddata.cms.gov
May 21, 2026Fine$13,065Not listeddata.cms.gov
May 21, 2026Fine$13,065Not listeddata.cms.gov
May 21, 2026Payment denialNot listedJuly 1, 202637data.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
August 3, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedAugust 7, 2026data.cms.gov
August 3, 2026F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 7, 2026data.cms.gov
June 18, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedAugust 7, 2026data.cms.gov
May 21, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedAugust 7, 2026data.cms.gov
May 21, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmCorrectedJune 26, 2026data.cms.gov
May 21, 2026F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 26, 2026data.cms.gov
May 21, 2026F726Ensure 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: isolated, no actual harm, potential for more than minimal harmCorrectedJune 26, 2026data.cms.gov
May 21, 2026F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 7, 2026data.cms.gov
May 21, 2026F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 26, 2026data.cms.gov
May 21, 2026F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 26, 2026data.cms.gov
November 17, 2025F761Ensure 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: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 28, 2025data.cms.gov
November 17, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 28, 2025data.cms.gov
November 17, 2025F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 28, 2025data.cms.gov
November 17, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 28, 2025data.cms.gov
November 17, 2025F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 28, 2025data.cms.gov
April 10, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 12, 2025data.cms.gov
December 31, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 1, 2025data.cms.gov
October 24, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 6, 2024data.cms.gov
October 24, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 6, 2024data.cms.gov
October 24, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 6, 2024data.cms.gov
October 24, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 6, 2024data.cms.gov
October 24, 2024F578Honor 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: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 6, 2024data.cms.gov
July 13, 2024F758Implement 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: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 7, 2024data.cms.gov
March 25, 2024F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 9, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 25 individual or personal trusts (5 managers, 16 officers, directors or trustees, 4 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Care InitiativesDirect owner100%September 1, 2009data.cms.gov
Computershare Corporate Trust Company, NAMortgage interestNot listedJanuary 1, 2025data.cms.gov
Computershare Corporate Trust Company, NAAdditional disclosable partyNot listedAugust 5, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.