Nursing homeFAID #4181
Ravenwood Specialty Care
2651 ST FRANCIS DRIVE, WATERLOO, IA, 50702
(319) 232-6808
176 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections4/5 staffing2/5 quality measuresSource: CMS Care Compare
Photo via Google · Ravenwood Specialty Care
Public record summary
What we can show you for free.
Bed capacity
176
CMS facility ID
165251
Care type
Nursing home
County
Black Hawk
Facility name
Ravenwood Specialty Care
Street address
2651 ST FRANCIS DRIVE
City / state / ZIP
Waterloo, IA 50702
Phone
(319) 232-6808
About this facility — Ravenwood Specialty Care
Ravenwood Specialty Care is a Medicare/Medicaid-certified skilled nursing facility in Waterloo, Iowa. It is licensed for 176 beds — well above the median for skilled nursing facilities in Iowa (57 beds).
It is one of 13 senior care facilities in Waterloo and 389 skilled nursing facilities across Iowa. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Ravenwood Specialty Care 67 times across 14 inspections in the last three years, including 2 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Parent company
Care Initiatives
Ownership type
Non profit - Corporation
Registered owners & officers
Care Initiatives
Direct owner — 100% stake — since 2009
Baedke, Charissa
Operational control — since 2024
Beal, Michael
Director · Officer — since 2020
Bowen, Lane
Director — since 2020
Carothers, Mary Jane
Director — since 2023
Childs, Kevin
Director — since 2023
Computershare Corporate Trust Company, Na
Mortgage holder · Additional disclosable party — since 2025
Corless, Peter
Director — since 2025
Dixon, David
Officer — since 2016
Drake, Emily
Officer — since 2023
Dufur, David
Operational control · Additional disclosable party — since 2024
Gilyard, Tanya
Officer — since 2025
Krein, Keith
Director — since 2022
Kuhn, Jeramy
Officer — since 2008
Mcdyer, Jessica
Officer — since 2023
Purdy, Angelena
Operational control · Additional disclosable party — since 2025
Rust, Elizabeth
Director — since 2023
Sturm, Denise
Director — since 2020
Ughetti, Anthony
Operational control · Additional disclosable party — since 2025
Upmeyer, Linda
Director — since 2022
Volm, Johanna
Officer — since 2021
Whyms, Brian
Operational control · Additional disclosable party — since 2024
Regulatory standing
Federal court records
18 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1995-03-27
CMS overall rating
1 of 5 stars
Health deficiencies
13 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-11-17
Nurse staffing
3.3 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$449 per day (≈ $13,650/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
81% Medicaid · 2% Medicare · 17% private/other
Occupancy
74% (fiscal year 2023)
Vs. state median
31% above the IA median of $342/day — full state cost breakdown
Services & coverage
Licensed beds
176
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-18Health inspectionComplaint-triggered1 citation
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-06-19
2026-05-21Health inspectionComplaint-triggered7 citations
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2026-06-26
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-06-26
F-0684
G · Actual harmFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-06-26
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-06-26
F-0725
E · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2026-06-26
F-0726
D · No harm foundFrom a complaint
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.
Corrected 2026-06-26
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-06-26
10 earlier / fire-safety inspections (59 citations)
2025-11-17Health inspection5 citations
F-0584
E · No harm found
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.
Corrected 2025-11-28
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-11-28
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-11-28
F-0725
E · No harm found
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-11-28
F-0761
D · No harm found
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.
Corrected 2025-11-28
2025-04-10Health inspectionComplaint-triggered1 citation
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-05-12
2024-12-31Health inspectionComplaint-triggered1 citation
F-0812
E · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-01-01
2024-10-24Health inspectionComplaint-triggered5 citations
F-0578
D · No harm found
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.
Corrected 2024-11-06
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-11-06
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-11-06
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-11-06
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-11-06
2024-07-13Health inspectionComplaint-triggered1 citation
F-0758
D · No harm foundFrom a complaint
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.
Corrected 2024-08-07
2024-03-25Health inspectionComplaint-triggered1 citation
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-04-09
2023-08-03Health inspectionComplaint-triggered15 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-09-01
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-09-01
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-09-01
F-0584
E · No harm found
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.
Corrected 2023-09-01
F-0585
D · No harm foundFrom a complaint
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.
Corrected 2023-09-01
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2023-09-01
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-09-01
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-09-01
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-09-01
F-0688
D · No harm foundFrom a complaint
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.
Corrected 2023-09-01
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2023-09-01
F-0758
D · No harm found
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.
Corrected 2023-09-01
F-0812
D · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-09-01
F-0919
E · No harm foundFrom a complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-09-01
F-0921
D · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-09-01
2025-11-17Fire-safety inspection5 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-10-13
K-0222
F · No harm found
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.
Corrected 2025-10-01
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-10-10
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-10-10
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2025-10-01
2024-10-24Fire-safety inspection9 citations
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2024-11-28
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-11-05
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-11-28
K-0324
F · No harm found
Provide properly protected cooking facilities.
Corrected 2024-11-28
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-10-28
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-11-05
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-11-05
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-11-05
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-11-28
2023-08-03Fire-safety inspection16 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-08-17
E-0029
F · No harm found
Develop a communication plan.
Corrected 2023-08-17
E-0039
F · No harm found
Conduct testing and exercise requirements.
Corrected 2023-09-07
K-0222
F · No harm found
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.
Corrected 2023-08-14
K-0223
E · No harm found
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-08-09
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-08-17
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-08-14
K-0341
F · No harm found
Install a fire alarm system that can be heard throughout the facility.
Corrected 2023-08-17
K-0347
F · No harm found
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-08-09
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-08-08
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2023-08-09
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2023-08-16
K-0700
D · No harm found
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.
Corrected 2023-08-08
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-08-16
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-08-16
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-08-16
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 165251.
Visitor reviews
What people say on Google.
2.7★★★★★41 ratings on Google
★Anna Dunham · 2026-06-07 · via Google“This place is absolutely horrible, my aunt was there in 2024 and they treated her like garbage and locked her phone in her closet months prior to her passing. This place was supposed to help keep her alive yet they basically helped kill her.”
★Lori Moore · 2025-05-28 · via Google“I made my grandmother a quilt. It was stolen. I called the director and she still hasn’t returned my call. Of course non of the thieves working there has not seen it. This place needs better employees or shut down. It’s dirty and the one cna or nurse seemed high on drugs. I wouldn’t let my dog be cared for at this place.”
★Mia Mia · 2025-02-04 · via Google“Residents are treated terrible, the care takers of the facility are very mean and frustrated with residents and handle them roughly most days. Certain residents end up with unexplainable bruises on them and no one looks into it because they cant “afford” to loose CNA workers as head admissions David say’s. The residents sit in urine and fesses for more then 3/4 hours at a time even asking to be ch…”
Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 67 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered