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C
Below Standard

Ravenwood Specialty Care

2651 St Francis Drive · Waterloo, IA 50702

3192326808 · Non profit - Corporation

176 beds126.4 residents156 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Ravenwood Specialty Care receives an overall staffing grade of C (Below Standard). With 3.2643 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.6668 HPRD, below the recommended 0.75. It is 0.63 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 13.19% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.2643 HPRD — needs 0.22 more hours per resident per day.
⚠️RN staffing (0.6668 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.2643hrs/resident/day▼ 0.63
CMS benchmark: 3.48
RN HPRD
0.6668hrs/resident/day▼ 0.02
Recommended: 0.75
Weekend Drop-off
13.19%
3.3907 weekday → 2.9435 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.5482hrs/resident/day
Direct care aides
LPN HPRD
0.4143hrs/resident/day
Licensed practical nurses
Consistency
0.3106std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Black Hawk County Average-0.49 HPRD
3.76
03.26 HPRD
vs. Iowa State Average-0.55 HPRD
3.82
03.26 HPRD
vs. National Average-0.63 HPRD
3.90
03.26 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Ravenwood Specialty Care ★
Waterloo · This facility
—
C
3.26430.6668★★★☆☆
Friendship Village Retirement
Waterloo
0.4 mi
A
5.20740.7867★★★★★
Harmony Waterloo
Waterloo
0.9 mi
B
3.51050.6267★★★☆☆
Northcrest Specialty Care
Waterloo
3.9 mi
B
3.51190.6999★★☆☆☆
Harmony House Health Care Center
Waterloo
3.9 mi
B
3.67250.6096★☆☆☆☆
Pinnacle Specialty Care
Cedar Falls
4.9 mi
C
3.47460.5824★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

8
Inspections
30
Total Deficiencies
$0
Fines Assessed
Nov 17, 2025Health
5 deficiencies cited
▼
Apr 10, 2025Health
1 deficiency cited
▼
Dec 31, 2024Health
1 deficiency cited
▼
Oct 24, 2024Health
5 deficiencies cited
▼
Jul 13, 2024Health
1 deficiency cited
▼
Mar 25, 2024Health
1 deficiency cited
▼
Aug 3, 2023Health
15 deficiencies cited
▼
Apr 6, 2023Health
1 deficiency cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.