Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Ravenswood Village during CMS and state inspections, most recent first.
An RN pre-poured meds for one resident and mistakenly gave them to another resident with a similar last name after picking up the wrong medication cup. The resident became more lethargic than baseline and was later sent to the hospital; records noted prolonged QT interval likely related to recent ingestion of QT-prolonging meds and chronic amiodarone use.
A facility failed to ensure call lights were within reach for two residents. One resident was observed with the call light on the floor and later hooked over the headboard out of reach, while another resident had no call light cord. An LPN confirmed the call light issues, and the facility policy stated staff will ensure the call light is within reach and secured as needed.
Failure to protect residents from resident-to-resident physical abuse. A resident was documented as needing 1:1 supervision after an altercation, but the 1:1 did not begin until after the resident had already assaulted another resident. The DON confirmed the supervision was supposed to start earlier, and the facility policy required adequate supervision when patient-to-patient altercation risk was suspected.
Medication Error From Wrong Resident’s Pre-Poured Medications
Penalty
Summary
A significant medication error occurred when a nurse pre-poured medications for one resident and then administered those medications to another resident with a similar last name. On 06/09/26 at about 9:30 PM, Registered Nurse #36 gave Resident #52 medications intended for Resident #8 after picking up the wrong medication cup. The facility report stated that Resident #52 was observed to be more lethargic than baseline after the error was discovered. The medications given in error were Clonazepam 0.5 mg, Depakote 250 mg, Gabapentin 100 mg, Seroquel 300 mg, Trazodone 50 mg, and Lupron 8 mcg. Resident #52 had diagnoses including atrial fibrillation, tricuspid valve insufficiency, hypertension, chronic kidney disease, hyponatremia, iron deficiency anemia, hemiplegia and hemiparesis following cerebral infarction, repeated falls, thrombocytopenia, abnormalities of gait, and cardiac arrhythmias. The nurse notified the resident and contacted the medical provider, and the resident was monitored with vital signs and neuro checks after the error was reported. The report also states that the resident was sleepy but arousable when seen by the MD on 06/10/26. The resident's daughter later requested hospital transfer because the resident was not acting right, and the resident was sent to the hospital. Hospital records noted prolonged QT interval likely related to recent ingestion of QT-prolonging medications and chronic amiodarone use, with IV magnesium given for arrhythmia management.
Call Lights Not Within Reach
Penalty
Summary
The facility failed to ensure call lights were within reach for Resident #10 and Resident #22. During observation, Resident #10 was first seen with her call light on the floor under her bed, and later the call light was hooked over the top of the headboard and still out of reach. Resident #22 was observed without a call light cord. In an interview, an LPN confirmed that Resident #22 had no call light and that Resident #10's call light was not in reach. The facility policy titled "Call Lights" stated that staff will ensure the call light is within reach of the patient and secured as needed.
Failure to Provide Timely Supervision After Resident Altercation
Penalty
Summary
The facility failed to protect residents from resident-to-resident physical abuse. Resident #55 was documented as involved in a resident-to-resident altercation and was placed on one-on-one observation at 5:30 PM according to an eInteract Change in Condition form. Another eInteract Change in Condition form for Resident #68 documented a resident-to-resident altercation between Resident #55 and Resident #68 at 6:30 PM, with Resident #55 identified as the perpetrator of physical abuse. The Facility Reported Incident also showed the altercation occurred at 6:30 PM. However, the 1:1 documentation for Resident #55 showed that one-on-one supervision did not begin until 7:15 PM. The DON confirmed in interview that Resident #55 was supposed to be placed on 1:1 supervision at 5:30 PM, but the supervision did not actually begin until after Resident #68 had already been physically assaulted. The facility policy stated that the Center will provide adequate supervision when the risk of patient-to-patient altercation is suspected.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Ravenswood
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Mountain View Care Center | 9.1 mi | ★★★★★ | 36 | 0 |
| Arbors At Pomeroy | 15.8 mi | ★★★★★ | 7 | 0 |
| Overbrook Center | 16.1 mi | ★★★★★ | 11 | 0 |
| Majestic Care Of Lakin | 17.2 mi | ★★★★★ | 8 | 0 |
| Arcadia Valley Skilled Nursing And Rehabilitation | 18.1 mi | ★★★★★ | 20 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release October 2026) and official state health department websites.