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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeIowaAvoca Specialty Care

Avoca Specialty Care

610 East York Street, Avoca, IA 515217123436398
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
3/5
Quality
3/5
Beds
46
certified

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 46 certified beds with an average of 31.8 residents per day (69% occupancy)

• Last health inspection found 14 deficiencies (inspected Jan 30, 2025)

• No fines on record

• Total nursing staff: 3.34 hours per resident per day

• Staff turnover rate: 62.5% (high)

• Part of the Care Initiatives chain (43 facilities)

Avoca Specialty Care is a 1-star Medicare and Medicaid certified nursing home in Avoca, Iowa with 46 certified beds. It has been operating since 1996. The facility scored below average compared to Iowa facilities.

Beds
46
Avg Residents/Day
31.8
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Aug 1, 1996
Sprinklers
Yes
Council
Both
County
Pottawattamie
Last Inspection
Jan 30, 2025
Deficiencies (Cycle 1)
14
Weighted Score
119.0
Infection Citations
0

Deficiency Citations (66)

F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Oct 7, 2025Corrected: NoCycle: 1
F0677Potential for Harm

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

Survey: Jun 16, 2025Corrected: NoCycle: 1
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: May 16, 2025Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: May 16, 2025Corrected: NoCycle: 1
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: May 16, 2025Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: May 16, 2025Corrected: NoCycle: 1
F0677Potential for Harm

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

Survey: May 16, 2025Corrected: NoCycle: 1
F0725Potential for Harm

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

Survey: May 16, 2025Corrected: NoCycle: 1
F0744Potential for Harm

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Survey: May 16, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: May 16, 2025Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: May 16, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Jan 30, 2025Corrected: NoCycle: 1
F0725Potential for Harm

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

Survey: Jan 30, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 30, 2025Corrected: NoCycle: 1
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Jul 1, 2024Corrected: NoCycle: 2
F0677Potential for Harm

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

Survey: Jul 1, 2024Corrected: NoCycle: 2
F0689Potential for Harm

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

Survey: Jul 1, 2024Corrected: NoCycle: 2
F0725Potential for Harm

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

Survey: Jul 1, 2024Corrected: NoCycle: 2
F0801Potential for Harm

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Survey: Jul 1, 2024Corrected: NoCycle: 2
F0812Potential for Harm

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

Survey: Jul 1, 2024Corrected: NoCycle: 2
F0814Potential for Harm

Dispose of garbage and refuse properly.

Survey: Jul 1, 2024Corrected: NoCycle: 2
F0926Potential for Harm

Have policies on smoking.

Survey: Jul 1, 2024Corrected: NoCycle: 2
F0559Potential for Harm

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Survey: Feb 1, 2024Corrected: NoCycle: 2
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Feb 1, 2024Corrected: NoCycle: 2
F0584Potential for Harm

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.

Survey: Feb 1, 2024Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Feb 1, 2024Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Feb 1, 2024Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Feb 1, 2024Corrected: NoCycle: 2
F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Feb 1, 2024Corrected: NoCycle: 2
F0676Potential for Harm

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Survey: Feb 1, 2024Corrected: NoCycle: 2

+ 36 more deficiencies

Total Fines
$0
Number of Fines
0
Payment Denials
0
Total Penalties
0

No penalties on record.

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.30 hrs
National avg: 2.35 hrs
LPN0.30 hrs
National avg: 0.86 hrs
RN0.74 hrs
National avg: 0.68 hrs
Total Nursing3.34 hrs
National avg: 3.89 hrs
Weekend Total2.83 hrs
National avg: 0.00 hrs
Physical Therapist0.03 hrs
National avg: 0.07 hrs
Total Turnover
62.5%
RN Turnover
100.0%
Administrators Left
3

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (19)

NameRoleTypeOwnership %Since
CARE INITIATIVES5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Aug 1, 2012
BOEVE, DESTINYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2024
MONROE, MARQUITAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 9, 2025
BEAL, MICHAELCORPORATE DIRECTORIndividualN/AJun 1, 2020
BOWEN, LANECORPORATE DIRECTORIndividualN/AJan 1, 2021
CAROTHERS, MARY JANECORPORATE DIRECTORIndividualN/AJan 1, 2023
CHILDS, KEVINCORPORATE DIRECTORIndividualN/AApr 1, 2023
CORLESS, PETERCORPORATE DIRECTORIndividualN/AJan 1, 2025
KREIN, KEITHCORPORATE DIRECTORIndividualN/AJan 1, 2023
RUST, ELIZABETHCORPORATE DIRECTORIndividualN/AJan 1, 2023
STURM, DENISECORPORATE DIRECTORIndividualN/AJan 1, 2021
UPMEYER, LINDACORPORATE DIRECTORIndividualN/AJan 1, 2022
BEAL, MICHAELCORPORATE OFFICERIndividualN/AJun 1, 2020
DIXON, DAVIDCORPORATE OFFICERIndividualN/AJun 1, 2016
DRAKE, EMILYCORPORATE OFFICERIndividualN/AJan 4, 2023
GILYARD, TANYACORPORATE OFFICERIndividualN/AMay 23, 2025
KUHN, JERAMYCORPORATE OFFICERIndividualN/AJan 1, 2008
MCDYER, JESSICACORPORATE OFFICERIndividualN/AMar 1, 2023
COMPUTERSHARE CORPORATE TRUST5% OR GREATER MORTGAGE INTERESTOrganizationN/AJan 1, 2025

Frequently Asked Questions

What is the CMS rating for Avoca Specialty Care?▾
Avoca Specialty Care has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 3/5, and quality measures rating of 3/5. This facility is rated below average.
Has Avoca Specialty Care had any health inspection violations?▾
Avoca Specialty Care had 14 deficiency citations in its most recent health inspection (Jan 30, 2025). The facility has no fines on record.
What are the staffing levels at Avoca Specialty Care?▾
Avoca Specialty Care provides 3.34 total nursing staff hours per resident per day, including 0.74 RN hours, 0.30 LPN hours, and 2.30 nurse aide hours. The total staff turnover rate is 62.5%.
How many beds does Avoca Specialty Care have?▾
Avoca Specialty Care has 46 certified beds with an average of 31.8 residents per day, resulting in approximately 69% occupancy. The facility is For profit - Corporation owned and is part of the Care Initiatives chain.

Part of Care Initiatives

This chain operates 43 facilities. View all →