• 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.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Respond appropriately to all alleged violations.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
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.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Ensure each resident receives an accurate assessment.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Provide and implement an infection prevention and control program.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Dispose of garbage and refuse properly.
Have policies on smoking.
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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.
Ensure each resident receives an accurate assessment.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure services provided by the nursing facility meet professional standards of quality.
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
+ 36 more deficiencies
No penalties on record.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| CARE INITIATIVES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Aug 1, 2012 |
| BOEVE, DESTINY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 1, 2024 |
| MONROE, MARQUITA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 9, 2025 |
| BEAL, MICHAEL | CORPORATE DIRECTOR | Individual | N/A | Jun 1, 2020 |
| BOWEN, LANE | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2021 |
| CAROTHERS, MARY JANE | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2023 |
| CHILDS, KEVIN | CORPORATE DIRECTOR | Individual | N/A | Apr 1, 2023 |
| CORLESS, PETER | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2025 |
| KREIN, KEITH | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2023 |
| RUST, ELIZABETH | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2023 |
| STURM, DENISE | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2021 |
| UPMEYER, LINDA | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2022 |
| BEAL, MICHAEL | CORPORATE OFFICER | Individual | N/A | Jun 1, 2020 |
| DIXON, DAVID | CORPORATE OFFICER | Individual | N/A | Jun 1, 2016 |
| DRAKE, EMILY | CORPORATE OFFICER | Individual | N/A | Jan 4, 2023 |
| GILYARD, TANYA | CORPORATE OFFICER | Individual | N/A | May 23, 2025 |
| KUHN, JERAMY | CORPORATE OFFICER | Individual | N/A | Jan 1, 2008 |
| MCDYER, JESSICA | CORPORATE OFFICER | Individual | N/A | Mar 1, 2023 |
| COMPUTERSHARE CORPORATE TRUST | 5% OR GREATER MORTGAGE INTEREST | Organization | N/A | Jan 1, 2025 |
This chain operates 43 facilities. View all →