CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Iowa. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
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. Its overall CMS rating is 1 out of 5.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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.
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.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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.
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
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.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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.
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.
+ 38 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 |
| COMPUTERSHARE CORPORATE TRUST COMPANY, NA | 5% OR GREATER MORTGAGE INTEREST | Organization | N/A | Jan 1, 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 |
| BOEVE, DESTINY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 1, 2024 |
| MONROE, MARQUITA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jun 9, 2025 |
| COMPUTERSHARE CORPORATE TRUST COMPANY, NA | ADP OF THE SNF | Organization | N/A | Apr 7, 2025 |
| CORLESS, PETER | ADP OF THE SNF | Individual | N/A | Jan 1, 2025 |
| MONROE, MARQUITA | ADP OF THE SNF | Individual | N/A | Jun 18, 2025 |
| WALTERS, JEFFERY | ADP OF THE SNF | Individual | N/A | Jan 27, 2025 |
| WEI, SHIPENG | ADP OF THE SNF | Individual | N/A | Jan 1, 2024 |
Compare CMS ratings and recorded fines for Avoca Specialty Care and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 43 facilities. View all →