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HomeIowaAvoca Specialty Care

Avoca Specialty Care

610 East York Street, Avoca, IA 515217123436398
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
3/5
Quality
3/5
Beds
46
certified

How Avoca Specialty Care Compares in Iowa

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.

CMS overall rating
1/5
IA average
3.1/5
Below state average
Health inspection rating
1/5
IA average
2.8/5
Below state average
Staffing rating
3/5
IA average
3.6/5
Below state average
Nursing hours per resident
3.01 hrs/day
IA average
3.81 hrs/day
Below state average
RN hours per resident
0.99 hrs/day
IA average
0.74 hrs/day
Above state average
Staff turnover
63.9%
IA average
44.1%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Iowa average of 3.1/5.
Its 1/5 health inspection rating is below the Iowa average of 2.8/5.
Reported nursing time is 3.01 hours per resident per day, below the state average of 3.81.
Reported RN time is 0.99 hours per resident per day, above the state average of 0.74.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
30
deficiency citations
Inspected Jan 30, 2025
Most recent cycle
13
deficiency citations
Inspected Mar 5, 2026
The most recent cycle recorded 17 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$7,148/mo
Iowa median
Private Room
$8,091/mo
Iowa median
Pottawattamie County 65+
16,842
18.0% of county
County Population
93,543
Pottawattamie County

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.

Beds
46
Avg Residents/Day
33.4
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Aug 1, 1996
Sprinklers
Yes
Council
Resident
County
Pottawattamie
Last Inspection
Mar 5, 2026
Deficiencies (Cycle 1)
13
Weighted Score
91.0
Infection Citations
0

Deficiency Citations (68)

F0605Potential for Harm

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Survey: Mar 5, 2026Corrected: NoCycle: 1
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: Mar 5, 2026Corrected: 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: Mar 5, 2026Corrected: NoCycle: 1
F0578Potential for Harm

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.

Survey: Mar 5, 2026Corrected: NoCycle: 1
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: Mar 5, 2026Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Mar 5, 2026Corrected: NoCycle: 1
F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: Mar 5, 2026Corrected: 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: Mar 5, 2026Corrected: NoCycle: 1
F0658Potential for Harm

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

Survey: Mar 5, 2026Corrected: NoCycle: 1
F0677Potential for Harm

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

Survey: Mar 5, 2026Corrected: NoCycle: 1
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Mar 5, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 5, 2026Corrected: NoCycle: 1
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: 2
F0677Potential for Harm

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

Survey: May 16, 2025Corrected: 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: May 16, 2025Corrected: NoCycle: 2
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: 2
F0607Potential for Harm

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

Survey: May 16, 2025Corrected: NoCycle: 2
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: 2
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: May 16, 2025Corrected: 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: May 16, 2025Corrected: NoCycle: 2
F0744Potential for Harm

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

Survey: May 16, 2025Corrected: NoCycle: 2
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: 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: Jan 30, 2025Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Jan 30, 2025Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 30, 2025Corrected: 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
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

+ 38 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 Aide1.87 hrs
National avg: 2.32 hrs
LPN0.15 hrs
National avg: 0.86 hrs
RN0.99 hrs
National avg: 0.69 hrs
Total Nursing3.01 hrs
National avg: 3.86 hrs
Weekend Total2.72 hrs
National avg: 0.00 hrs
Physical Therapist0.04 hrs
National avg: 0.07 hrs
Total Turnover
63.9%
RN Turnover
57.1%
Administrators Left
3

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

Ownership Type
Non profit - Corporation
Recent Change
No

Owners & Managers (24)

NameRoleTypeOwnership %Since
CARE INITIATIVES5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Aug 1, 2012
COMPUTERSHARE CORPORATE TRUST COMPANY, NA5% OR GREATER MORTGAGE INTERESTOrganizationN/AJan 1, 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
BOEVE, DESTINYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2024
MONROE, MARQUITAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 9, 2025
COMPUTERSHARE CORPORATE TRUST COMPANY, NAADP OF THE SNFOrganizationN/AApr 7, 2025
CORLESS, PETERADP OF THE SNFIndividualN/AJan 1, 2025
MONROE, MARQUITAADP OF THE SNFIndividualN/AJun 18, 2025
WALTERS, JEFFERYADP OF THE SNFIndividualN/AJan 27, 2025
WEI, SHIPENGADP OF THE SNFIndividualN/AJan 1, 2024

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Avoca Specialty Care and nearby alternatives.

All Iowa facilities
Avoca Specialty Care
Avoca, IACurrent facility
CMS
1/5
Health
1/5
Staffing
3/5
Recorded fines: None
Elm Crest Retirement Community
Harlan, IA10.3 mi
CMS
3/5
Health
3/5
Staffing
3/5
Recorded fines: None
Oakland Manor
Oakland, IA13.1 mi
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $15,593
Salem Lutheran Home
Elk Horn, IA18.0 mi
CMS
1/5
Health
1/5
Staffing
4/5
Recorded fines: None
Heritage House
Atlantic, IA21.3 mi
CMS
5/5
Health
4/5
Staffing
5/5
Recorded fines: None
Atlantic Specialty Care
Atlantic, IA21.7 mi
CMS
3/5
Health
2/5
Staffing
3/5
Recorded fines: None
Azria Health Rose Vista
Woodbine, IA23.4 mi
CMS
1/5
Health
2/5
Staffing
4/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Avoca Specialty Care
Avoca, IA · Current facility
—1/51/53/5None recorded
Elm Crest Retirement Community
Harlan, IA
10.3 mi3/53/53/5None recorded
Oakland Manor
Oakland, IA
13.1 mi1/51/52/5$15,593
Salem Lutheran Home
Elk Horn, IA
18.0 mi1/51/54/5None recorded
Heritage House
Atlantic, IA
21.3 mi5/54/55/5None recorded
Atlantic Specialty Care
Atlantic, IA
21.7 mi3/52/53/5None recorded
Azria Health Rose Vista
Woodbine, IA
23.4 mi1/52/54/5None recorded

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.

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.
How much does Avoca Specialty Care cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Iowa is $7,148/month for a semi-private room and $8,091/month for a private room (Genworth/CareScout 2024). Avoca Specialty Care participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Avoca Specialty Care had any health inspection violations?▾
Avoca Specialty Care had 13 deficiency citations in its most recent health inspection (Mar 5, 2026). The current CMS dataset records no fines for this facility.
What are the staffing levels at Avoca Specialty Care?▾
Avoca Specialty Care provides 3.01 total nursing staff hours per resident per day, including 0.99 RN hours, 0.15 LPN hours, and 1.87 nurse aide hours. The total staff turnover rate is 63.9%.
How many beds does Avoca Specialty Care have?▾
Avoca Specialty Care has 46 certified beds with an average of 33.4 residents per day, resulting in approximately 73% occupancy. The facility is Non profit - Corporation owned and is part of the Care Initiatives chain.
Are there other nursing homes near Avoca Specialty Care?▾
Yes. This page lists 6 nearby nursing homes in Iowa. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.

Part of Care Initiatives

This chain operates 43 facilities. View all →