Avoca Specialty Care
Nursing Home · Avoca, IA
CMS certification number165294
Contact & location
610 East York StreetAvoca, IA 51521
Pottawattamie County
- Phone
- (712) 343-6398
- ZIP code
- 51521 – all care providers
Facility details
- Certified beds
- 46
- Residents per day
- 33.4 (73% occupied)
- Ownership
- Non profit - Corporation
- Legal name
- Care Initiatives
- Chain
- Care Initiatives (43 facilities, avg 2.9★)
- Medicare certified since
- August 1, 1996
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.01 (state 3.82 · U.S. 3.86)
- Registered nurses (RN)
- 0.99 (state 0.74 · U.S. 0.69)
- Licensed practical nurses
- 0.15 (state 0.56 · U.S. 0.86)
- Nurse aides
- 1.87 (state 2.51 · U.S. 2.32)
- Weekend total
- 2.72 (state 3.37 · U.S. 3.42)
- Nursing staff turnover
- 63.9 (state 44.0 · U.S. 45.8)%
- RN turnover
- 57.1 (state 42.1 · U.S. 42.9)%
- Administrators who left
- 3 in the last year
Inspections
- Last standard inspection
- March 5, 2026
- Health deficiencies (last cycle)
- 13.0 (state 6.5 · U.S. 9.3)
- From complaints
- 1
- Citations on record (3 years)
- 61 health · 19 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-03-05 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-23 |
| 2026-03-05 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-23 |
| 2026-03-05 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-23 |
| 2026-03-05 | 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. F0578 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-23 |
| 2026-03-05 | 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. F0584 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-23 |
| 2026-03-05 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-23 |
| 2026-03-05 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-23 |
| 2026-03-05 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-23 |
| 2026-03-05 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-23 |
| 2026-03-05 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-23 |
| 2026-03-05 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-23 |
| 2026-03-05 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-23 |
| 2025-10-07 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-11-29 |
| 2025-06-16 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-29 |
| 2025-05-16 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-01 |
| 2025-05-16 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-02 |
| 2025-05-16 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-02 |
| 2025-05-16 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-28 |
| 2025-05-16 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-28 |
| 2025-05-16 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-28 |
| 2025-05-16 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-02 |
| 2025-05-16 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-02 |
| 2025-05-16 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-02 |
| 2025-01-30 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-07 |
| 2025-01-30 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-05 |
| 2025-01-30 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-04 |
| 2024-07-01 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-25 |
| 2024-07-01 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-25 |
| 2024-07-01 | 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. F0801 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-25 |
| 2024-07-01 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-25 |
| 2024-07-01 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-25 |
| 2024-07-01 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-27 |
| 2024-07-01 | Dispose of garbage and refuse properly. F0814 · Nutrition and Dietary Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-25 |
| 2024-07-01 | Have policies on smoking. F0926 · Environmental Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-25 |
| 2024-02-01 | 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. F0801 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-02-22 |
| 2024-02-01 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-02-22 |
| 2024-02-01 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-22 |
| 2024-02-01 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. F0726 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-22 |
| 2024-02-01 | 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. F0761 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-22 |
| 2024-02-01 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. F0803 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-22 |
| 2024-02-01 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-22 |
| 2024-02-01 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-22 |
| 2024-02-01 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-22 |
| 2024-02-01 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-02-22 |
| 2024-02-01 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. F0559 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-22 |
| 2024-02-01 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-22 |
| 2024-02-01 | 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. F0584 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-22 |
| 2024-02-01 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-22 |
| 2024-02-01 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-22 |
| 2024-02-01 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-22 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
No federal fines or payment denials in the last three years.
Ownership & management
| Name | Role | Since |
|---|---|---|
| Care Initiatives (organization) | 5%+ Direct Ownership Interest · 100% | |
| Computershare Corporate Trust Company, Na (organization) | 5%+ Mortgage Interest · NOT APPLICABLE | |
| Computershare Corporate Trust Company, Na (organization) | Administrator · NOT APPLICABLE | |
| Corless, Peter (individual) | Administrator · NOT APPLICABLE | |
| Monroe, Marquita (individual) | Administrator · NOT APPLICABLE | |
| Walters, Jeffery (individual) | Administrator · NOT APPLICABLE | |
| Wei, Shipeng (individual) | Administrator · NOT APPLICABLE | |
| Beal, Michael (individual) | Corporate Director · NOT APPLICABLE | |
| Bowen, Lane (individual) | Corporate Director · NOT APPLICABLE | |
| Carothers, Mary Jane (individual) | Corporate Director · NOT APPLICABLE | |
| Childs, Kevin (individual) | Corporate Director · NOT APPLICABLE | |
| Corless, Peter (individual) | Corporate Director · NOT APPLICABLE | |
| Krein, Keith (individual) | Corporate Director · NOT APPLICABLE | |
| Rust, Elizabeth (individual) | Corporate Director · NOT APPLICABLE | |
| Sturm, Denise (individual) | Corporate Director · NOT APPLICABLE | |
| Upmeyer, Linda (individual) | Corporate Director · NOT APPLICABLE | |
| Beal, Michael (individual) | Corporate Officer · NOT APPLICABLE | |
| Dixon, David (individual) | Corporate Officer · NOT APPLICABLE | |
| Drake, Emily (individual) | Corporate Officer · NOT APPLICABLE | |
| Gilyard, Tanya (individual) | Corporate Officer · NOT APPLICABLE | |
| Kuhn, Jeramy (individual) | Corporate Officer · NOT APPLICABLE | |
| McDyer, Jessica (individual) | Corporate Officer · NOT APPLICABLE | |
| Boeve, Destiny (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Monroe, Marquita (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Avoca Specialty Care?
Avoca Specialty Care has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Iowa.
How many beds does Avoca Specialty Care have?
It has 46 certified beds and cares for about 33 residents per day.
Has Avoca Specialty Care been fined?
CMS lists no federal fines or payment denials in the last three years.
Who owns Avoca Specialty Care?
It is part of Care Initiatives and is classified as non profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Avoca Specialty Care?
(712) 343-6398. The facility is located at 610 East York Street, Avoca, IA 51521.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.