Avoca Specialty Care
610 East York Street, Avoca, IA 51521 · CCN 165294
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 46
- Avg residents/day
- 31.8
- Phone
- 7123436398
Inspection history vs Iowa & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Iowa avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-01-30 | 14 | 6.2 | 9.5 | +7.8 worse |
| 2 | 2024-02-01 | 33 | 7.0 | 9.8 | +26.0 worse |
| 3 | 2022-12-22 | 19 | 7.9 | 9.3 | +11.1 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 3 |
| Quality of life and care | 3 |
| Resident assessment and care planning | 4 |
| Nursing and physician services | 2 |
| Pharmacy service | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.34 | 62.5% |
| RN staffing (reported) | 0.74 | 100.0% |
| Total nurse staffing (adjusted) | 4.30 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Chain
- Chain
- CARE INITIATIVES
- Facilities in chain
- 43
- Chain avg overall
- 3.00 / 5
Inspection citations (66)1 actual harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-10-07 · Health · corrected 2025-11-29
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-06-16 · Health · corrected 2025-06-29
Potential for more than minimal harm
- DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-05-16 · Health · corrected 2025-05-28
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-05-16 · Health · corrected 2025-05-28
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2025-05-16 · Health · corrected 2025-05-28
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-05-16 · Health · corrected 2025-06-02
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-05-16 · Health · corrected 2025-06-01
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-05-16 · Health · corrected 2025-06-02
Potential for more than minimal harm
- DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2025-05-16 · Health · corrected 2025-06-02
Potential for more than minimal harm
- DF0761Ensure 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.2025-05-16 · Health · corrected 2025-06-02
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-05-16 · Health · corrected 2025-06-02
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-01-30 · Health · corrected 2025-02-05
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-01-30 · Health · corrected 2025-02-07
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-01-30 · Health · corrected 2025-02-04
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-07-01 · Health · corrected 2024-07-25
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-07-01 · Health · corrected 2024-07-25
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-01 · Health · corrected 2024-05-27
Potential for more than minimal harm
- EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-07-01 · Health · corrected 2024-07-25
Potential for more than minimal harm
- EF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2024-07-01 · Health · corrected 2024-07-25
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-07-01 · Health · corrected 2024-07-25
Potential for more than minimal harm
- DF0814Dispose of garbage and refuse properly.2024-07-01 · Health · corrected 2024-07-25
Potential for more than minimal harm
- DF0926Have policies on smoking.2024-07-01 · Health · corrected 2024-07-25
Potential for more than minimal harm
- DF0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.2024-02-01 · Health · corrected 2024-02-22
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-02-01 · Health · corrected 2024-02-22
Potential for more than minimal harm
- DF0584Honor 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.2024-02-01 · Health · corrected 2024-02-22
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-02-01 · Health · corrected 2024-02-22
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-01 · Health · corrected 2024-02-22
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-02-01 · Health · corrected 2024-02-22
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-02-01 · Health · corrected 2024-02-22
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-02-01 · Health · corrected 2024-02-22
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-02-01 · Health · corrected 2024-02-22
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-02-01 · Health · corrected 2024-02-22
Potential for more than minimal harm
- DF0692Provide enough food/fluids to maintain a resident's health.2024-02-01 · Health · corrected 2024-02-22
Potential for more than minimal harm
- DF0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.2024-02-01 · Health · corrected 2024-02-22
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-02-01 · Health · corrected 2024-02-22
Potential for more than minimal harm
- EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-02-01 · Health · corrected 2024-02-22
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-02-01 · Health · corrected 2024-02-22
Potential for more than minimal harm
- DF0760Ensure that residents are free from significant medication errors.2024-02-01 · Health · corrected 2024-02-22
Potential for more than minimal harm
- EF0761Ensure 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.2024-02-01 · Health · corrected 2024-02-22
Potential for more than minimal harm
- FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2024-02-01 · Health · corrected 2024-02-22
Potential for more than minimal harm
- EF0803Ensure 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.2024-02-01 · Health · corrected 2024-02-22
Potential for more than minimal harm
- DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-02-01 · Health · corrected 2024-02-22
Potential for more than minimal harm
- EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-02-01 · Health · corrected 2024-02-22
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-01 · Health · corrected 2024-02-22
Potential for more than minimal harm
- FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2024-02-01 · Health · corrected 2024-02-22
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-02-01 · Health · corrected 2024-02-22
Potential for more than minimal harm
- EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-02-01 · Health · corrected 2024-02-22
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-08-08 · Health · corrected 2023-08-28
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-08-08 · Health · corrected 2023-08-28
Potential for more than minimal harm
- EF0584Honor 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.2023-08-08 · Health · corrected 2023-08-28
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-08-08 · Health · corrected 2023-08-28
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-08-08 · Health · corrected 2023-08-28
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-08-08 · Health · corrected 2023-08-28
Actual harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-08-08 · Health · corrected 2023-08-28
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-08-08 · Health · corrected 2023-08-28
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-08-08 · Health · corrected 2023-08-28
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-12-22 · Health · corrected 2022-12-22
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-12-22 · Health · corrected 2022-12-22
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-12-22 · Health · corrected 2022-12-22
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-12-22 · Health · corrected 2022-12-22
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-12-22 · Health · corrected 2022-12-22
Potential for more than minimal harm
- DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2022-12-22 · Health · corrected 2022-12-22
Potential for more than minimal harm
- DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2022-12-22 · Health · corrected 2022-12-22
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2022-12-22 · Health · corrected 2022-12-22
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-12-22 · Health · corrected 2022-12-22
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-12-22 · Health · corrected 2022-12-22
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CARE INITIATIVES | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2012-08-01 |
| BOEVE, DESTINY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-01-01 |
| MONROE, MARQUITA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-06-09 |
| BEAL, MICHAEL | Individual | CORPORATE DIRECTOR | — | 2020-06-01 |
| BOWEN, LANE | Individual | CORPORATE DIRECTOR | — | 2021-01-01 |
| CAROTHERS, MARY JANE | Individual | CORPORATE DIRECTOR | — | 2023-01-01 |
| CHILDS, KEVIN | Individual | CORPORATE DIRECTOR | — | 2023-04-01 |
| CORLESS, PETER | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| KREIN, KEITH | Individual | CORPORATE DIRECTOR | — | 2023-01-01 |
| RUST, ELIZABETH | Individual | CORPORATE DIRECTOR | — | 2023-01-01 |
| STURM, DENISE | Individual | CORPORATE DIRECTOR | — | 2021-01-01 |
| UPMEYER, LINDA | Individual | CORPORATE DIRECTOR | — | 2022-01-01 |
| BEAL, MICHAEL | Individual | CORPORATE OFFICER | — | 2020-06-01 |
| DIXON, DAVID | Individual | CORPORATE OFFICER | — | 2016-06-01 |
| DRAKE, EMILY | Individual | CORPORATE OFFICER | — | 2023-01-04 |
| GILYARD, TANYA | Individual | CORPORATE OFFICER | — | 2025-05-23 |
| KUHN, JERAMY | Individual | CORPORATE OFFICER | — | 2008-01-01 |
| MCDYER, JESSICA | Individual | CORPORATE OFFICER | — | 2023-03-01 |
| COMPUTERSHARE CORPORATE TRUST | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2025-01-01 |
Other facilities in Avoca
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.