Nursing homes › Iowa › Avoca Specialty Care
610 East York Street, Avoca, IA 51521 · 7123436398 · 46 certified beds
Per CMS filings, this facility is affiliated with Care Initiatives, a group operating 43 facilities in 1 states. Group record: average rating 3.0/5, 0 abuse citation icons, 0 facilities on the Special Focus list, $861,207 in federal fines. This facility rates below its group average (3.0/5).
Total nurse staffing: 3.01 (Iowa median: 3.69). RN hours: 0.99. Weekend total: 2.72. Nursing staff turnover: 64%.
All-time on record: 68 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-05 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | Health | 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. | E | Health | 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. | E | Health | 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. | D | Health | 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. | D | Health | corrected 2026-03-23 |
| 2026-03-05 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2026-03-23 |
| 2026-03-05 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | 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. | D | Health | corrected 2026-03-23 |
| 2026-03-05 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Health | corrected 2026-03-23 |
| 2026-03-05 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Health | corrected 2026-03-23 |
| 2026-03-05 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2026-03-23 |
| 2026-03-05 | Provide and implement an infection prevention and control program. | D | Health | corrected 2026-03-23 |
| 2025-10-07 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-11-29 |
| 2025-06-16 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2025-06-29 |
| 2025-05-16 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | 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. | E | complaint | 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. | E | complaint | corrected 2025-06-02 |
| 2025-05-16 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | complaint | corrected 2025-05-28 |
| 2025-05-16 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-05-28 |
| 2025-05-16 | Respond appropriately to all alleged violations. | D | complaint | 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. | D | complaint | corrected 2025-06-02 |
| 2025-05-16 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | complaint | 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. | D | complaint | 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. | E | Health | corrected 2025-02-07 |
| 2025-01-30 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-02-05 |
| 2025-01-30 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-02-04 |
| 2024-07-01 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | 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. | E | complaint | 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. | E | complaint | 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. | E | complaint | 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. | D | complaint | 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. | D | complaint | corrected 2024-05-27 |
| 2024-07-01 | Dispose of garbage and refuse properly. | D | complaint | corrected 2024-07-25 |
| 2024-07-01 | Have policies on smoking. | D | complaint | 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. | F | Health | corrected 2024-02-22 |
| 2024-02-01 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Health | 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. | E | Health | 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. | E | Health | 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. | E | Health | 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. | E | Health | corrected 2024-02-22 |
No federal fines or payment denials on record.
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| CARE INITIATIVES | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 08/01/2012 |
| BEAL, MICHAEL | Corporate Director | Individual | NOT APPLICABLE | since 06/01/2020 |
| BOWEN, LANE | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2021 |
| CAROTHERS, MARY JANE | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2023 |
| CHILDS, KEVIN | Corporate Director | Individual | NOT APPLICABLE | since 04/01/2023 |
| CORLESS, PETER | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2025 |
| KREIN, KEITH | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2023 |
| RUST, ELIZABETH | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2023 |
| STURM, DENISE | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2021 |
| UPMEYER, LINDA | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2022 |
| BEAL, MICHAEL | Corporate Officer | Individual | NOT APPLICABLE | since 06/01/2020 |
| DIXON, DAVID | Corporate Officer | Individual | NOT APPLICABLE | since 06/01/2016 |
| DRAKE, EMILY | Corporate Officer | Individual | NOT APPLICABLE | since 01/04/2023 |
| GILYARD, TANYA | Corporate Officer | Individual | NOT APPLICABLE | since 05/23/2025 |
| KUHN, JERAMY | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2008 |
| MCDYER, JESSICA | Corporate Officer | Individual | NOT APPLICABLE | since 03/01/2023 |
| BOEVE, DESTINY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2024 |
| MONROE, MARQUITA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 06/09/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 165294. Corrections: data@carerecords.org.