Avoca Specialty Care
Avoca Specialty Care is a 46-bed nursing home in Avoca, Iowa. CMS has certified it for Medicare and Medicaid since 1996-08-01. It averages 33.4 residents a day.
What harm was found in the violations cited at Avoca Specialty Care?
CMS lists 68 health-inspection deficiencies for Avoca Specialty Care, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-03-05.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-03-05 | F0605, F0656, F0725 | 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. | E |
| 2026-03-05 | F0578, F0584, F0641, F0644, F0657, F0658, F0677, F0695, F0880 | 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. / Ensure each resident receives an accurate assessment. / 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. / Provide safe and appropriate respiratory care for a resident when needed. / Provide and implement an infection prevention and control program. | D |
| 2025-10-07 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2025-06-16 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2025-05-16 | F0677, F0725, F0842 | 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. | E |
| 2025-05-16 | F0607, F0609, F0610, F0657, F0744, F0761 | 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. / Respond appropriately to all alleged violations. / 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. | D |
| 2025-01-30 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| 2025-01-30 | F0641, F0880 | Ensure each resident receives an accurate assessment. / Provide and implement an infection prevention and control program. | D |
| 2024-07-01 | F0677, F0725, F0801, F0812 | 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. | E |
| 2024-07-01 | F0550, F0689, F0814, F0926 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Dispose of garbage and refuse properly. / Have policies on smoking. | D |
| 2024-02-01 | F0801, F0868 | 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. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F |
| 2024-02-01 | F0657, F0726, F0761, F0803, F0805, F0812, F0880, F0921 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / 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. / 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. / 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. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2024-02-01 | F0559, F0580, F0584, F0641, F0656, F0658, F0676, F0677, F0686, F0692, F0693, F0698, F0759, F0760, F0804 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide enough food/fluids to maintain a resident's health. / Ensure 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. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D |
| 2023-08-08 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2023-08-08 | F0584 | 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. | E |
| 2023-08-08 | F0550, F0580, F0657, F0658, F0689, F0690, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide and implement an infection prevention and control program. | D |
How is Avoca Specialty Care staffed relative to the IA average?
| Measure | This facility | IA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.01118 | 3.81506 |
| Total nursing staff turnover (%) | 63.9 | 44.0 |
| Average number of residents per day | 33.4 | 52.4 |
Who owns Avoca Specialty Care, and what chain is it in?
Avoca Specialty Care is registered with CMS as Non profit - Corporation, operates under the legal business name CARE INITIATIVES and belongs to the CARE INITIATIVES chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | CARE INITIATIVES | since 08/01/2012 |
| 5% OR GREATER MORTGAGE INTEREST | COMPUTERSHARE CORPORATE TRUST COMPANY, NA | since 01/01/2025 |
| CORPORATE DIRECTOR | BEAL, MICHAEL, BOWEN, LANE, CAROTHERS, MARY JANE, CHILDS, KEVIN, CORLESS, PETER, KREIN, KEITH, RUST, ELIZABETH, STURM, DENISE, UPMEYER, LINDA | since 01/01/2021 |
| CORPORATE OFFICER | BEAL, MICHAEL, DIXON, DAVID, DRAKE, EMILY, GILYARD, TANYA, KUHN, JERAMY, MCDYER, JESSICA | since 01/01/2008 |
| OPERATIONAL/MANAGERIAL CONTROL | BOEVE, DESTINY, MONROE, MARQUITA | since 01/01/2024 |
| ADP OF THE SNF | COMPUTERSHARE CORPORATE TRUST COMPANY, NA, CORLESS, PETER, MONROE, MARQUITA, WALTERS, JEFFERY, WEI, SHIPENG | since 01/01/2024 |