01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-03-05 | 13 | 2026-03-05 | 5 |
| Cycle 2 | 2025-01-30 | 13 | 2025-01-30 | 4 |
| Cycle 3 | 2024-02-01 | 42 | 2024-02-01 | 10 |
CMS CCN 1652942026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Avoca Specialty Care
610 East York Street · Avoca, IA 51521 · Pottawattamie County
Certified beds46CMS provider file
Recent citation rows87current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
87 rows in the current release
1 rows carry G–L scope/severity codes; 0 carry J–L. 21 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-03-05 · FIREE0004Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Correction field: Deficient, Provider has date of correction · 2026-03-112026-03-05 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2026-03-262026-03-05 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-03-232026-03-05 · HEALTHF0584Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-03-232026-03-05 · HEALTHF0605Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Correction field: Deficient, Provider has date of correction · 2026-03-232026-03-05 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2026-03-232026-03-05 · HEALTHF0644Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Correction field: Deficient, Provider has date of correction · 2026-03-232026-03-05 · HEALTHF0656Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2026-03-232026-03-05 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2026-03-232026-03-05 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2026-03-232026-03-05 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2026-03-232026-03-05 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2026-03-232026-03-05 · HEALTHF0725Severity E · pattern; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Correction field: Deficient, Provider has date of correction · 2026-03-232026-03-05 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-03-232026-03-05 · FIREK0324Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2026-03-062026-03-05 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2026-03-062026-03-05 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2026-03-112025-10-07 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-11-29 · complaint2025-06-16 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-06-29 · complaint2025-05-16 · HEALTHF0607Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2025-05-28 · complaint2025-05-16 · HEALTHF0609Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-05-28 · complaint2025-05-16 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2025-05-28 · complaint2025-05-16 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2025-06-02 · complaint2025-05-16 · HEALTHF0677Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-06-01 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CARE INITIATIVESOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 08/01/2012
- COMPUTERSHARE CORPORATE TRUST COMPANY, NAOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 01/01/2025
- BEAL, MICHAELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/01/2020
- BOWEN, LANEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- CAROTHERS, MARY JANEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- CHILDS, KEVINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2023
- CORLESS, PETERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- KREIN, KEITHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- RUST, ELIZABETHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- STURM, DENISEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- UPMEYER, LINDAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2022
- BEAL, MICHAELIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/01/2020
- DIXON, DAVIDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/01/2016
- DRAKE, EMILYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/04/2023
- GILYARD, TANYAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/23/2025
- KUHN, JERAMYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2008
- MCDYER, JESSICAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 03/01/2023
- BOEVE, DESTINYIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 01/01/2024
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.01per resident day
RN hours0.99per resident day
Weekend nurse hours2.72per resident day
Staff turnover63.9%CMS reported field
06 / LOCAL RECORDS
Open the Iowa ledger →Other published facilities nearby
No second facility in the same city met the directory rule.