Inspection Reports for Avoca Lodge Assisted Living
612 York Road, Avoca, IA 51521, IA, 51521
Back to Facility ProfileInspection Report Summary
The most recent inspection on July 31, 2025, found no deficiencies during the recertification visit. Earlier inspections showed a mix of results, with some deficiencies noted in tenant care and staff training, particularly in April 2023 and October 2024. Inspectors cited issues related to bathing services, nursing assessments, health evaluations prior to occupancy, and food safety training. Complaint investigations were mostly unsubstantiated except for one in 2024 that confirmed a failure to provide required bathing services to a discharged tenant. The facility appears to have addressed prior deficiencies, as indicated by the clean findings in the latest inspection.
Deficiencies (last 10 years)
Deficiencies (over 10 years)
0.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
82% better than Iowa average
Iowa average: 4.4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
1 residents
Based on a July 2025 inspection.
This facility has shown a decline in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Census: 1
Deficiencies: 0
Date: Jul 31, 2025
Visit Reason
Recertification visit conducted to determine compliance with certification rules for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited during the recertification visit.
Report Facts
Number of tenants without cognitive impairment: 1
Number of tenants with cognitive impairment: 0
Total census: 1
Inspection Report
Complaint Investigation
Census: 4
Deficiencies: 1
Date: Oct 31, 2024
Visit Reason
The inspection was conducted as an investigation of complaints #118867-C, #120455-C, and #120630-C regarding the care provided at Avoca Lodge Assisted Living.
Complaint Details
The investigation was triggered by complaints #118867-C, #120455-C, and #120630-C. The findings confirmed the failure to provide adequate bathing services to Tenant C1.
Findings
The program failed to ensure bathing services were provided for 1 of 4 discharged tenants reviewed (Tenant C1). Point of Care Audit Reports showed multiple dates from April through July 2024 where no baths were provided as required.
Deficiencies (1)
Failure to ensure bathing services were provided for Tenant C1 as required.
Report Facts
Number of tenants without cognitive impairment: 4
Number of tenants with cognitive impairment: 0
Total census: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Travel Director of Nursing | Confirmed findings regarding bathing services on 10/31/24 at 10:40 am |
Inspection Report
Renewal
Census: 11
Deficiencies: 3
Date: Apr 27, 2023
Visit Reason
The inspection was a recertification visit to determine compliance with certification rules for an Assisted Living Program.
Findings
The facility was found deficient in evaluating tenant health status prior to occupancy, failing to provide required 90-day nursing assessments for tenants, and not ensuring initial and annual food safety and sanitation training for food service staff.
Deficiencies (3)
Failed to evaluate the health status prior to occupancy for 1 of 2 tenants reviewed.
Failed to provide 90-day nursing assessments for 2 of 2 sample tenants reviewed.
Failed to ensure initial and annual training regarding food safety and sanitation for 3 staff members responsible for food preparation or service.
Report Facts
Number of tenants without cognitive impairment: 11
Number of tenants with cognitive impairment: 0
Total census: 11
Number of staff affected by food safety training deficiency: 3
Inspection Report
Renewal
Census: 12
Deficiencies: 0
Date: Mar 26, 2018
Visit Reason
The inspection was conducted as a recertification to determine compliance with certification for an Assisted Living Program.
Findings
No regulatory insufficiencies were cited as a result of the recertification conducted at the Assisted Living Program.
Inspection Report
Complaint Investigation
Census: 15
Deficiencies: 0
Date: Nov 22, 2017
Visit Reason
Investigation of Complaint #71518-C at Avoca Lodge Assisted Living.
Complaint Details
Complaint #71518-C was investigated and found to have no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the complaint investigation. The census included 15 tenants without cognitive disorder and 0 with cognitive disorder.
Report Facts
Number of tenants without cognitive disorder: 15
Number of tenants with cognitive disorder: 0
Total census: 15
Inspection Report
Complaint Investigation
Census: 15
Deficiencies: 0
Date: Nov 22, 2017
Visit Reason
Investigation of Complaint #71518-C at Avoca Lodge Assisted Living.
Complaint Details
Investigation of Complaint #71518-C found no regulatory insufficiencies.
Findings
No regulatory insufficiencies were cited during the complaint investigation.
Report Facts
Number of tenants without cognitive disorder: 15
Number of tenants with cognitive disorder: 0
Total Population of Program at time of on-site: 15
TOTAL census of Assisted Living Program: 15
Inspection Report
Monitoring
Census: 18
Deficiencies: 0
Date: Apr 25, 2016
Visit Reason
The visit was conducted as a Final Recertification Monitoring Evaluation to determine compliance with certification for an Assisted Living Program at Avoca Lodge AL.
Findings
No regulatory insufficiencies were found during the evaluation. The review of recertification documents was completed and accepted, and the State Fire Marshal's inspection report and evacuation plans were approved.
Report Facts
Number of tenants without cognitive disorder: 18
Number of tenants with cognitive disorder: 0
Total Population of Program at time of on-site: 18
Total census of Assisted Living Program: 18
Inspection Report
Monitoring
Census: 14
Deficiencies: 0
Date: Sep 29, 2014
Visit Reason
The visit was a Final Recertification Monitoring Evaluation conducted to review the assisted living program's compliance with Iowa Code and Administrative Code requirements, including review of recertification documents and onsite evaluation.
Findings
No regulatory insufficiencies were found during the evaluation. Tenant satisfaction was generally positive, with tenants reporting good care, safety, and staff responsiveness.
Report Facts
Number of tenants without cognitive disorder: 13
Number of tenants with cognitive disorder: 1
Total Population of Program at time of on-site: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Charissa Bassett | Administrator | Administrator of Avoca Lodge Assisted Living |
| Lori Miner | RN BSN | Monitor conducting the evaluation |
| Rose Boccella | Program Coordinator | Author of the cover letter and contact for certification questions |
Inspection Report
Monitoring
Census: 15
Deficiencies: 0
Date: Nov 1, 2011
Visit Reason
The visit was a final recertification monitoring evaluation conducted to review the recertification documents and perform an onsite monitoring visit of the Avoca Lodge Assisted Living program.
Findings
No regulatory insufficiencies were found during the evaluation or the onsite monitoring visit. The program was found to be safe, clean, and well-managed with tenant satisfaction reported.
Report Facts
Number of tenants without cognitive disorder: 14
Number of tenants with cognitive disorder: 1
Total census: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Hal L. Chase | RN BSN MPH | Monitor conducting the evaluation |
| Jim Berkley | Program Coordinator | Author of the cover letter and report |
Inspection Report
Monitoring
Census: 17
Deficiencies: 0
Date: Nov 26, 2007
Visit Reason
The on-site monitoring evaluation was conducted as a final recertification monitoring visit to assess compliance with assisted living program regulations.
Complaint Details
There were no substantiated complaints during this certification period.
Findings
There were no regulatory insufficiencies noted during the on-site monitoring evaluation. Tenant and family satisfaction was generally positive, with tenants expressing safety, satisfaction with staff, and enjoyment of activities.
Report Facts
Current number of tenants without cognitive disorder: 17
Current number of tenants with cognitive disorder: 0
Total Population: 17
Tenant meeting attendance: 15
Individual tenant interviews: 2
Inspection Report
Monitoring
Census: 20
Deficiencies: 4
Date: Jan 5, 2006
Visit Reason
The visit was an on-site recertification monitoring evaluation conducted to assess compliance with Iowa assisted living program regulations.
Complaint Details
There are no substantiated complaints this certification period.
Findings
The evaluation found multiple regulatory insufficiencies including inconsistent completion of tenant evaluations within 30 days of admission, incomplete service plan signatures, and inadequate nurse reviews of medication and tenant status changes.
Deficiencies (4)
The program does not consistently complete evaluations prior to and within 30 days of admission to the program.
The program does not consistently complete an evaluation of each tenant’s functional, cognitive, and health status prior to the development of the tenant’s service plan.
The program does not develop service plans in collaboration with and signed by the tenant and a multi-disciplinary team consisting of three staff persons.
The program nurse does not perform a comprehensive nurse review that includes the tenant’s change in either cognitive, functional, or health status and a review of prescribed medication changes.
Report Facts
Current number of tenants without cognitive disorder: 19
Current number of tenants with cognitive disorder: 1
Total Population: 20
Tenant meeting attendance: 13
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