AVERA AT HOME

ESTHERVILLE, IACCN: 161501

YELLOW

Overall

56.7

Quality

46.7

Compliance

57.5

Operational

70.0

Market

55.0

Contact Information

Address

826 NORTH EIGHTH STREET

ESTHERVILLE, IA 51334

Phone

(712) 362-2631

Website

No website on file

Administrator

DOREEN HARDY, AGENCY ADMINISTRATOR

Provider Details

CountyEmmet

Ownership TypeNon-Profit

ADC16

ADC Fittarget

Service Area (ZIPs)27

Market TypeUrban

CertifiedFeb 6, 1984

County Demographics

65+ Population2,235

% 65+23.9%

Median Income$64,461

Ownership Profile

Complexitycomplex

Owner Count18

PE/Investment BackedNo

Chain AffiliatedNo

Recent Ownership ChangeNo

Classification Reasons

Positive: ADC (16) within target range

Positive: Strong operational performance

Concern: Quality needs review (score: 47)

Concern: Compliance risk moderate (score: 58)

Outreach Status

Readiness

Monitor - Complete diligence first

Deal Type

Tuck-in candidate

Sell-Side Hypothesis

Complex ownership may create partnership disputes or exit pressure

Rating Sensitivity

Upgrade Triggers

Quality improvement above 70 threshold; Compliance metrics improvement; CON state expansion opportunity

Downgrade Triggers

Compliance score drop below 40; Quality score drop below 30; CMS enforcement action

Owner Carry-Back Analysis

75/100

HIGH

Independent Ownership+30

Not backed by private equity - more likely to consider creative financing

Standalone Operation+20

Not part of larger chain - owner has full decision authority

Multiple Owners+5

Multiple stakeholders may complicate carry-back terms

Small Operation+10

Smaller ADC - owner may need carry-back for viable purchase price

Stable Ownership+10

Long-term owner more likely to have emotional investment and consider flexible terms

Prime Owner Carry-Back Candidate

This provider shows strong indicators for owner financing. Single/simple ownership structure, no PE involvement, and ideal operational size suggest the owner may be receptive to a seller note arrangement. Consider approaching with a 10-20% carry-back proposal.

View All Owner Carry-Back Opportunities

Data Quality & Completeness

Completeness Score

70%

Data Quality

HIGH

Confidence

High (0.88)

Missing Fields

financialsquality_stars

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Data Source: CMS Provider Data Catalog Nov 2025, PECOS Q1 2026 • Analysis Date: Jan 26, 2026