Nursing Homes · Medicare certified
Avoca Specialty Care
610 East York Street · Avoca, IA 51521 · 46 certified beds
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About Avoca Specialty Care
Avoca Specialty Care is a nursing home in Avoca, Iowa. Its capacity is 46 beds, below the Pottawattamie County median of 72 for nursing homes. It is run by a nonprofit operator and is part of Care Initiatives. It is Medicare certified. Its public inspection record shows 68 citations, the most recent on March 5, 2026. Enforcement records show no fine or payment denial against it. Nurse staffing averages 3.03 hours per resident per day. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
2.0Staffing
4.0Quality measures
2.0CMS Care Compare, October 2026.
Inspection history (68)
Records from August 2023 to March 2026.
May 16, 2025
Tag F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 28, 2025.
May 16, 2025
Tag F0761Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 2, 2025.
May 16, 2025
Tag F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 28, 2025.
January 30, 2025
Tag F0641Ensure each resident receives an accurate assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 5, 2025.
January 30, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 4, 2025.
January 30, 2025
Tag F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 7, 2025.
July 1, 2024
Tag F0814Dispose of garbage and refuse properly.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 25, 2024.
July 1, 2024
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 25, 2024.
July 1, 2024
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 25, 2024.
July 1, 2024
Tag F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 25, 2024.
July 1, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 25, 2024.
July 1, 2024
Tag F0926Have policies on smoking.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 25, 2024.
July 1, 2024
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 27, 2024.
July 1, 2024
Tag F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 25, 2024.
February 1, 2024
Tag F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.
February 1, 2024
Tag F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.
February 1, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.
February 1, 2024
Tag F0692Provide enough food/fluids to maintain a resident's health.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.
February 1, 2024
Tag F0759Ensure medication error rates are not 5 percent or greater.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.
February 1, 2024
Tag F0641Ensure each resident receives an accurate assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.
Penalties
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing
3.03 nurse hours per resident per day in Q2 2026, down from 3.28 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
Non profit
Part of Care Initiatives, a chain of 43 nursing homes.
Average CMS star ratings across the chain: 3.0 overall, 2.7 for health inspections, 3.9 for staffing, 3.7 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Iowa.
What Medicaid pays nursing homes
This is what Iowa Medicaid pays a nursing home for each resident per day. It is not what a family pays privately, but it shows what the state treats as the cost of a day of care.
Median facility daily rate
$307.06per day
About $9,335 a month.
Median we calculated from the state's own facility rate file, January 1, 2026. Based on 381 facilities.
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