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UPDATED JUL 2026

Nursing Homes · Medicare certified

Avoca Specialty Care

610 East York Street · Avoca, IA 51521 · 46 certified beds

7123436398

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Public record

CMS Care Compare · Updated Jul 2026

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

1.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

2.0

Quality-measure rating

3.0

Inspections on record

2

Cited deficiencies

43

Inspection history (68)

  • February 1, 2024 · D

    Citation F0686

    Federal surveyors cited this nursing home on 2024-02-01 under CMS tag F0686 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2024-02-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-01.GOV
  • February 1, 2024 · D

    Citation F0698

    Federal surveyors cited this nursing home on 2024-02-01 under CMS tag F0698 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe, appropriate dialysis care/services for a resident who requires such services. The deficiency was recorded as corrected on 2024-02-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-01.GOV
  • February 1, 2024 · F

    Citation F0801

    Federal surveyors cited this nursing home on 2024-02-01 under CMS tag F0801 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-02-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-01.GOV
  • February 1, 2024 · D

    Citation F0658

    Federal surveyors cited this nursing home on 2024-02-01 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2024-02-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-01.GOV
  • February 1, 2024 · E

    Citation F0812

    Federal surveyors cited this nursing home on 2024-02-01 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2024-02-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-01.GOV
  • February 1, 2024 · D

    Citation F0656

    Federal surveyors cited this nursing home on 2024-02-01 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2024-02-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-01.GOV
  • February 1, 2024 · D

    Citation F0676

    Federal surveyors cited this nursing home on 2024-02-01 under CMS tag F0676 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. The deficiency was recorded as corrected on 2024-02-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-01.GOV
  • February 1, 2024 · D

    Citation F0760

    Federal surveyors cited this nursing home on 2024-02-01 under CMS tag F0760 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2024-02-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-01.GOV
  • February 1, 2024 · E

    Citation F0657

    Federal surveyors cited this nursing home on 2024-02-01 under CMS tag F0657 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2024-02-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-01.GOV
  • February 1, 2024 · E

    Citation F0761

    Federal surveyors cited this nursing home on 2024-02-01 under CMS tag F0761 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-02-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-01.GOV
  • February 1, 2024 · F

    Citation F0868

    Federal surveyors cited this nursing home on 2024-02-01 under CMS tag F0868 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have the Quality Assessment and Assurance group have the required members and meet at least quarterly. The deficiency was recorded as corrected on 2024-02-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-01.GOV
  • February 1, 2024 · E

    Citation F0803

    Federal surveyors cited this nursing home on 2024-02-01 under CMS tag F0803 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-02-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-01.GOV
  • February 1, 2024 · D

    Citation F0584

    Federal surveyors cited this nursing home on 2024-02-01 under CMS tag F0584 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-02-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-01.GOV
  • February 1, 2024 · E

    Citation F0726

    Federal surveyors cited this nursing home on 2024-02-01 under CMS tag F0726 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-02-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-01.GOV
  • February 1, 2024 · D

    Citation F0693

    Federal surveyors cited this nursing home on 2024-02-01 under CMS tag F0693 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-02-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-01.GOV
  • February 1, 2024 · E

    Citation F0805

    Federal surveyors cited this nursing home on 2024-02-01 under CMS tag F0805 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. The deficiency was recorded as corrected on 2024-02-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-01.GOV
  • February 1, 2024 · D

    Citation F0677

    Federal surveyors cited this nursing home on 2024-02-01 under CMS tag F0677 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2024-02-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-01.GOV
  • February 1, 2024 · D

    Citation F0559

    Federal surveyors cited this nursing home on 2024-02-01 under CMS tag F0559 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. The deficiency was recorded as corrected on 2024-02-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-01.GOV
  • February 1, 2024 · D

    Citation F0580

    Federal surveyors cited this nursing home on 2024-02-01 under CMS tag F0580 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2024-02-22. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-01.GOV
  • August 8, 2023 · D

    Citation F0690

    Federal surveyors cited this nursing home on 2023-08-08 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2023-08-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-08-08.GOV

Penalties

Total fines on file: $0

Staffing

Latest: 3.28 nurse staffing hours per resident per day (2026-06-01)

Staffing trend (2 periods)

  1. 2025Q43.28 hrs/resident/day
  2. 2026-06-013.28 hrs/resident/day

Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.

Ownership

Non profit - Corporation

CMS Care Compare chain: Care Initiatives

Chain ID 106 · 43 facilities in chain (CMS)

  • Chain average overall rating: 3
  • Chain average health inspection rating: 2.6
  • Chain average staffing rating: 3.6
  • Chain average quality measure rating: 3.8

Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.

  1. Parent organization: Care Initiatives

    chain · PAC 3870575350

Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.

Typical cost

Genworth Cost of Care Survey · 2024

This provider doesn't publish a specific price to us. Below is the typical IA range for the care type(s) it offers. Use it as context, not a quote.

Nursing Homes

Median · IA$7,858/mo
See full IA cost breakdownSource: Genworth Cost of Care Survey · Updated 2024

Nursing Homes

Median · IA$9,277/mo
See full IA cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

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Avoca Specialty Care in Avoca, IA · Inspections page 3 · ElderCareCosts