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.
February 1, 2024
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.
February 1, 2024
Tag F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.
February 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 F: widespread, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.
February 1, 2024
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.
February 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 February 22, 2024.
February 1, 2024
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.
February 1, 2024
Tag F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.
February 1, 2024
Tag F0760Ensure that residents are free from significant medication errors.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.
February 1, 2024
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.
February 1, 2024
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 E: pattern, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.
February 1, 2024
Tag F0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.
February 1, 2024
Tag F0803Ensure 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.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.
February 1, 2024
Tag F0584Honor 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.
February 1, 2024
Tag F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.
February 1, 2024
Tag F0693Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.
February 1, 2024
Tag F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.
February 1, 2024
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.
February 1, 2024
Tag F0559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.
February 1, 2024
Tag F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 22, 2024.
August 8, 2023
Tag F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 28, 2023.
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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