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.
August 8, 2023
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 August 28, 2023.
August 8, 2023
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 August 28, 2023.
August 8, 2023
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 August 28, 2023.
August 8, 2023
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity G: isolated, actual harm. Corrected August 28, 2023.
August 8, 2023
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 D: isolated, no actual harm, potential for more than minimal harm. Corrected August 28, 2023.
August 8, 2023
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 August 28, 2023.
August 8, 2023
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 28, 2023.
August 8, 2023
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 E: pattern, 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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