Avoca Specialty Care
610 East York Street, Avoca, IA 51521 · (712) 343-6398
Non profit - Corporation · 46 certified beds
Avoca Specialty Care has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in March 2026, found 12 citations (the Iowa average is 6.5). It hasn't been fined in the last three years.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 3 out of 5 stars · Average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 3 out of 5 stars · Average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on March 5, 2026 found 12 citations. What an inspection citation means
- Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.March 5, 2026 · F0605 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.March 5, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.March 5, 2026 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.March 5, 2026 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.March 5, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives an accurate assessment.March 5, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.March 5, 2026 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.March 5, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.March 5, 2026 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.March 5, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.March 5, 2026 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.March 5, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 19 citations.
- Ensure services provided by the nursing facility meet professional standards of quality.October 7, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.June 16, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.May 16, 2025 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.May 16, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.May 16, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.May 16, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.May 16, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.May 16, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.May 16, 2025 · F0744 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.May 16, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.May 16, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.July 1, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.July 1, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 1, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.July 1, 2024 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.July 1, 2024 · F0801 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.July 1, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Dispose of garbage and refuse properly.July 1, 2024 · F0814 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Have policies on smoking.July 1, 2024 · F0926 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
No fines or payment denials in the last three years.
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Iowa average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.01 | 3.82 | 3.86 |
| Registered nurses (RN) | 0.99 | 0.74 | 0.69 |
| Licensed practical nurses (LPN) | 0.15 | 0.56 | 0.86 |
| Nurse aides | 1.87 | 2.52 | 2.32 |
| Total nursing staff turnover | 63.9% | 44% | 45.8% |
About this home
| Ownership | Non profit - Corporation |
| Certified beds | 46 |
| Average residents per day | 33.4 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Midlands Living Center LLC Council Bluffs · ★★★★★ 4 out of 5 stars
- Prairie Gate Council Bluffs · ★★★★★ 2 out of 5 stars
- Oakland Manor Oakland · ★★★★★ 1 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Avoca Specialty Care on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.