Avoca Specialty Care

Avoca, IA • CMS Certification: 165294

  • Date Updated: May 01, 2026
  • Overall Rating: 1 Stars
  • Address: 610 East York Street, Avoca IA 51521
  • Phone: 7123436398

About Avoca Specialty Care

Avoca Specialty Care, located in Avoca, IA, is a non-profit organization that accepts Medicare and Medicaid.

Why Families Choose Avoca Specialty Care

Key Performance Indicators

  • CMS Overall Rating 1 Stars
  • Nursing Hours 3.28 hrs
  • Safety Record Clean

Chain Affiliations & Network

This facility is part of the CARE INITIATIVES network. This chain operates 43 facilities.

Chain Performance Overview

Inspection
2.7
Staffing
3.6
Quality
3.8

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Nursing Staff Analysis

Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).

Below Average Staffing

Avoca Specialty Care provides less care hours than the state average and less than the national average.

Registered Nurses (RN)

0.81 hrs/day
State: 0.74 US: 0.68
Case Mix Adj: 0.58
Quality Adj: 0.95

Licensed Practical Nurses

1.14 hrs/day
State: 1.30 US: 1.54
Case Mix Adj: 0.73
Quality Adj: 0.39

Certified Assistants

2.13 hrs/day
State: 2.51 US: 2.33
Case Mix Adj: 1.99
Quality Adj: 2.49

CMS Quality Ratings

Category Rating Stars
Overall Rating 1
Health Inspection 1
Quality Measures 3
Staffing 2

Health Inspection History

Inspection Cycle Score Date
Cycle 1 (Most Recent) 116 Mar 05, 2026
Weighted Average 117 Combined Score
Lower scores are better. Scores are based on health inspections and complaint investigations.

Detailed Quality Measures

Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.

Medicare claims-based measures

Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.

Measure Rate
Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) 27.0%
Percentage of short-stay residents who had an outpatient emergency depar... (QM522) 9.6%
Number of hospitalizations per 1000 long-stay resident days (QM551) N/A
Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) N/A

MDS-based measures

Resident assessment data; often used for long-stay care quality.

Measure Rate
Percentage of long-stay residents whose need for help with daily activit... (QM401) 13.2%
Percentage of long-stay residents who lose too much weight (QM404) 2.5%
Percentage of long-stay residents with a catheter inserted and left in t... (QM406) 2.3%
Percentage of long-stay residents with a urinary tract infection (QM407) 3.4%
Percentage of long-stay residents who have depressive symptoms (QM408) 3.7%
Percentage of long-stay residents who were physically restrained (QM409) 0.0%
Percentage of long-stay residents experiencing one or more falls with ma... (QM410) 0.8%
Percentage of long-stay residents assessed and appropriately given the p... (QM415) 98.3%
Percentage of short-stay residents assessed and appropriately given the... (QM430) 94.9%
Percentage of short-stay residents who newly received an antipsychotic m... (QM434) 0.0%
Percentage of long-stay residents whose ability to walk independently wo... (QM451) 22.2%
Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) 21.3%
Percentage of long-stay residents assessed and appropriately given the s... (QM454) 97.3%
Percentage of short-stay residents who were assessed and appropriately g... (QM472) 81.5%
Percentage of long-stay residents with pressure ulcers (QM479) 3.6%
Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) 27.3%
Percentage of long-stay residents who received an antipsychotic medicati... (QM481) 24.2%

Complaints & Deficiencies

Complaint History by Year

This chart shows the number of complaints filed each year.

Summary:

  • 2023: 9 complaints
  • 2024: 8 complaints
  • 2025: 11 complaints
  • Total: 28 complaints on record

Recent Complaints (Since Jan 2023)

Date Description
Nov 29, 2025 Ensure services provided by the nursing facility meet professional standards of quality.
Jun 29, 2025 Provide care and assistance to perform activities of daily living for any resident who is unable.
Jun 02, 2025 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Jun 02, 2025 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.
Jun 02, 2025 Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Jun 02, 2025 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Jun 02, 2025 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Jun 01, 2025 Provide care and assistance to perform activities of daily living for any resident who is unable.
May 28, 2025 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
May 28, 2025 Respond appropriately to all alleged violations.
May 28, 2025 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Jul 25, 2024 Dispose of garbage and refuse properly.
Jul 25, 2024 Provide care and assistance to perform activities of daily living for any resident who is unable.
Jul 25, 2024 Have policies on smoking.
Jul 25, 2024 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Jul 25, 2024 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Jul 25, 2024 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.
Jul 25, 2024 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
May 27, 2024 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Aug 28, 2023 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Aug 28, 2023 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Aug 28, 2023 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.
Aug 28, 2023 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Aug 28, 2023 Ensure services provided by the nursing facility meet professional standards of quality.
Aug 28, 2023 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Aug 28, 2023 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Aug 28, 2023 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Aug 28, 2023 Provide and implement an infection prevention and control program.
Note: Table shows only complaints filed since Jan 1, 2023. See chart for historical trends.

Owner & Operator Information

Business Entity

CARE INITIATIVES

Ownership Structure

Management & Direction

Associated Doctors

No associated doctor information available.

Related Analysis

Best Nursing Homes in Avoca, IA

Compare Avoca Specialty Care to the top-rated facilities in the area.

Ownership Details

Complete list of registered owners, including direct and indirect ownership.

Noted Deficiencies

Detailed history of deficiencies with descriptions and correction dates.

Nursing Hours Analysis

Detailed breakdown of staffing hours per resident by role.

Frequently Asked Questions

Avoca Specialty Care has a 1-star CMS overall rating out of 5, which indicates care quality that may need improvement. The nursing staff spends 3.28 hours per resident daily, compared to the national average of 3.87 hours.

Avoca Specialty Care is certified to accept Medicare and Medicaid and provides comprehensive nursing home services including:
  • Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
  • Long-term Residential Care: Assistance with daily living activities for extended stays
  • Short-term Rehabilitation: Recovery services after hospital stays or surgeries
  • Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
The facility has 46 certified beds.

Avoca Specialty Care accepts Medicare and Medicaid, which helps cover costs for eligible residents. Specific pricing varies based on:
  • Level of care needed (skilled nursing vs. long-term care)
  • Room type (private vs. semi-private)
  • Insurance coverage (Medicare, Medicaid, private insurance)
  • Length of stay and specific services required

For current rates and to discuss payment options, contact Avoca Specialty Care directly at 7123436398. Their admissions team can help determine coverage and out-of-pocket expenses.

When visiting Avoca Specialty Care, pay attention to these important factors:

Environment & Cleanliness

  • Overall cleanliness and odors
  • Resident room conditions
  • Common area maintenance
  • Safety features and accessibility

Staff & Care Quality

  • Staff-to-resident ratios
  • How staff interact with residents
  • Response time to resident needs
  • Staff knowledge and professionalism

Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.

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