Skilled Nursing

Avoca Specialty Care

610 East York Street, Avoca, IA 51521

46beds
Skilled Nursingcare types
1/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

2.9h

Hrs/resident · weekday

Expected: 3.8h

3.4h

Hrs/resident · weekend

vs 2.9h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
88%
LPNs
CNAs
72%

Administrator turnover: 4 in the past year — above average

Health Inspection Deficiencies · Last 3 Years

68 standard deficiencies in the last 3 years

View all
0880Severity DMar 5, 2026

Provide and implement an infection prevention and control program.

0725Severity EMar 5, 2026

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0695Severity DMar 5, 2026

Provide safe and appropriate respiratory care for a resident when needed.

0677Severity DMar 5, 2026

Provide care and assistance to perform activities of daily living for any resident who is unable.

0658Severity DMar 5, 2026

Ensure services provided by the nursing facility meet professional standards of quality.

0657Severity DMar 5, 2026

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0656Severity EMar 5, 2026

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0644Severity DMar 5, 2026

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0641Severity DMar 5, 2026

Ensure each resident receives an accurate assessment.

0605Severity EMar 5, 2026

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

0584Severity DMar 5, 2026

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.

0578Severity DMar 5, 2026

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.

0658Severity DOct 7, 2025

Ensure services provided by the nursing facility meet professional standards of quality.

0677Severity DJun 16, 2025

Provide care and assistance to perform activities of daily living for any resident who is unable.

0842Severity EMay 16, 2025

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0761Severity DMay 16, 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.

0744Severity DMay 16, 2025

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

0725Severity EMay 16, 2025

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0677Severity EMay 16, 2025

Provide care and assistance to perform activities of daily living for any resident who is unable.

0657Severity DMay 16, 2025

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0610Severity DMay 16, 2025

Respond appropriately to all alleged violations.

0609Severity DMay 16, 2025

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0607Severity DMay 16, 2025

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0880Severity DJan 30, 2025

Provide and implement an infection prevention and control program.

0725Severity EJan 30, 2025

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0641Severity DJan 30, 2025

Ensure each resident receives an accurate assessment.

0926Severity DJul 1, 2024

Have policies on smoking.

0814Severity DJul 1, 2024

Dispose of garbage and refuse properly.

0812Severity EJul 1, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0801Severity EJul 1, 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.

0725Severity EJul 1, 2024

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

0689Severity DJul 1, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0677Severity EJul 1, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

0550Severity DJul 1, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0921Severity EFeb 1, 2024

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0880Severity EFeb 1, 2024

Provide and implement an infection prevention and control program.

0868Severity FFeb 1, 2024

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

0812Severity EFeb 1, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0805Severity EFeb 1, 2024

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0804Severity DFeb 1, 2024

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0803Severity EFeb 1, 2024

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.

0801Severity FFeb 1, 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.

0761Severity EFeb 1, 2024

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.

0760Severity DFeb 1, 2024

Ensure that residents are free from significant medication errors.

0759Severity DFeb 1, 2024

Ensure medication error rates are not 5 percent or greater.

0726Severity EFeb 1, 2024

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.

0698Severity DFeb 1, 2024

Provide safe, appropriate dialysis care/services for a resident who requires such services.

0693Severity DFeb 1, 2024

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.

0692Severity DFeb 1, 2024

Provide enough food/fluids to maintain a resident's health.

0686Severity DFeb 1, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0677Severity DFeb 1, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

0676Severity DFeb 1, 2024

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0658Severity DFeb 1, 2024

Ensure services provided by the nursing facility meet professional standards of quality.

0657Severity EFeb 1, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0656Severity DFeb 1, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0641Severity DFeb 1, 2024

Ensure each resident receives an accurate assessment.

0584Severity DFeb 1, 2024

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.

0580Severity DFeb 1, 2024

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0559Severity DFeb 1, 2024

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

0880Severity DAug 8, 2023

Provide and implement an infection prevention and control program.

0690Severity DAug 8, 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.

0689Severity DAug 8, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0686Severity GAug 8, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0658Severity DAug 8, 2023

Ensure services provided by the nursing facility meet professional standards of quality.

0657Severity DAug 8, 2023

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0584Severity EAug 8, 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.

0580Severity DAug 8, 2023

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0550Severity DAug 8, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

CARE INITIATIVES· Non profit - Corporation

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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