Avoca Specialty Care

610 East York Street, Avoca, IA 51521 · CCN 165294 · 46 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing3 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

68 citation(s) appear in this facility's record, none at CMS's actual-harm or immediate-jeopardy levels in the last three years.

Serious inspection findings

2023-08-08 ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Staffing, from payroll records

Nursing hours / resident / day

2.25

state median 3.10

Weekend staffing gap

+7%

more nursing hours on weekends · state median −7%

RN hours / resident / day

0.65

registered nurses only

Contract (agency) staff

0%

share of all nursing hours

Nursing staff turnover

64%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

CMS records no penalties for this facility.

Ownership

Ownership type: Non profit - Corporation. Part of the CARE INITIATIVES chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Actual harm: 1 · Potential for more than minimal harm: 67

Survey dateTagCategorySeverityCorrected
2026-03-05F0578Resident Rights DeficienciesDnot recorded
2026-03-05F0584Resident Rights DeficienciesDnot recorded
2026-03-05F0605Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2026-03-05F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2026-03-05F0644Resident Assessment and Care Planning DeficienciesDnot recorded
2026-03-05F0656Resident Assessment and Care Planning DeficienciesEnot recorded
2026-03-05F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2026-03-05F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2026-03-05F0677Quality of Life and Care DeficienciesDnot recorded
2026-03-05F0695Quality of Life and Care DeficienciesDnot recorded
2026-03-05F0725Nursing and Physician Services DeficienciesEnot recorded
2026-03-05F0880Infection Control DeficienciesDnot recorded
2025-10-07F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2025-06-16F0677Quality of Life and Care DeficienciesDnot recorded
2025-05-16F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-05-16F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-05-16F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-05-16F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2025-05-16F0677Quality of Life and Care DeficienciesEnot recorded
2025-05-16F0725Nursing and Physician Services DeficienciesEnot recorded
2025-05-16F0744Quality of Life and Care DeficienciesDnot recorded
2025-05-16F0761Pharmacy Service DeficienciesDnot recorded
2025-05-16F0842Resident Assessment and Care Planning DeficienciesEnot recorded
2025-01-30F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2025-01-30F0725Nursing and Physician Services DeficienciesEnot recorded
2025-01-30F0880Infection Control DeficienciesDnot recorded
2024-07-01F0550Resident Rights DeficienciesDnot recorded
2024-07-01F0677Quality of Life and Care DeficienciesEnot recorded
2024-07-01F0689Quality of Life and Care DeficienciesDnot recorded
2024-07-01F0725Nursing and Physician Services DeficienciesEnot recorded
2024-07-01F0801Nutrition and Dietary DeficienciesEnot recorded
2024-07-01F0812Nutrition and Dietary DeficienciesEnot recorded
2024-07-01F0814Nutrition and Dietary DeficienciesDnot recorded
2024-07-01F0926Environmental DeficienciesDnot recorded
2024-02-01F0559Resident Rights DeficienciesDnot recorded
2024-02-01F0580Resident Rights DeficienciesDnot recorded
2024-02-01F0584Resident Rights DeficienciesDnot recorded
2024-02-01F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2024-02-01F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2024-02-01F0657Resident Assessment and Care Planning DeficienciesEnot recorded
2024-02-01F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2024-02-01F0676Quality of Life and Care DeficienciesDnot recorded
2024-02-01F0677Quality of Life and Care DeficienciesDnot recorded
2024-02-01F0686Quality of Life and Care DeficienciesDnot recorded
2024-02-01F0692Quality of Life and Care DeficienciesDnot recorded
2024-02-01F0693Quality of Life and Care DeficienciesDnot recorded
2024-02-01F0698Quality of Life and Care DeficienciesDnot recorded
2024-02-01F0726Nursing and Physician Services DeficienciesEnot recorded
2024-02-01F0759Pharmacy Service DeficienciesDnot recorded
2024-02-01F0760Pharmacy Service DeficienciesDnot recorded
2024-02-01F0761Pharmacy Service DeficienciesEnot recorded
2024-02-01F0801Nutrition and Dietary DeficienciesFnot recorded
2024-02-01F0803Nutrition and Dietary DeficienciesEnot recorded
2024-02-01F0804Nutrition and Dietary DeficienciesDnot recorded
2024-02-01F0805Nutrition and Dietary DeficienciesEnot recorded
2024-02-01F0812Nutrition and Dietary DeficienciesEnot recorded
2024-02-01F0868Administration DeficienciesFnot recorded
2024-02-01F0880Infection Control DeficienciesEnot recorded
2024-02-01F0921Environmental DeficienciesEnot recorded
2023-08-08F0550Resident Rights DeficienciesDnot recorded
2023-08-08F0580Resident Rights DeficienciesDnot recorded
2023-08-08F0584Resident Rights DeficienciesEnot recorded
2023-08-08F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2023-08-08F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2023-08-08F0686Quality of Life and Care DeficienciesGnot recorded
2023-08-08F0689Quality of Life and Care DeficienciesDnot recorded
2023-08-08F0690Quality of Life and Care DeficienciesDnot recorded
2023-08-08F0880Infection Control DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Avoca Specialty Care, Avoca” at medicare.gov/care-compare.