Avoca Specialty Care
610 East York Street · Avoca, IA · 51521 · 7123436398
46 certified beds Non profit - Corporation Chain: Care Initiatives
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 72 points, but Recommended is gated: inspection record below the Recommended bar; CMS rates its health inspections "much below average". That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
72% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.28 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.81 | 0.55–0.75 |
| Weekend hours / resident-day | 2.94 | ≈ weekday level |
| Nursing turnover / year | 72% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (68 in the current record)
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Potential for harm · D March 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.
Corrected March 23, 2026 · Resident Rights
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Potential for harm · D March 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.
Corrected March 23, 2026 · Resident Rights
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Potential for harm · E March 5, 2026
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected March 23, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 5, 2026
Ensure each resident receives an accurate assessment.
Corrected March 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 5, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected March 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · E March 5, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 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.
Corrected March 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 5, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 23, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 5, 2026
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 23, 2026 · Quality of Life and Care
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Potential for harm · D March 5, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 23, 2026 · Quality of Life and Care
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Potential for harm · E March 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.
Corrected March 23, 2026 · Nursing and Physician Services
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Potential for harm · D March 5, 2026
Provide and implement an infection prevention and control program.
Corrected March 23, 2026 · Infection Control
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Potential for harm · D October 7, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 29, 2025 · Resident Assessment and Care Planning
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Potential for harm · D June 16, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 29, 2025 · Quality of Life and Care
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Potential for harm · D May 16, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 16, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 16, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected May 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 16, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected June 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · E May 16, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 1, 2025 · Quality of Life and Care
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Potential for harm · E May 16, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected June 2, 2025 · Nursing and Physician Services
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Potential for harm · D May 16, 2025 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected June 2, 2025 · Quality of Life and Care
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Potential for harm · D May 16, 2025 · found via complaint
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.
Corrected June 2, 2025 · Pharmacy Service
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Potential for harm · E May 16, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected June 2, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 30, 2025
Ensure each resident receives an accurate assessment.
Corrected February 5, 2025 · Resident Assessment and Care Planning
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Potential for harm · E January 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.
Corrected February 7, 2025 · Nursing and Physician Services
Showing the 25 most recent. The Safety Report includes every citation with full findings.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165294 · certified since August 1, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.