Avoca Specialty Care
Avoca, IA · Medicare and Medicaid-certified nursing home (CCN 165294) · 46 certified beds
Health inspection: 1 · Quality measures: 3 · Staffing: 3
Federal fines: none on current record
Phone: (712) 343-6398 · Verify on Medicare Care Compare ↗
Avoca Specialty Care has a CMS overall star rating of 1 out of 5, below the Iowa state average of about 3.07 stars. Its health inspection rating is 1 star, and its staffing rating is 3 stars.
Avoca Specialty Care reports total nurse staffing of about 3.01 hours per resident per day, including 0.99 RN hours per resident per day, with a nursing staff turnover rate of 63.9 percent and a CMS staffing rating of 3 stars.
Avoca Specialty Care has no federal fines on record, with 0 fines totaling $0.00 and no payment denials reported by CMS. This facility does not carry the CMS abuse icon flag and is not listed in CMS's Special Focus Facility program.
About this facility
Avoca Specialty Care is a nonprofit corporation-owned nursing home in Avoca, Pottawattamie County, Iowa, certified for Medicare and Medicaid since August 1996. The facility is licensed for 46 certified beds and reports an average daily census of 33.4 residents.
According to CMS Care Compare, Avoca Specialty Care carries an overall star rating of 1 out of 5, which falls below the Iowa state average of 3.07 stars. Its component ratings are: health inspection rating of 1 star, quality measures (QM) rating of 3 stars, and staffing rating of 3 stars.
Nurse staffing data show total nurse hours of 3.01 per resident per day, including 0.99 RN hours per resident per day. Nursing staff turnover is reported at 63.9%.
On penalties, CMS records show 0 fines totaling $0.00, and no payment denials on record — that is, no federal fines on record for this facility.
Avoca Specialty Care is part of the Care Initiatives chain, which operates 43 facilities nationally with a chain average rating of 2.9 stars. CMS records do not indicate an ownership change within the last 12 months.
This facility does not carry the CMS abuse icon flag, and it is not currently listed under CMS's Special Focus Facility program, which designates homes with a history of persistent quality problems placed under increased federal inspection scrutiny.
All figures above are drawn from CMS Medicare Care Compare data as provided; families are encouraged to review the current inspection record directly on Care Compare for the most up-to-date details.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Avoca Specialty Care has an overall CMS rating of 1 out of 5 stars, which is below the Iowa state average of about 3.07 stars.
Does this facility accept Medicare, Medicaid, or both?
Yes, Avoca Specialty Care is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is about 3.01 hours per resident per day, with 0.99 RN hours per resident per day, and nursing staff turnover is reported at 63.9%.
Does this facility have federal fines or penalties on record?
No, CMS records show 0 fines totaling $0.00 and no payment denials for this facility.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
No, this facility does not carry the CMS abuse icon and is not listed in the CMS Special Focus Facility program.
How large is this facility and how many residents live there?
Avoca Specialty Care has 46 certified beds and an average daily census of 33.4 residents.
Who owns this facility — and is it part of a chain?
It is owned by a nonprofit corporation and is part of the Care Initiatives chain, which operates 43 facilities with a chain average rating of 2.9 stars.
How long has this facility been Medicare/Medicaid certified?
The facility was first approved for Medicare/Medicaid certification on August 1, 1996.
What do the four different CMS star ratings mean?
CMS rates facilities on overall quality, health inspections, staffing, and quality measures (QM); Avoca Specialty Care scores 1, 1, 3, and 3 stars respectively.
Does this facility offer short-term rehabilitation as well as long-term care?
The provided CMS data does not specify rehabilitation services; contact the facility at 7123436398 and verify details on Medicare Care Compare.
What should I look for when touring this facility?
The data provided does not cover tour details; contact the facility at 7123436398 for this information.
How do I verify this facility's current record on Medicare Care Compare?
You can review the current record directly at https://www.medicare.gov/care-compare/details/nursing-home/165294?state=IA.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.