Avoca Specialty Care
Nursing home in Avoca, Iowa, CMS certification number 165294
610 East York Street, Avoca, IA 51521 · Pottawattamie County
- CMS overall rating
- 2 of 5 stars
- Certified beds
- 46
- Certified for
- Medicare and Medicaid
- Last standard inspection
- March 5, 2026
- Deficiencies at that inspection
- 13
- Fines in 3 years
- No fines
Does Avoca Specialty Care take Medicare and Medicaid?
Yes to both. Avoca Specialty Care is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 2 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 4 of 5 |
| Quality of resident care | 2 of 5 |
| Long-stay quality | 2 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours Avoca Specialty Care reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.03
- Registered nurse hours
- 0.83
- Licensed practical nurse hours
- 0.14
- Nurse aide hours
- 2.06
- Weekend total hours
- 2.74
- Nursing staff turnover
- 59.5%
- Registered nurse turnover
- 20%
- Administrators who left
- 1
Health inspections and complaints
Inspectors last made a standard visit on March 5, 2026 and cited 13 deficiencies, plus 1 from complaint visits.
The visit before, on January 30, 2025, found 3.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS lists no fines for Avoca Specialty Care in the past 3 years.
Beds and residents
On an average day 33.5 residents live here, about 73% of its 46 certified beds.
- Certified beds
- 46
- Average residents per day
- 33.5
- Certified since
- August 1, 1996
- Resident or family council
- Resident
Who owns Avoca Specialty Care
- Legal business name
- Care Initiatives
- Ownership type
- Non profit - Corporation
- Chain
- 43 homes nationally under Care Initiatives, 3-star chain average
Other nursing homes near Avoca Specialty Care
- Elm Crest Retirement Community2104 12th Street, Harlan 51537
- Oakland Manor737 North Highway St., Oakland 51560
- Salem Lutheran Home2027 College Avenue, Elk Horn 51531
- Heritage House1200 Brookridge Circle, Atlantic 50022
- Atlantic Specialty Care1300 East 19th Street, Atlantic 50022
Who inspects nursing homes in Iowa
Iowa's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Iowa, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Avoca Specialty Care, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Avoca Specialty Care
What is the CMS star rating of Avoca Specialty Care?
2 out of 5 stars overall.
Does Avoca Specialty Care accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Avoca Specialty Care?
13 cited at the last standard visit.
Who owns Avoca Specialty Care?
Care Initiatives, non profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.