The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited August 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Avoca Specialty Care
Avoca, IA · Medicare-certified · 46 beds
Needs attention
Non-profitChain member
1 of 5 overall
Avoca Specialty Care in Avoca, IA has a 1 out of 5 overall rating, with a 1-star health inspection rating and a 2-star staffing rating. It is flagged with the lowest overall rating; reported nurse staffing is 3.28 hours per resident per day versus the 4.1 federal benchmark, and there were $0 fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.276 hrs/resident/day
Quality measures
Last inspection: March 5, 2026Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.276.
Staffing detail
- Registered nurses
- 0.81
- Licensed practical nurses
- 0.33
- Nurse aides
- 2.13
- Weekend nursing
- 2.94
Hours per resident per day.
Total staff turnover: 72%
Registered nurse turnover: 88%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—24.2%—
Residents with a fall causing major injury
3.2%0%Improving
Residents with pressure ulcers (bedsores)
5.2%0%Improving
Residents with a urinary tract infection
3.2%0%Improving
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
15%15%No change
Residents whose ability to walk got worse
—22.2%—
Long-stay residents on antianxiety or sleep medication
14.3%23.8%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
3.1%3%No change
Residents with new or worsening incontinence
32.7%29.3%Improving
Residents with depressive symptoms
9.7%4.8%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—97.3%—
Long-stay residents given the pneumonia vaccine
100%92.6%Worsening
Short-stay residents given the seasonal flu vaccine
—81.5%—
Short-stay residents given the pneumonia vaccine
100%91.9%Worsening
What the inspectors found
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited February 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 801 — 42 CFR §483.60 — S/S: F
The nursing home failed to make sure its quality review group had the required members and met at least every three months. Cited February 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 868 — 42 CFR §483.75 — S/S: F
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: E
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited March 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 605 — 42 CFR §483.12 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of CARE INITIATIVES · 43 homes · 3.1 stars avg
- Occupancy
- 30.4 residents on an average day (66% of 46 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 29 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.