Avoca Specialty Care
Avoca Specialty Care – Medicare Certified Since 1996
Avoca Specialty Care is a Medicare and Medicaid certified skilled nursing facility located in Avoca, Iowa. This facility has been serving the community for 30 years. A Medicare-certified skilled nursing facility provides 24-hour nursing care, rehabilitation services, and assistance with activities of daily living for patients who need skilled nursing or rehabilitation services on a daily basis.
This facility has 46 certified beds with a current occupancy rate of 73% (averaging 34 residents per day), which is moderate. Skilled nursing facilities provide 24-hour nursing care for patients who need rehabilitation services after a hospital stay or ongoing care for chronic conditions. Services include skilled nursing, physical therapy, occupational therapy, speech therapy, and assistance with daily activities.
Staffing Levels: Based on CMS payroll data, this facility provides approximately 2.67 hours of total nursing care per resident per day (1.62 hours from CNAs, 0.64 hours from LPNs, 0.41 hours from RNs). Physical therapy staffing is 0.04 hours per resident per day. Higher staffing levels are generally associated with better quality outcomes.
Medicare Quality Ratings: According to CMS, Avoca Specialty Care has an overall quality rating of 1 out of 5 stars, which is much below average compared to other nursing homes nationwide. Individual category ratings are: health inspection: 1 stars, staffing: 1 stars, quality measures: 2 stars.
Medicare Coverage: Medicare covers skilled nursing facility care for up to 100 days following a qualifying hospital stay of at least 3 days. Days 1-20 are fully covered by Medicare, days 21-100 require a daily coinsurance payment. Many residents also use Medicaid, private insurance, or pay privately for long-term stays.
Questions to Ask: When visiting a nursing home, ask about: staff-to-resident ratios and RN coverage around the clock, how they handle medical emergencies, activities and therapy programs, how they communicate with families, their approach to falls prevention, and policies for managing resident complaints.
Visit Medicare Care Compare to view detailed ratings, inspection reports, staffing data, and compare this facility with others in the area.
Quality ratings and facility data are updated periodically by CMS. We recommend verifying current information at Medicare Care Compare.
Local Comparison Snapshot
How Avoca Specialty Care compares to 51 facilities in Omaha-Council Bluffs, NE-IA
Click a measure name to jump to details • Hover over ⓘ for definitions
Data from CMS Medicare Compare and Payroll-Based Journal. Area averages based on 51 facilities in Omaha-Council Bluffs, NE-IA.
Ratings and staffing data typically reflect the most recent quarterly reporting period available.
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Medicare Star Ratings
Official CMS ratings based on health inspections, staffing, and quality measures
Data as of December 2025
Star Ratings History
Quarterly performance from 2013-2026
How Does This Facility Compare?
Compared to 51 other nursing homes in Omaha-Council Bluffs, NE-IA
Based on CMS Medicare star ratings. Higher ratings indicate better performance.
Staffing Hours per Resident Day
Staffing data from CMS Payroll-Based Journal. Higher hours generally indicate more direct care time.
Staff Turnover Rate
Lower turnover rates generally indicate a more stable workforce and better continuity of care.
Agency/Contract Staff Usage
Lower agency usage often indicates better staff retention. High agency rates (>30%) may suggest staffing challenges.
Agency Staff Trends
Historical agency/contract staff usage by role
Data from CMS Payroll-Based Journal (PBJ). Agency % = contractor hours / total hours.
Direct Care Staffing
Average minutes of direct nursing care per resident per day
Data as of December 2025
Staffing Trends
Direct care minutes per resident per day
Occupancy Rate History
Average daily residents as a percentage of certified beds
Data from CMS Provider Info files. Occupancy = Average Residents per Day / Certified Beds.
Staff Turnover History
Annual percentage of nursing staff who left the facility
Data as of December 2025
Data from CMS Payroll-Based Journal. Turnover = staff who left during the year / total staff.
Average Daily Rate
Average daily charge for care at this facility
Based on CMS Cost Report data (inpatient revenue ÷ total patient days)
Data Source: Financial data from CMS Skilled Nursing Facility Cost Reports. Data typically lags 1-2 years. This information is for educational purposes only and should not be the sole basis for financial or care decisions. CareListings does not guarantee accuracy.
Financial Health
Comprehensive financial indicators from CMS Cost Reports
Data from fiscal year 2023 (most recent available - cost report data lags ~2 years)
Staff Investment: Higher spending per resident often correlates with better care quality.
Payer Mix: Shows revenue sources. Higher Medicare % typically means more post-acute/rehab care; higher Medicaid % indicates more long-term care residents.
Nonprofit/Government: May operate with lower margins while still providing quality care due to community mission.
Data Source: All financial data on this page comes from CMS Skilled Nursing Facility Cost Reports submitted by the facility to the Centers for Medicare & Medicaid Services. This information is provided for educational purposes only and should not be the sole basis for any financial or care decisions. Cost report data typically lags 1-2 years. CareListings does not guarantee the accuracy of this data.
Who Stays Here
Breakdown of residents by payment type
Based on fiscal year 2023 cost report data
Average Length of Stay
How long residents typically stay at this facility
Based on fiscal year 2023 cost report data
Services
Comprehensive skilled nursing services, rehabilitation programs, and medical care in AVOCA
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Reviews
Took my mother there after she broke her femur, she got treated like trash. She hurt the employees yell at the other patients and when she had to use the bed pan she laid in her pen feces for 30 minutes after she hit the nurses button and told them that she is done. I even called told them it was uncalled for and they lied to her saying that she was waiting 45 minutes and never hit the nurses button. I seen how these nurses treated the patients first hand as well when I visited. Makes me sick on how they are still in business.
Im sorry as much as I want my family member to still live there,seeing the nurse that's there on the weekends constantly on her phone,being rude to residents and employees we have decided this isn't a great fit and are seeking a new facility for our family member,I was able to locate her on social media in terms her was posting my family member and she's actually making videos using peoples medicine and names in them Total violation and shame on the facility to allow this to go on,Do better with nurses,cause this nurse doesn't take pride in her job Sincerely a concerned member
Let my mother go home still not healed of her wounds. Still can’t take care of herself. Said they’d help and didn’t. Dr lied to her and us about being better she is not. Whoever works ssi said over and over she’d help us get her in somewhere that could handle her and didn’t. No calls for updates on her. Would call every other day and majority of the time get put on hold and no one would answer. Was told they never cleaned the room nor bathroom nor did they bathe her which is the whole reason she’s in this mess. Sent her home to an almost 90 year old man that just lost his wife for him to take care of her because of pure negligence and lies knowing this and knowing there’s no where for her to go. Didn’t even send her home with medicine for wound care. Was also told they’d keep her till she was healed and they didn’t obviously.
A few weeks ago, I surprised my mother with an early Christmas visit at Avoca Specialty Care. I cannot begin to describe what I experienced in this very special place. The care that my mother is receiving there is beyond anything I could have imagined. My following words not only reflect my mother's care, but the care of the other residents, from my observations. My mother was smiling, clean, well fed (with AMAZING food), medications given personally, wounds and health issues taken care of daily, exercise, faith needs met, and most importantly..........given constant respect and kind words by ALL the staff. Continual conversations and socialization are a daily routine there for all the residents. Every one of them is special to each member of the staff and this is apparent in the atmosphere of the whole facility. Avoca Specialty Care is truly a blessing. Thank you to all of you!
I want to tell anyone that might have a loved one contemplating Avoca Speciality Care how impressed I have been with the care of my family member. Avoca Speciality Care is very clean and neat. All the staff have been nothing but kind and caring, and I mean exceptionally! They have worked with me too, as I have travel this road to LTC for a family member. The meals are very nutritious and tasty, and they cater to a variety of dietary needs. Activities are numerous and they help my loved one so he can interact with others and feel included. My family member may not be the closest to me in distance but it is worth the drive to see him so well cared for.
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