With a score of 34/100, Avoca Specialty Care ranks in the bottom tier of Iowa nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing levels are a potential concern at Avoca Specialty Care, with 3.34 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent inspections identified 66 deficiencies at Avoca Specialty Care. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.34 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.74 | 0.7 | Average |
| Licensed Practical Nurses (LPN) | 0.30 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.30 | 2.4 | Average |
| Weekend Total Nursing | 2.83 | 3.8 | Below Average |
| Weekend RN Hours | 0.49 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0658 Severity DEnsure services provided by the nursing facility meet professional standards of quality.Oct 6, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0677 Severity DProvide care and assistance to perform activities of daily living for any resident who is unable.Jun 15, 2025 · Quality of Life and Care Deficiencies
- Tag 0677 Severity EProvide care and assistance to perform activities of daily living for any resident who is unable.May 15, 2025 · Quality of Life and Care Deficiencies
- Tag 0725 Severity EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.May 15, 2025 · Nursing and Physician Services Deficiencies
- Tag 0842 Severity ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standarMay 15, 2025 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.8% | 4.5% | Average |
| Falls with major injury | 1.6% | 3.0% | Better |
| On antipsychotic medication | 24.7% | 14.5% | Worse |
| Urinary tract infections | 3.3% | 2.5% | Worse |
| ADL decline (daily activities) | 16.9% | 14.0% | Worse |
| Excessive weight loss | 1.1% | 7.5% | Better |
| New/worsened incontinence | 28.7% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of F is based on a score of 34 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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