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C
Below Standard

Avoca Specialty Care

610 East York Street · Avoca, IA 51521

7123436398 · For profit - Corporation

46 beds31.8 residents75 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Avoca Specialty Care receives an overall staffing grade of C (Below Standard). With 3.3446 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.7387 HPRD, below the recommended 0.75. It is 0.55 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 19.82% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.3446 HPRD — needs 0.14 more hours per resident per day.
⚠️RN staffing (0.7387 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.3446hrs/resident/day▼ 0.55
CMS benchmark: 3.48
RN HPRD
0.7387hrs/resident/day▲ 0.06
Recommended: 0.75
Weekend Drop-off
19.82%
3.5431 weekday → 2.8408 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.853hrs/resident/day
Direct care aides
LPN HPRD
0.3063hrs/resident/day
Licensed practical nurses
Consistency
0.5268std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Pottawattamie County Average-0.56 HPRD
3.90
03.34 HPRD
vs. Iowa State Average-0.47 HPRD
3.82
03.34 HPRD
vs. National Average-0.55 HPRD
3.90
03.34 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Avoca Specialty Care ★
Avoca · This facility
—
C
3.34460.7387★☆☆☆☆
Elm Crest Retirement Community
Harlan
10.3 mi
B
3.9950.8869★★☆☆☆
Oakland Manor
Oakland
13.1 mi
B
3.48830.739★☆☆☆☆
Salem Lutheran Home
Elk Horn
18 mi
D
2.94530.5758★☆☆☆☆
Atlantic Specialty Care
Atlantic
21.6 mi
C
3.25250.5757★★★☆☆
Azria Health Rose Vista
Woodbine
23.4 mi
C
3.58680.4739★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

8
Inspections
66
Total Deficiencies
$0
Fines Assessed
Oct 7, 2025Health
1 deficiency cited
▼
Jun 16, 2025Health
1 deficiency cited
▼
May 16, 2025Health
9 deficiencies cited
▼
Jan 30, 2025Health
3 deficiencies cited
▼
Jul 1, 2024Health
8 deficiencies cited
▼
Feb 1, 2024Health
25 deficiencies cited
▼
Aug 8, 2023Health
9 deficiencies cited· Includes actual harm
▼
Dec 22, 2022Health
10 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.