Avoca Nursing & Rehab Center
Nursing Home Facility
610 East York Road, Avoca, IA 51521
Avoca Nursing & Rehab Center is a senior care community located in Avoca, IA. It provides nursing home care and senior living for older adults in the Avoca area. To learn more or schedule a tour, call (712) 343-6398.
Operated by Care Initiatives, which runs 43 communities in our directory.
With 46 beds, Avoca Nursing & Rehab Center is smaller than most nearby options, senior care communities in Pottawattamie County average about 92 beds. Smaller communities often mean more consistent day-to-day staffing and a calmer environment, while larger ones may have more specialized services on site. Which suits a particular person depends on the level of care needed.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 3 stars for staffing against 1 star for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in March 2026 and recorded 13 deficiencies.
Residents receive about 3.0 hours of nursing care per day on average, including 1.0 hours from a registered nurse. Communities in Pottawattamie County average about 3.7 hours. Nursing staff turnover over the past year was about 64%, which is high and can affect continuity of care.
The community is located in Pottawattamie County, IA.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 68 problems at Avoca Nursing & Rehab Center. 1 finding involved harm to a resident. 28 came from investigating complaints by residents or families.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, a pattern
Freedom from Abuse, Neglect, and Exploitation
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, a pattern
Nursing and Physician Services
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure each resident receives an accurate assessment.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Show 5 more
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide safe and appropriate respiratory care for a resident when needed.
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Avoca Nursing & Rehab Center offers nursing home care and senior living.
Facility details
- Organization type Non profit - Corporation
- Beds / units 46
- Nursing hours per resident/day 3.0
- Annual staff turnover 64%
- Last health inspection March 2026
Resident & family reviews
No one has shared a review of Avoca Nursing & Rehab Center yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.