Avoca Specialty Care

    610 York Rd, Avoca, IA, 51521
    2.8 · 12 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    3.0

    Dedicated staff but management fails

    I have mixed feelings. I appreciated the kind, attentive aides and nurses, clean organized building, nutritious tasty meals with dietary accommodations, personalized meds, and many activities that kept residents social and active. But I also experienced chronic short-staffing, poor/chaotic management, unanswered call lights, inconsistent or missing wound care, rude/abusive behavior and privacy concerns, and frequent misinformation to families. I used to love it here - the frontline staff are dedicated - but until management fixes staffing, communication, and accountability I can't fully recommend it.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    2.75 · 12 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.0
    • Staff

      3.0
    • Meals

      5.0
    • Amenities

      2.8
    • Value

      2.8

    Pros

    • Exceptional, attentive nursing and aide care (frequently praised)
    • Staff described as kind, respectful, and compassionate
    • Clean, neat, and well-organized facility (per multiple reviews)
    • Nutritious, tasty meals with dietary accommodations
    • Personalized medication management mentioned
    • Daily wound and health-issue care reported by some families
    • Numerous activities that promote socialization and inclusion
    • Exercise and faith-based programming/support
    • Friendly, helpful kitchen and support staff
    • Positive, welcoming atmosphere described as 'blessed' or 'highly recommended'

    Cons

    • Reports of talking down to residents and lack of respect in some cases
    • Favoritism and poor management practices cited
    • Chronic short staffing and high staff turnover
    • Nurses refusing to assist CNAs or otherwise not helping
    • Call lights unanswered or slow nurse response times
    • Perceived focus on money over resident care
    • Staff suspensions, firings, and internal chaos reported
    • Instances of rude or yelling nursing staff
    • Privacy violations (posting medications/residents' names on social media)
    • Weekend or particular-shift nurses reported inattentive (on phone) or rude
    • Allegations of neglect including patients left in soiled conditions
    • Inconsistent wound care — reports of no wound treatment or missing meds
    • Poor communication, misinformation, and families being lied to
    • Unclean rooms/bathrooms reported by some reviewers
    • Incidents of residents being sent home without adequate care arrangements

    Summary review

    Overall sentiment across the reviews is mixed and polarized: many reviewers praise Avoca Specialty Care for compassionate, attentive caregiving, excellent dining, meaningful activities, and a clean facility, while a substantial number of reviews raise serious concerns about inconsistent care, poor management, and neglect. Positive reports emphasize individualized attention, daily health/wound management, respectful staff, and a warm atmosphere with plentiful socialization, exercise, and faith-based support. Multiple families explicitly recommend the facility and describe both clinical and emotional needs being met reliably.

    Care quality appears highly variable. Several reviews describe 'exceptional' care with nurses and aides who are respectful, kind, and proactive — noting personalized medication handling, daily wound and health-issue attention, and timely assistance. Conversely, other reviews report neglectful incidents: wound care not provided, medications missing, slow or non-existent response to call lights, and in extreme cases residents left in soiled conditions. This sharp contrast suggests inconsistency in standards of care that may depend on staffing levels, shifts, or individual employees.

    Staff and management are another major dividing line. Many reviewers single out dedicated, compassionate nurses, CNAs, and kitchen staff who go above and beyond. However, a recurring theme among negative reviews is poor management: favoritism, chaotic leadership, chronic understaffing, staff suspensions and firings, and a perceived emphasis on financial concerns over resident rights. These management issues are cited as contributing to morale problems and staff turnover, which reviewers link to the inconsistent care noted elsewhere. Several complaints specifically mention weekend or particular-shift nurses being inattentive or rude, suggesting variability by shift.

    Facility, cleanliness, and privacy issues are similarly mixed. Some reviewers describe the environment as clean, organized, and well maintained; others report unclean rooms and bathrooms and lapses in hygiene. A notable and serious privacy concern appears in one review alleging that a nurse posted medications and residents' names on social media — an incident that raises compliance and confidentiality red flags. Communication with families also emerges as a frequent issue: reports include poor updates, misinformation, and families being lied to, which exacerbates mistrust when problems arise.

    Dining and activities are among the most consistently praised features. Multiple reviewers applaud the nutritious, tasty meals and the kitchen staff's willingness to accommodate dietary needs. Activities programming, social engagement, exercise options, and faith support are repeatedly cited as strengths that contribute positively to residents' quality of life.

    In summary, Avoca Specialty Care appears to offer strong positives — notably in dining, social programming, and in many cases compassionate hands-on caregiving — but is also associated with serious and recurring concerns around staffing consistency, management practices, communication, and occasional lapses in hygiene and clinical care. The pattern suggests that experiences can vary significantly depending on staff on duty, shift (weekend versus weekday), and recent managerial changes. Prospective residents and families should weigh both the glowing endorsements and the warnings: ask specific questions about staffing ratios and turnover, wound-care protocols, weekend coverage, privacy policies, and how the facility handles incidents and family communication, and consider visiting multiple times across different days/shifts to assess consistency.

    Location

    Map showing location of Avoca Specialty Care

    About Avoca Specialty Care

    Avoca Specialty Care is a skilled nursing and long-term care community dedicated to providing compassionate, individualized care for each resident. With the ability to care for up to 46 residents at any given time, the community ensures a close-knit and supportive environment. Operating around the clock, Avoca Specialty Care offers care services 24 hours a day, seven days a week, ensuring that residents always have access to assistance and support when needed.

    Residents from Avoca and the surrounding areas of Pottawattamie County, Iowa, are welcomed into a home-like setting where peace of mind and well-being are central to the care philosophy. The building itself is a single-story structure with a sloped roof and a welcoming brick entrance, designed to provide comfort and accessibility. A bench near the door invites residents and visitors to enjoy the outdoors, and landscaping features mature trees that contribute to an atmosphere of tranquility and connection with nature.

    At Avoca Specialty Care, the primary focus is on enhancing the quality of life for residents. Daily programming includes a wide array of social and educational activities that provide mental stimulation and opportunities for meaningful engagement. The staff is committed to offering experiences that promote not just physical health, but also social connection and emotional well-being. Thoughtful services and activities are tailored to the individual needs of residents, encouraging participation and helping each person to thrive.

    For those requiring long-term care, Avoca Specialty Care is equipped to support individuals experiencing chronic illnesses or complex medical conditions such as Alzheimer's disease or heart disease. Short-term rehabilitation services are also available, utilizing a variety of state-of-the-art therapeutic approaches personalized to each resident's recovery goals. The team is devoted to supporting residents through both the challenges of rehabilitation and the transitions involved in long-term care.

    Avoca Specialty Care takes pride in its dedicated team of more than 50 staff members who are the heart of the community. These professionals bring expertise, warmth, and a genuine commitment to making a positive difference in the lives of residents. The environment at Avoca Specialty Care is designed to feel like a true home, where every resident is treated with dignity, compassion, and respect. Programs and amenities are thoughtfully integrated to encourage mindful movement, social interaction, and the joys of nature, creating a nurturing setting where residents can flourish.

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