nursing home in Creston, IA
Accura Healthcare of Creston
1000 East Howard, Creston, IA 50801 · (641) 782-5012
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★3
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Accura Healthcare of Creston at a glance
Accura Healthcare of Creston is a 31-bed for-profit nursing home in Creston, Iowa (Union County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Iowa average of 3.1.
Residents receive about 3.8 hours of nursing care per day (0.9 of them from registered nurses), close to the state average of 3.8 hours.
Its most recent standard health inspection (June 25, 2026) found 7 health citations. The Iowa average is 6.5.
Federal regulators fined it 1 time in the past three years, totaling $16,801.
Nursing staff turnover is 68.4% per year (state average 44%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 31
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Accura Healthcare
- Medicare-certified since
- June 21, 1996
- Resident/family council
- Resident
- County
- Union County
- CMS Certification Number
- 165275
Ratings
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 3.1 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 3.3 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.80 hrs | 3.82 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.90 hrs | 0.74 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.33 hrs | 2.52 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.13 hrs | 3.37 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 68.4% | 44% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 77.8% | 42.1% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 0 | 1 | Worse |
Inspections
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 7 | 6 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 3 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 45 | 54.5 | 80.6 | Better |
Penalties
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $16,801 | $19,286 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
Size
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 31 | 65 | 107 | |
| Average residents per day | 25 | 52 | 86 | |
| Occupancy | 81.6% | 81.5% | 80.9% |
Long-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.2% | 3.8% | 3.2% | Average |
| Long-stay residents with pressure ulcers (lower is better) | 1.5% | 4.2% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 20% | 19.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 3.2% | 2.4% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.6% | 1.5% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 37.3% | 17.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 44.6% | 16.6% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 5.2% | 4.6% | 5.2% | Average |
| Long-stay residents with depressive symptoms (lower is better) | 1.2% | 4.2% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.2% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 20.8% | 20.8% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 41.9% | 25.6% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 96.2% | 95.3% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 90.3% | 94% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Iowa avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 81.8% | 84% | 82% | Average |
Inspection citations
State inspectors cited this home for 38 health deficiencies and 2 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 25, 2026 Standard | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Tag F0676 | E Potential harm, pattern | Corrected July 13, 2026 |
| June 25, 2026 Standard | 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. Resident Rights Deficiencies · Tag F0584 | D Potential harm, isolated | Corrected July 10, 2026 |
| June 25, 2026 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected July 10, 2026 |
| June 25, 2026 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected July 10, 2026 |
| June 25, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected July 10, 2026 |
| October 30, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected December 12, 2025 |
| October 30, 2025 Complaint | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | D Potential harm, isolated | Corrected December 12, 2025 |
| July 11, 2024 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected July 31, 2024 |
| July 11, 2024 Standard | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | J Immediate jeopardy, isolated | Corrected July 25, 2024 |
| July 11, 2024 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | F Potential harm, widespread | Corrected August 8, 2024 |
| July 11, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected August 8, 2024 |
| July 11, 2024 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | E Potential harm, pattern | Corrected August 8, 2024 |
| July 11, 2024 Standard | Provide behavior health training consistent with the requirements and as determined by a facility assessment. Administration Deficiencies · Tag F0949 | E Potential harm, pattern | Corrected August 8, 2024 |
| July 11, 2024 Standard | Provide training in compliance and ethics. Administration Deficiencies · Tag F0946 | E Potential harm, pattern | Corrected August 8, 2024 |
| July 11, 2024 Standard | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. Infection Control Deficiencies · Tag F0945 | E Potential harm, pattern | Corrected August 8, 2024 |
| July 11, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected August 8, 2024 |
| July 11, 2024 Standard | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Tag F0940 | E Potential harm, pattern | Corrected August 8, 2024 |
| July 11, 2024 Standard | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Administration Deficiencies · Tag F0941 | E Potential harm, pattern | Corrected August 8, 2024 |
| July 11, 2024 Standard | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. Resident Rights Deficiencies · Tag F0942 | E Potential harm, pattern | Corrected August 8, 2024 |
| July 11, 2024 Standard | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · Tag F0944 | E Potential harm, pattern | Corrected August 8, 2024 |
| July 11, 2024 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | E Potential harm, pattern | Corrected August 8, 2024 |
| July 11, 2024 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected August 8, 2024 |
| July 11, 2024 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected August 8, 2024 |
| July 11, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected August 8, 2024 |
| July 11, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected August 8, 2024 |
| July 11, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected August 8, 2024 |
| July 11, 2024 Complaint | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected August 8, 2024 |
| July 11, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected August 8, 2024 |
| July 11, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected August 8, 2024 |
| July 11, 2024 Standard | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Tag F0582 | D Potential harm, isolated | Corrected August 8, 2024 |
| July 11, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected August 8, 2024 |
| July 11, 2024 Standard | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Administration Deficiencies · Tag F0838 | C No harm, widespread | Corrected August 8, 2024 |
| July 11, 2024 Standard | Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. Administration Deficiencies · Tag F0843 | C No harm, widespread | Corrected August 8, 2024 |
| May 16, 2024 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected June 1, 2024 |
| March 21, 2024 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | F Potential harm, widespread | Corrected March 22, 2024 |
| February 1, 2024 Complaint | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected February 8, 2024 |
| February 1, 2024 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected February 26, 2024 |
| February 1, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected February 26, 2024 |
| February 1, 2024 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected February 26, 2024 |
| January 31, 2024 Fire safety | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Tag K0711 | F Potential harm, widespread | Corrected February 23, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $16,801 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| July 11, 2024 | Fine | $16,801 |
| January 31, 2024 | Payment Denial | 28 days from February 23, 2024 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ACCURA MANAGEMENT CONSULTING SERVICES LLC Organization | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| ALLEN, BRADY Individual | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| AVIV FINANCING II LLC Organization | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| AVIV HEALTHCARE HOLDINGS LLC Organization | adp of the snf | NOT APPLICABLE | 06/03/2025 |
| AVIV HEALTHCARE OF THE MIDWEST LLC Organization | adp of the snf | NOT APPLICABLE | 06/03/2025 |
| AVIV HEALTHCARE PROPERTIES OPERATING PARTNERSHIP I LP Organization | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| AVIV OP LIMITED PARTNER LLC Organization | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| GLASER, KRISTOPHER Individual | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| IOWA LINCOLN COUNTY PROPERTY LLC Organization | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| KIMMONS HEALTHCARE INVESTMENTS LLC Organization | adp of the snf | NOT APPLICABLE | 06/03/2025 |
| KLEINSASSER, MEGAN Individual | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| LENEAVE, TED Individual | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| MILLER, DANIEL Individual | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP Organization | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| OMEGA HEALTHCARE INVESTORS INC Organization | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| ROHRIG, RICKY Individual | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| TOTI, LISA Individual | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| WILLIAMS, CARA Individual | adp of the snf | NOT APPLICABLE | 02/01/2025 |
| AVIV HEALTHCARE OF THE MIDWEST LLC Organization | direct ownership interest | NOT APPLICABLE | 02/01/2025 |
| ALLEN, BRADY Individual | indirect ownership interest | NOT APPLICABLE | 02/01/2025 |
| AVENUE94 LLC Organization | indirect ownership interest | NOT APPLICABLE | 02/01/2025 |
| AVIV HEALTHCARE HOLDINGS LLC Organization | indirect ownership interest | NOT APPLICABLE | 02/01/2025 |
| GLASER, KRISTOPHER Individual | indirect ownership interest | NOT APPLICABLE | 02/01/2025 |
| KIMMONS HEALTHCARE INVESTMENTS LLC Organization | indirect ownership interest | NOT APPLICABLE | 02/01/2025 |
| KLEINSASSER, MEGAN Individual | indirect ownership interest | NOT APPLICABLE | 02/01/2025 |
| KTL ENTERPRISES LLC Organization | indirect ownership interest | NOT APPLICABLE | 02/01/2025 |
| LENEAVE, TED Individual | indirect ownership interest | NOT APPLICABLE | 02/01/2025 |
| LITTLE RIVER INVESTMENTS LLC Organization | indirect ownership interest | NOT APPLICABLE | 02/01/2025 |
| TOTI, LISA Individual | indirect ownership interest | NOT APPLICABLE | 02/01/2025 |
| ZRR OPCO LLC Organization | indirect ownership interest | NOT APPLICABLE | 02/01/2025 |
| ACCURA MANAGEMENT CONSULTING SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| ALLEN, BRADY Individual | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| GLASER, KRISTOPHER Individual | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| KLEINSASSER, MEGAN Individual | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| LENEAVE, TED Individual | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| MILLER, DANIEL Individual | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| ROHRIG, RICKY Individual | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| TOTI, LISA Individual | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
| WILLIAMS, CARA Individual | operational/managerial control | NOT APPLICABLE | 02/01/2025 |
Other nursing homes near Accura Healthcare of Creston
Creston Specialty Care
1001 Cottonwood Drive, Creston, IA 50801 · 1.9 mi
Non-profit · 74 beds · Part of Care Initiatives
★★★★★2Below averageLenox Care Center
111 East Van Buren, Lenox, IA 50851 · 16.2 mi
For-profit · 36 beds · Part of Campbell Street Services
★★★★★3AverageGreenfield Rehabilitation & Health Care Center
615 SE Kent Street, Greenfield, IA 50849 · 17.5 mi
For-profit · 46 beds
★★★★★3AverageCorning Specialty Care
1614 Northgate Drive, Corning, IA 50841 · 20.3 mi
Non-profit · 40 beds · Part of Care Initiatives
★★★★★4Above average- ★★★★★4Above average
- ★★★★★4Above average
Frequently asked questions
What is Accura Healthcare of Creston's rating?
Accura Healthcare of Creston has 2 out of 5 stars on the CMS overall star rating. The average for Iowa nursing homes is 3.1 stars.
How many inspection citations did Accura Healthcare of Creston receive?
Its most recent standard health inspection found 7 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.
Does Accura Healthcare of Creston accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Accura Healthcare of Creston?
It is for profit - limited liability company and part of Accura Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Accura Healthcare of Creston and how do I contact it?
Accura Healthcare of Creston is at 1000 East Howard, Creston, IA 50801. Phone: (641) 782-5012.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.