Nursing HomeInspections

Creston Specialty Care

Nursing home in Creston, IA

Medicare & Medicaid certified2★ overall (CMS)

Call (641) 782-8511Send a messageMap ↗

Public-record details

Address
1001 Cottonwood Drive, Creston, IA 50801
Phone
(641) 782-8511
Listed under
Nonprofit
Medicare CCN
165199
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measures rating
3 of 5
Certified beds
74
Average residents per day
52
Ownership
Nonprofit, corporation
Legal business name
Care Initiatives
Chain
Care Initiatives (43 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 1, 1994
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 165199. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jul 1, 2026. CMS lists 19 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 4, 2024 to Jul 1, 2026): 7 from complaint inspections, 2 at the “actual harm” level or higher.

InspectionCitationSeverity
Jul 1, 2026Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 1, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 1, 2026Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in…
Pharmacy Service		E
Potential for more than minimal harm, pattern
Jul 1, 2026Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary · complaint inspection		E
Potential for more than minimal harm, pattern
Jul 1, 2026Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Jul 1, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Oct 9, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Oct 9, 2025Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · complaint inspection		D
Potential for more than minimal harm, isolated
May 8, 2025Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
May 8, 2025Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff…
Infection Control		D
Potential for more than minimal harm, isolated
May 8, 2025Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Dec 31, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 19. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $19,663 in the last three years.

Jun 20, 2024Fine: $12,048
Jan 4, 2024Fine: $7,615

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.26 hours
Registered nurse (RN) time per resident per day
0.60 hours
Nurse aide time per resident per day
1.75 hours
Total nurse staffing on weekends
2.81 hours
Nursing staff turnover (yearly)
48%
RN turnover (yearly)
63%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Creston

Accura Healthcare of Creston1000 East Howard · Creston, IA 50801 · (641) 782-5012 · For-profit38 health citations in 3 inspection cycles · last standard inspection Jun 25, 2026 · $16,801 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)

All 2 in Creston →