Nursing HomeInspections

Accura Healthcare of Creston

Nursing home in Creston, IA

Medicare & Medicaid certified2★ overall (CMS)

Call (641) 782-5012Send a messageMap ↗

Public-record details

Address
1000 East Howard, Creston, IA 50801
Phone
(641) 782-5012
Listed under
For-profit
Medicare CCN
165275
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measures rating
2 of 5
Certified beds
31
Average residents per day
25
Ownership
For-profit, limited Liability company
Legal business name
Accura Healthcare of Creston LLC
Chain
Accura Healthcare (41 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 21, 1996
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 165275. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 25, 2026. CMS lists 38 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 1, 2024 to Jun 25, 2026): 14 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Jun 25, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Jun 25, 2026Honor 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		D
Potential for more than minimal harm, isolated
Jun 25, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jun 25, 2026PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jun 25, 2026Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Oct 30, 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 30, 2025Ensure 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Jul 11, 2024Conduct 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…
Administration		C
Potential for minimal harm, widespread
Jul 11, 2024Have 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		C
Potential for minimal harm, widespread
Jul 11, 2024Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights		D
Potential for more than minimal harm, isolated
Jul 11, 2024Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 11, 2024Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 38. 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 1 fine totalling $16,801 and 1 denial of Medicare payment for new admissions in the last three years.

Jul 11, 2024Fine: $16,801
Jan 31, 2024Payment denial for 28 days from Feb 23, 2024

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
3.80 hours
Registered nurse (RN) time per resident per day
0.90 hours
Nurse aide time per resident per day
2.33 hours
Total nurse staffing on weekends
3.13 hours
Nursing staff turnover (yearly)
68%
RN turnover (yearly)
78%
Administrators who left in the past year
2

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

Creston Specialty Care1001 Cottonwood Drive · Creston, IA 50801 · (641) 782-8511 · Nonprofit19 health citations in 3 inspection cycles · last standard inspection Jul 1, 2026 · $19,663 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)

All 2 in Creston →