CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Iowa. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Accura Healthcare of Creston is a 2-star Medicare and Medicaid certified nursing home in Creston, Iowa with 31 certified beds. It has been operating since 1996. Its overall CMS rating is 2 out of 5.
Ensure services provided by the nursing facility meet professional standards of quality.
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.
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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.
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.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
+ 3 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| AVIV HEALTHCARE OF THE MIDWEST LLC | DIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 1, 2025 |
| AVENUE94 LLC | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 1, 2025 |
| AVIV HEALTHCARE HOLDINGS LLC | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 1, 2025 |
| KIMMONS HEALTHCARE INVESTMENTS LLC | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 1, 2025 |
| KTL ENTERPRISES LLC | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 1, 2025 |
| LITTLE RIVER INVESTMENTS LLC | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 1, 2025 |
| ZRR OPCO LLC | INDIRECT OWNERSHIP INTEREST | Organization | N/A | Feb 1, 2025 |
| ALLEN, BRADY | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Feb 1, 2025 |
| GLASER, KRISTOPHER | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Feb 1, 2025 |
| KLEINSASSER, MEGAN | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Feb 1, 2025 |
| LENEAVE, TED | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Feb 1, 2025 |
| TOTI, LISA | INDIRECT OWNERSHIP INTEREST | Individual | N/A | Feb 1, 2025 |
| ACCURA MANAGEMENT CONSULTING SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Feb 1, 2025 |
| ALLEN, BRADY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2025 |
| GLASER, KRISTOPHER | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2025 |
| KLEINSASSER, MEGAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2025 |
| LENEAVE, TED | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2025 |
| MILLER, DANIEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2025 |
| ROHRIG, RICKY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2025 |
| TOTI, LISA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2025 |
| WILLIAMS, CARA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2025 |
| ACCURA MANAGEMENT CONSULTING SERVICES LLC | ADP OF THE SNF | Organization | N/A | Feb 1, 2025 |
| AVIV FINANCING II LLC | ADP OF THE SNF | Organization | N/A | Feb 1, 2025 |
| AVIV HEALTHCARE HOLDINGS LLC | ADP OF THE SNF | Organization | N/A | Jun 3, 2025 |
| AVIV HEALTHCARE OF THE MIDWEST LLC | ADP OF THE SNF | Organization | N/A | Jun 3, 2025 |
| AVIV HEALTHCARE PROPERTIES OPERATING PARTNERSHIP I LP | ADP OF THE SNF | Organization | N/A | Feb 1, 2025 |
| AVIV OP LIMITED PARTNER LLC | ADP OF THE SNF | Organization | N/A | Feb 1, 2025 |
| IOWA LINCOLN COUNTY PROPERTY LLC | ADP OF THE SNF | Organization | N/A | Feb 1, 2025 |
| KIMMONS HEALTHCARE INVESTMENTS LLC | ADP OF THE SNF | Organization | N/A | Jun 3, 2025 |
| OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIP | ADP OF THE SNF | Organization | N/A | Feb 1, 2025 |
| OMEGA HEALTHCARE INVESTORS INC | ADP OF THE SNF | Organization | N/A | Feb 1, 2025 |
| ALLEN, BRADY | ADP OF THE SNF | Individual | N/A | Feb 1, 2025 |
| GLASER, KRISTOPHER | ADP OF THE SNF | Individual | N/A | Feb 1, 2025 |
| KLEINSASSER, MEGAN | ADP OF THE SNF | Individual | N/A | Feb 1, 2025 |
| LENEAVE, TED | ADP OF THE SNF | Individual | N/A | Feb 1, 2025 |
| MILLER, DANIEL | ADP OF THE SNF | Individual | N/A | Feb 1, 2025 |
| ROHRIG, RICKY | ADP OF THE SNF | Individual | N/A | Feb 1, 2025 |
| TOTI, LISA | ADP OF THE SNF | Individual | N/A | Feb 1, 2025 |
| WILLIAMS, CARA | ADP OF THE SNF | Individual | N/A | Feb 1, 2025 |
Compare CMS ratings and recorded fines for Accura Healthcare of Creston and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 43 facilities. View all →