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HomeIowaAccura Healthcare of Creston

Accura Healthcare of Creston

1000 East Howard, Creston, IA 508016417825012WebsiteGoogle Maps
2.6on Google(5 reviews)
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
3/5
Quality
2/5
Beds
31
certified
1 fine(s) totaling $16,801

How Accura Healthcare of Creston Compares in Iowa

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.

CMS overall rating
2/5
IA average
3.1/5
Below state average
Health inspection rating
2/5
IA average
2.8/5
Below state average
Staffing rating
3/5
IA average
3.6/5
Below state average
Nursing hours per resident
3.80 hrs/day
IA average
3.81 hrs/day
Close to state average
RN hours per resident
0.90 hrs/day
IA average
0.74 hrs/day
Above state average
Staff turnover
68.4%
IA average
44.1%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 overall CMS rating is below the Iowa average of 3.1/5.
Its 2/5 health inspection rating is below the Iowa average of 2.8/5.
Reported RN time is 0.90 hours per resident per day, above the state average of 0.74.
Staff turnover is 68.4%, higher than the Iowa average of 44.1%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
31
deficiency citations
Inspected Jul 11, 2024
Most recent cycle
2
deficiency citations
Inspected May 15, 2025
The most recent cycle recorded 29 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$7,148/mo
Iowa median
Private Room
$8,091/mo
Iowa median
Union County 65+
2,483
20.5% of county
County Population
12,107
Union County

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.

Beds
31
Avg Residents/Day
25.3
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jun 21, 1996
Sprinklers
Yes
Council
Resident
County
Union
Last Inspection
May 15, 2025
Deficiencies (Cycle 1)
2
Weighted Score
70.5
Infection Citations
0

Deficiency Citations (33)

F0658Potential for Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Oct 30, 2025Corrected: NoCycle: 1
F0726Potential for Harm

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.

Survey: Oct 30, 2025Corrected: NoCycle: 1
F0805Immediate Jeopardy

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0940Potential for Harm

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0941Potential for Harm

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0942Potential for Harm

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0944Potential for Harm

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0945Potential for Harm

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0946Potential for Harm

Provide training in compliance and ethics.

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0949Potential for Harm

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0582Potential for Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0637Potential for Harm

Assess the resident when there is a significant change in condition

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0644Potential for Harm

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0838Minimal Harm

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.

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0843Minimal Harm

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.

Survey: Jul 11, 2024Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: May 16, 2024Corrected: NoCycle: 3
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Mar 21, 2024Corrected: NoCycle: 3
F0686Actual Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Feb 1, 2024Corrected: NoCycle: 3

+ 3 more deficiencies

Total Fines
$16,801
Number of Fines
1
Payment Denials
1
Total Penalties
2

Penalty History

FineJul 11, 2024
$16,801
Payment DenialJan 31, 2024
28 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.33 hrs
National avg: 2.32 hrs
LPN0.57 hrs
National avg: 0.86 hrs
RN0.90 hrs
National avg: 0.69 hrs
Total Nursing3.80 hrs
National avg: 3.86 hrs
Weekend Total3.13 hrs
National avg: 0.00 hrs
Physical Therapist0.01 hrs
National avg: 0.07 hrs
Total Turnover
68.4%
RN Turnover
77.8%
Administrators Left
2

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (39)

NameRoleTypeOwnership %Since
AVIV HEALTHCARE OF THE MIDWEST LLCDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2025
AVENUE94 LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2025
AVIV HEALTHCARE HOLDINGS LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2025
KIMMONS HEALTHCARE INVESTMENTS LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2025
KTL ENTERPRISES LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2025
LITTLE RIVER INVESTMENTS LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2025
ZRR OPCO LLCINDIRECT OWNERSHIP INTERESTOrganizationN/AFeb 1, 2025
ALLEN, BRADYINDIRECT OWNERSHIP INTERESTIndividualN/AFeb 1, 2025
GLASER, KRISTOPHERINDIRECT OWNERSHIP INTERESTIndividualN/AFeb 1, 2025
KLEINSASSER, MEGANINDIRECT OWNERSHIP INTERESTIndividualN/AFeb 1, 2025
LENEAVE, TEDINDIRECT OWNERSHIP INTERESTIndividualN/AFeb 1, 2025
TOTI, LISAINDIRECT OWNERSHIP INTERESTIndividualN/AFeb 1, 2025
ACCURA MANAGEMENT CONSULTING SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AFeb 1, 2025
ALLEN, BRADYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2025
GLASER, KRISTOPHEROPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2025
KLEINSASSER, MEGANOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2025
LENEAVE, TEDOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2025
MILLER, DANIELOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2025
ROHRIG, RICKYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2025
TOTI, LISAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2025
WILLIAMS, CARAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2025
ACCURA MANAGEMENT CONSULTING SERVICES LLCADP OF THE SNFOrganizationN/AFeb 1, 2025
AVIV FINANCING II LLCADP OF THE SNFOrganizationN/AFeb 1, 2025
AVIV HEALTHCARE HOLDINGS LLCADP OF THE SNFOrganizationN/AJun 3, 2025
AVIV HEALTHCARE OF THE MIDWEST LLCADP OF THE SNFOrganizationN/AJun 3, 2025
AVIV HEALTHCARE PROPERTIES OPERATING PARTNERSHIP I LPADP OF THE SNFOrganizationN/AFeb 1, 2025
AVIV OP LIMITED PARTNER LLCADP OF THE SNFOrganizationN/AFeb 1, 2025
IOWA LINCOLN COUNTY PROPERTY LLCADP OF THE SNFOrganizationN/AFeb 1, 2025
KIMMONS HEALTHCARE INVESTMENTS LLCADP OF THE SNFOrganizationN/AJun 3, 2025
OHI HEALTHCARE PROPERTIES LIMITED PARTNERSHIPADP OF THE SNFOrganizationN/AFeb 1, 2025
OMEGA HEALTHCARE INVESTORS INCADP OF THE SNFOrganizationN/AFeb 1, 2025
ALLEN, BRADYADP OF THE SNFIndividualN/AFeb 1, 2025
GLASER, KRISTOPHERADP OF THE SNFIndividualN/AFeb 1, 2025
KLEINSASSER, MEGANADP OF THE SNFIndividualN/AFeb 1, 2025
LENEAVE, TEDADP OF THE SNFIndividualN/AFeb 1, 2025
MILLER, DANIELADP OF THE SNFIndividualN/AFeb 1, 2025
ROHRIG, RICKYADP OF THE SNFIndividualN/AFeb 1, 2025
TOTI, LISAADP OF THE SNFIndividualN/AFeb 1, 2025
WILLIAMS, CARAADP OF THE SNFIndividualN/AFeb 1, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Accura Healthcare of Creston and nearby alternatives.

All Iowa facilities
Accura Healthcare of Creston
Creston, IACurrent facility
CMS
2/5
Health
2/5
Staffing
3/5
Recorded fines: $16,801
Creston Specialty Care
Creston, IA1.9 mi
CMS
3/5
Health
3/5
Staffing
3/5
Recorded fines: $19,663
Lenox Care Center
Lenox, IA16.2 mi
CMS
3/5
Health
2/5
Staffing
5/5
Recorded fines: None
Greenfield Rehabilitation & Health Care Center
Greenfield, IA17.5 mi
CMS
3/5
Health
2/5
Staffing
2/5
Recorded fines: $4,516
Corning Specialty Care
Corning, IA20.3 mi
CMS
4/5
Health
3/5
Staffing
4/5
Recorded fines: None
Clearview Home
Mount Ayr, IA24.4 mi
CMS
4/5
Health
4/5
Staffing
4/5
Recorded fines: None
Mount Ayr Health Care Center
Mount Ayr, IA25.0 mi
CMS
4/5
Health
3/5
Staffing
5/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Accura Healthcare of Creston
Creston, IA · Current facility
—2/52/53/5$16,801
Creston Specialty Care
Creston, IA
1.9 mi3/53/53/5$19,663
Lenox Care Center
Lenox, IA
16.2 mi3/52/55/5None recorded
Greenfield Rehabilitation & Health Care Center
Greenfield, IA
17.5 mi3/52/52/5$4,516
Corning Specialty Care
Corning, IA
20.3 mi4/53/54/5None recorded
Clearview Home
Mount Ayr, IA
24.4 mi4/54/54/5None recorded
Mount Ayr Health Care Center
Mount Ayr, IA
25.0 mi4/53/55/5None recorded

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.

Frequently Asked Questions

What is the CMS rating for Accura Healthcare of Creston?▾
Accura Healthcare of Creston has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 3/5, and quality measures rating of 2/5. This facility is rated below average.
How much does Accura Healthcare of Creston cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Iowa is $7,148/month for a semi-private room and $8,091/month for a private room (Genworth/CareScout 2024). Accura Healthcare of Creston participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Accura Healthcare of Creston had any health inspection violations?▾
Accura Healthcare of Creston had 2 deficiency citations in its most recent health inspection (May 15, 2025). The current CMS dataset records 1 fine(s) totaling $16,801.
What are the staffing levels at Accura Healthcare of Creston?▾
Accura Healthcare of Creston provides 3.80 total nursing staff hours per resident per day, including 0.90 RN hours, 0.57 LPN hours, and 2.33 nurse aide hours. The total staff turnover rate is 68.4%.
How many beds does Accura Healthcare of Creston have?▾
Accura Healthcare of Creston has 31 certified beds with an average of 25.3 residents per day, resulting in approximately 82% occupancy. The facility is For profit - Limited Liability company owned and is part of the Accura Healthcare chain.
Are there other nursing homes near Accura Healthcare of Creston?▾
Yes. This page lists 6 nearby nursing homes in Iowa, including 1 in Creston. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Accura Healthcare of Creston?▾
On Google Maps, Accura Healthcare of Creston has a rating of 2.6 out of 5 based on 5 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 2/5.

Part of Accura Healthcare

This chain operates 43 facilities. View all →