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HomeIowaCreston Specialty Care

Creston Specialty Care

1001 Cottonwood Drive, Creston, IA 508016417828511WebsiteGoogle Maps
3.9on Google(12 reviews)
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
3/5
Staffing
3/5
Quality
3/5
Beds
74
certified
2 fine(s) totaling $19,663

How Creston Specialty Care 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
3/5
IA average
3.1/5
Close to state average
Health inspection rating
3/5
IA average
2.8/5
Close to state average
Staffing rating
3/5
IA average
3.6/5
Below state average
Nursing hours per resident
3.26 hrs/day
IA average
3.81 hrs/day
Below state average
RN hours per resident
0.60 hrs/day
IA average
0.74 hrs/day
Below state average
Staff turnover
48.1%
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

Reported nursing time is 3.26 hours per resident per day, below the state average of 3.81.
Reported RN time is 0.60 hours per resident per day, below the state average of 0.74.

Health Inspection Trend

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

Previous cycle
8
deficiency citations
Inspected Jun 20, 2024
Most recent cycle
5
deficiency citations
Inspected May 8, 2025
The most recent cycle recorded 3 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.

Creston Specialty Care is a 3-star Medicare and Medicaid certified nursing home in Creston, Iowa with 74 certified beds. It has been operating since 1994. Its overall CMS rating is 3 out of 5.

Beds
74
Avg Residents/Day
51.6
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Mar 1, 1994
Sprinklers
Yes
Council
Resident
County
Union
Last Inspection
May 8, 2025
Deficiencies (Cycle 1)
5
Weighted Score
37.0
Infection Citations
0

Deficiency Citations (17)

F0658Potential for Harm

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

Survey: Oct 9, 2025Corrected: NoCycle: 1
F0725Potential for Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: Oct 9, 2025Corrected: NoCycle: 1
F0637Potential for Harm

Assess the resident when there is a significant change in condition

Survey: May 8, 2025Corrected: NoCycle: 1
F0561Potential for Harm

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Survey: May 8, 2025Corrected: NoCycle: 1
F0887Potential for Harm

Educate 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 member's vaccination status.

Survey: May 8, 2025Corrected: NoCycle: 1
F0658Potential for Harm

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

Survey: Dec 31, 2024Corrected: NoCycle: 2
F0689Actual Harm

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

Survey: Jun 20, 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: Jun 20, 2024Corrected: NoCycle: 2
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Jun 20, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jun 20, 2024Corrected: NoCycle: 2
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Jun 20, 2024Corrected: NoCycle: 2
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Jun 20, 2024Corrected: NoCycle: 2
F0684Actual Harm

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

Survey: Jan 4, 2024Corrected: NoCycle: 3
F0658Potential for Harm

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

Survey: Jul 20, 2023Corrected: NoCycle: 3
F0804Potential for Harm

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

Survey: Jul 20, 2023Corrected: NoCycle: 3
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 20, 2023Corrected: NoCycle: 3
F0602Potential for Harm

Protect each resident from the wrongful use of the resident's belongings or money.

Survey: Jul 20, 2023Corrected: NoCycle: 3
Total Fines
$19,663
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineJan 4, 2024
$7,615
FineJun 20, 2024
$12,048

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

Nurse Aide1.75 hrs
National avg: 2.32 hrs
LPN0.91 hrs
National avg: 0.86 hrs
RN0.60 hrs
National avg: 0.69 hrs
Total Nursing3.26 hrs
National avg: 3.86 hrs
Weekend Total2.81 hrs
National avg: 0.00 hrs
Physical Therapist0.02 hrs
National avg: 0.07 hrs
Total Turnover
48.1%
RN Turnover
62.5%
Administrators Left
0

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

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (24)

NameRoleTypeOwnership %Since
CARE INITIATIVES5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Nov 12, 2010
COMPUTERSHARE CORPORATE TRUST COMPANY, NA5% OR GREATER MORTGAGE INTERESTOrganizationN/AFeb 1, 2025
BEAL, MICHAELCORPORATE DIRECTORIndividualN/AJun 1, 2020
BOWEN, LANECORPORATE DIRECTORIndividualN/AJan 1, 2021
CAROTHERS, MARY JANECORPORATE DIRECTORIndividualN/AJan 1, 2023
CHILDS, KEVINCORPORATE DIRECTORIndividualN/AApr 1, 2023
CORLESS, PETERCORPORATE DIRECTORIndividualN/AJan 1, 2025
KREIN, KEITHCORPORATE DIRECTORIndividualN/AJun 29, 2022
RUST, ELIZABETHCORPORATE DIRECTORIndividualN/AJan 1, 2023
STURM, DENISECORPORATE DIRECTORIndividualN/AJan 1, 2021
UPMEYER, LINDACORPORATE DIRECTORIndividualN/AJun 29, 2022
BEAL, MICHAELCORPORATE OFFICERIndividualN/AJun 1, 2020
DIXON, DAVIDCORPORATE OFFICERIndividualN/AJun 1, 2016
DRAKE, EMILYCORPORATE OFFICERIndividualN/AJan 4, 2023
GILYARD, TANYACORPORATE OFFICERIndividualN/AMay 23, 2025
KUHN, JERAMYCORPORATE OFFICERIndividualN/AJun 25, 2008
MCDYER, JESSICACORPORATE OFFICERIndividualN/AFeb 22, 2023
VOLM, JOHANNACORPORATE OFFICERIndividualN/AJan 1, 2021
BOEVE, DESTINYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2024
GIJIMA, DESIREOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2024
HARVEY, LORIOPERATIONAL/MANAGERIAL CONTROLIndividualN/AAug 1, 2013
COMPUTERSHARE CORPORATE TRUST COMPANY, NAADP OF THE SNFOrganizationN/AApr 10, 2025
GIJIMA, DESIREADP OF THE SNFIndividualN/AJul 16, 2025
HARVEY, LORIADP OF THE SNFIndividualN/AApr 10, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Creston Specialty Care and nearby alternatives.

All Iowa facilities
Creston Specialty Care
Creston, IACurrent facility
CMS
3/5
Health
3/5
Staffing
3/5
Recorded fines: $19,663
Accura Healthcare of Creston
Creston, IA1.9 mi
CMS
2/5
Health
2/5
Staffing
3/5
Recorded fines: $16,801
Lenox Care Center
Lenox, IA15.5 mi
CMS
3/5
Health
2/5
Staffing
5/5
Recorded fines: None
Greenfield Rehabilitation & Health Care Center
Greenfield, IA16.6 mi
CMS
3/5
Health
2/5
Staffing
2/5
Recorded fines: $4,516
Corning Specialty Care
Corning, IA18.7 mi
CMS
4/5
Health
3/5
Staffing
4/5
Recorded fines: None
Clearview Home
Mount Ayr, IA25.4 mi
CMS
4/5
Health
4/5
Staffing
4/5
Recorded fines: None
Azria Health Winterset
Winterset, IA26.0 mi
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Creston Specialty Care
Creston, IA · Current facility
—3/53/53/5$19,663
Accura Healthcare of Creston
Creston, IA
1.9 mi2/52/53/5$16,801
Lenox Care Center
Lenox, IA
15.5 mi3/52/55/5None recorded
Greenfield Rehabilitation & Health Care Center
Greenfield, IA
16.6 mi3/52/52/5$4,516
Corning Specialty Care
Corning, IA
18.7 mi4/53/54/5None recorded
Clearview Home
Mount Ayr, IA
25.4 mi4/54/54/5None recorded
Azria Health Winterset
Winterset, IA
26.0 mi2/52/52/5None 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 Creston Specialty Care?▾
Creston Specialty Care has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 3/5, and quality measures rating of 3/5. This facility is rated average.
How much does Creston Specialty Care 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). Creston Specialty Care participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Creston Specialty Care had any health inspection violations?▾
Creston Specialty Care had 5 deficiency citations in its most recent health inspection (May 8, 2025). The current CMS dataset records 2 fine(s) totaling $19,663.
What are the staffing levels at Creston Specialty Care?▾
Creston Specialty Care provides 3.26 total nursing staff hours per resident per day, including 0.60 RN hours, 0.91 LPN hours, and 1.75 nurse aide hours. The total staff turnover rate is 48.1%.
How many beds does Creston Specialty Care have?▾
Creston Specialty Care has 74 certified beds with an average of 51.6 residents per day, resulting in approximately 70% occupancy. The facility is For profit - Corporation owned and is part of the Care Initiatives chain.
Are there other nursing homes near Creston Specialty Care?▾
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 Creston Specialty Care?▾
On Google Maps, Creston Specialty Care has a rating of 3.9 out of 5 based on 12 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 3/5.

Part of Care Initiatives

This chain operates 43 facilities. View all →