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Medicare-certifiedSkilled Nursing

Accura Healthcare of Creston

(641) 782-5012

About Accura Healthcare of Creston

Accura Healthcare of Creston provides compassionate skilled nursing and rehabilitation services to Creston, Iowa residents who need short-term recovery or long-term medical care. Our team focuses on helping patients regain independence through personalized treatment plans and attentive nursing support.

Community at a glance

Capacity

31 residents

Location

Creston, IA

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

1000 East Howard, Creston, Iowa 50801

(641) 782-5012

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

At its most recent standard inspection, on June 25, 2026, state inspectors cited 7 health deficiencies (the Iowa average is 6.5).

Nurses and nurse aides spend 3 hours 48 minutes with each resident a day, about the same as the Iowa average.

Medicare fined Accura Healthcare of Creston once in the last three years, $16,801 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 48 minutes
Registered nurse time per resident, per day54 minutesAbove the Iowa average
Nursing staff who left in the past year68%Above the Iowa average

2 administrators have left the home in the past year.

Inspections

38 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

June 25, 2026 · Standard inspection · 5 citations

  • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jul 13, 2026
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jul 10, 2026
  • PASARR screening for Mental disorders or Intellectual Disabilities

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 10, 2026
  • Honor 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jul 10, 2026
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 10, 2026

October 30, 2025 · Complaint investigation · 2 citations

  • 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.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected Dec 12, 2025
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Dec 12, 2025
July 11, 2024 · Standard inspection · 24 citations+
  • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Immediate danger to residents, a few residents (level J)Nutrition and DietaryCorrected Jul 25, 2024
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Aug 8, 2024
  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Aug 8, 2024
  • Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Risk of harm, no one hurt, a pattern (level E)AdministrationCorrected Aug 8, 2024
  • Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Aug 8, 2024
  • Provide training in compliance and ethics.

    Risk of harm, no one hurt, a pattern (level E)AdministrationCorrected Aug 8, 2024
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Aug 8, 2024
  • Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

    Risk of harm, no one hurt, a pattern (level E)AdministrationCorrected Aug 8, 2024
  • Provide behavior health training consistent with the requirements and as determined by a facility assessment.

    Risk of harm, no one hurt, a pattern (level E)AdministrationCorrected Aug 8, 2024
  • Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Aug 8, 2024
  • Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Risk of harm, no one hurt, a pattern (level E)AdministrationCorrected Aug 8, 2024
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Aug 8, 2024
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Aug 8, 2024
  • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Aug 8, 2024
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Aug 8, 2024
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Aug 8, 2024
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Aug 8, 2024
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Aug 8, 2024
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Aug 8, 2024
  • Assess the resident when there is a significant change in condition

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Aug 8, 2024
  • Ensure medication error rates are not 5 percent or greater.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Aug 8, 2024
  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Aug 8, 2024
  • 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.

    Minimal harm or risk, widespread (level C)AdministrationCorrected Aug 8, 2024
  • 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.

    Minimal harm or risk, widespread (level C)AdministrationCorrected Aug 8, 2024
July 11, 2024 · Complaint investigation · 1 citation+
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Aug 8, 2024
May 16, 2024 · Complaint investigation · 1 citation+
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 1, 2024
March 21, 2024 · Complaint investigation · 1 citation+
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Risk of harm, no one hurt, widespread (level F)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Mar 22, 2024
February 1, 2024 · Complaint investigation · 4 citations+
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Feb 8, 2024
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Feb 26, 2024
  • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Feb 26, 2024
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Feb 26, 2024

Fines and payment denials

1 fine totaling $16,801 and 1 Medicare payment denial in the last three years.

  • July 11, 2024Fine: $16,801
  • January 31, 2024Payment denial, 28 days

About the home, per Medicare

Ownership
For profit - Limited Liability company
Legal business name
Accura Healthcare of Creston LLC
Medicare-certified beds
31
Average residents per day
25
Accepts
Medicare and Medicaid
First certified
June 21, 1996
Part of a chain
Accura Healthcare, 41 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
165275

Location

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1000 East HowardCreston, IA 50801

2 other communities within 10 miles

Senior living near Creston

Questions about Accura Healthcare of Creston

How did Accura Healthcare of Creston do on its last inspection?+

State inspectors visited on June 25, 2026 and cited 7 health deficiencies, 3 of them from complaint investigations. The Iowa average is 6.5.

How much nursing care does each resident get at Accura Healthcare of Creston?+

Nurses and aides spend 3 hours 48 minutes with each resident per day, including 54 minutes from registered nurses. 68% of nursing staff left over the past year.

Has Accura Healthcare of Creston been fined by Medicare?+

Yes. Medicare fined Accura Healthcare of Creston once in the last three years, totaling $16,801.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Creston Skilled Nursing in Iowa Skilled Nursing guide Information last updated October 2026