Accura Healthcare of Creston
Medicare-certified1000 East Howard, Creston, IA 50801
Skilled Nursing
Medicare & Medicaid certifiedSprinkler systemsResident & family councilSkilled nursing & rehabilitation+1 more
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About Creston Specialty Care
Creston Specialty Care is a for profit - corporation nursing home in Creston, IA with 74 certified beds.
Community at a glance
Capacity
74 residents
Location
Creston, IA
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
1001 Cottonwood Drive, Creston, Iowa 50801
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 July 1, 2026, state inspectors cited 8 health deficiencies (the Iowa average is 6.5).
Nurses and nurse aides spend 3 hours 16 minutes with each resident a day, below the Iowa average of 3 hours 49 minutes.
Medicare fined Creston Specialty Care 2 times in the last three years, $19,663 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 16 minutesBelow the Iowa average |
| Registered nurse time per resident, per day | 36 minutesBelow the Iowa average |
| Nursing staff who left in the past year | 48%Above the Iowa average |
Inspections
19 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
July 1, 2026 · Standard inspection · 6 citations
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jul 2, 2026Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jul 2, 2026Procure 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, a pattern (level E)Nutrition and DietaryCorrected Jul 2, 2026Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryFrom a complaintCorrected Jul 2, 2026Ensure 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 Jul 2, 2026Ensure 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 CareCorrected Jul 2, 2026
October 9, 2025 · Complaint investigation · 2 citations
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 Oct 10, 2025Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected Oct 10, 2025
May 8, 2025 · Standard inspection · 3 citations+
Assess the resident when there is a significant change in condition
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected May 9, 2025Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected May 9, 2025Educate 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.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected May 9, 2025
December 31, 2024 · Complaint investigation · 1 citation+
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 Jan 1, 2025
June 20, 2024 · Standard inspection · 6 citations+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Residents were harmed, a few residents (level G)Quality of Life and CareCorrected Jul 1, 2024Procure 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, a pattern (level E)Nutrition and DietaryCorrected Jul 11, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Jul 11, 2024Safeguard 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 pattern (level E)Resident Assessment and Care PlanningCorrected Jul 11, 2024Ensure medication error rates are not 5 percent or greater.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jul 11, 2024Honor 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 RightsCorrected Jul 11, 2024
January 4, 2024 · Complaint investigation · 1 citation+
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Jan 11, 2024
Fines and payment denials
2 fines totaling $19,663 in the last three years.
- June 20, 2024Fine: $12,048
- January 4, 2024Fine: $7,615
About the home, per Medicare
- Ownership
- Non profit - Corporation
- Legal business name
- Care Initiatives
- Medicare-certified beds
- 74
- Average residents per day
- 52
- Accepts
- Medicare and Medicaid
- First certified
- March 1, 1994
- Part of a chain
- Care Initiatives, 43 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 165199
Location
1001 Cottonwood DriveCreston, IA 50801
Senior living near Creston
107 N Division St, Creston, IA 50801
Independent LivingActive Adult Living
Affordable senior housingIndependent livingAge 62+ community
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Prices not published
Prairie View Assistant Living
State licensed1709 WEST PRAIRIE STREET, Creston, IA 50801
Assisted LivingMemory Care
Assisted living & personal care24-hour supervisionMedication management
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Prices not published
Questions about Creston Specialty Care
How did Creston Specialty Care do on its last inspection?+
State inspectors visited on July 1, 2026 and cited 8 health deficiencies, 4 of them from complaint investigations. The Iowa average is 6.5.
How much nursing care does each resident get at Creston Specialty Care?+
Nurses and aides spend 3 hours 16 minutes with each resident per day, including 36 minutes from registered nurses. 48% of nursing staff left over the past year.
Has Creston Specialty Care been fined by Medicare?+
Yes. Medicare fined Creston Specialty Care 2 times in the last three years, totaling $19,663.
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.