Creston Specialty Care

Nursing Home · Creston, IA

CMS overall rating 2/5 Non profit - Corporation

CMS certification number165199

Contact & location

1001 Cottonwood Drive
Creston, IA 50801
Union County
Phone
(641) 782-8511
ZIP code
50801 – all care providers

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Facility details

Certified beds
74
Residents per day
51.6 (70% occupied)
Ownership
Non profit - Corporation
Legal name
Care Initiatives
Chain
Care Initiatives (43 facilities, avg 2.9★)
Medicare certified since
March 1, 1994
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 3.1
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 3.7
Quality measures★★★★★ 3/5
State avg 3.3
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.26 (state 3.82 · U.S. 3.86)
Registered nurses (RN)
0.60 (state 0.74 · U.S. 0.69)
Licensed practical nurses
0.91 (state 0.56 · U.S. 0.86)
Nurse aides
1.75 (state 2.51 · U.S. 2.32)
Weekend total
2.81 (state 3.37 · U.S. 3.42)
Nursing staff turnover
48.1 (state 44.0 · U.S. 45.8)%
RN turnover
62.5 (state 42.1 · U.S. 42.9)%
Administrators who left
0 in the last year

Inspections

Last standard inspection
July 1, 2026
Health deficiencies (last cycle)
8.0 (state 6.5 · U.S. 9.3)
From complaints
4
Citations on record (3 years)
19 health · 12 fire safety · includes actual harm
DateCitationSeverityStatus
2026-07-01 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.
F0761 · Pharmacy Service Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-07-02
2026-07-01 Ensure 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.
F0803 · Nutrition and Dietary Deficiencies · complaint inspection
E
No actual harm, potential for more than minimal harm
Corrected 2026-07-02
2026-07-01 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-07-02
2026-07-01 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2026-07-02
2026-07-01 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-02
2026-07-01 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2026-07-02
2025-10-09 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-10-10
2025-10-09 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-10-10
2025-05-08 Assess the resident when there is a significant change in condition
F0637 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2025-05-09
2025-05-08 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F0561 · Resident Rights Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-09
2025-05-08 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.
F0887 · Infection Control Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2025-05-09
2024-12-31 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-01-01
2024-06-20 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies
G
Actual harm
Corrected 2024-07-01
2024-06-20 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-07-11
2024-06-20 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-07-11
2024-06-20 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies
E
No actual harm, potential for more than minimal harm
Corrected 2024-07-11
2024-06-20 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-11
2024-06-20 Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies
D
No actual harm, potential for more than minimal harm
Corrected 2024-07-11
2024-01-04 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection
G
Actual harm
Corrected 2024-01-11

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $19,663 in fines.

DateTypeAmount
2024-06-20Fine$12,048
2024-01-04Fine$7,615

Ownership & management

NameRoleSince
Care Initiatives (organization)5%+ Direct Ownership Interest · 100%
Computershare Corporate Trust Company, Na (organization)5%+ Mortgage Interest · NOT APPLICABLE
Computershare Corporate Trust Company, Na (organization)Administrator · NOT APPLICABLE
Gijima, Desire (individual)Administrator · NOT APPLICABLE
Harvey, Lori (individual)Administrator · NOT APPLICABLE
Beal, Michael (individual)Corporate Director · NOT APPLICABLE
Bowen, Lane (individual)Corporate Director · NOT APPLICABLE
Carothers, Mary Jane (individual)Corporate Director · NOT APPLICABLE
Childs, Kevin (individual)Corporate Director · NOT APPLICABLE
Corless, Peter (individual)Corporate Director · NOT APPLICABLE
Krein, Keith (individual)Corporate Director · NOT APPLICABLE
Rust, Elizabeth (individual)Corporate Director · NOT APPLICABLE
Sturm, Denise (individual)Corporate Director · NOT APPLICABLE
Upmeyer, Linda (individual)Corporate Director · NOT APPLICABLE
Beal, Michael (individual)Corporate Officer · NOT APPLICABLE
Dixon, David (individual)Corporate Officer · NOT APPLICABLE
Drake, Emily (individual)Corporate Officer · NOT APPLICABLE
Gilyard, Tanya (individual)Corporate Officer · NOT APPLICABLE
Kuhn, Jeramy (individual)Corporate Officer · NOT APPLICABLE
McDyer, Jessica (individual)Corporate Officer · NOT APPLICABLE
Volm, Johanna (individual)Corporate Officer · NOT APPLICABLE
Boeve, Destiny (individual)Operational/managerial Control · NOT APPLICABLE
Gijima, Desire (individual)Operational/managerial Control · NOT APPLICABLE
Harvey, Lori (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Creston Specialty Care?

Creston Specialty Care has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Iowa.

How many beds does Creston Specialty Care have?

It has 74 certified beds and cares for about 52 residents per day.

Has Creston Specialty Care been fined?

Yes. CMS lists 2 penalties totaling $19,663 in the last three years.

Who owns Creston Specialty Care?

It is part of Care Initiatives and is classified as non profit - corporation. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Creston Specialty Care?

(641) 782-8511. The facility is located at 1001 Cottonwood Drive, Creston, IA 50801.

Other nursing homes in Creston

Compare all nursing homes in Creston, IA →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.