Accura Healthcare of Creston
Nursing Home · Creston, IA
CMS certification number165275
Contact & location
1000 East HowardCreston, IA 50801
Union County
- Phone
- (641) 782-5012
- ZIP code
- 50801 – all care providers
Facility details
- Certified beds
- 31
- Residents per day
- 25.3 (82% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Accura Healthcare of Creston LLC
- Chain
- Accura Healthcare (41 facilities, avg 2.5★)
- Medicare certified since
- June 21, 1996
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.80 (state 3.82 · U.S. 3.86)
- Registered nurses (RN)
- 0.90 (state 0.74 · U.S. 0.69)
- Licensed practical nurses
- 0.57 (state 0.56 · U.S. 0.86)
- Nurse aides
- 2.33 (state 2.51 · U.S. 2.32)
- Weekend total
- 3.13 (state 3.37 · U.S. 3.42)
- Nursing staff turnover
- 68.4 (state 44.0 · U.S. 45.8)%
- RN turnover
- 77.8 (state 42.1 · U.S. 42.9)%
- Administrators who left
- 2 in the last year
Inspections
- Last standard inspection
- June 25, 2026
- Health deficiencies (last cycle)
- 7.0 (state 6.5 · U.S. 9.3)
- From complaints
- 3
- Citations on record (3 years)
- 38 health · 2 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-06-25 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-07-13 |
| 2026-06-25 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-10 |
| 2026-06-25 | 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. F0584 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-10 |
| 2026-06-25 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-10 |
| 2026-06-25 | PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-10 |
| 2025-10-30 | 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 2025-12-12 |
| 2025-10-30 | 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. F0726 · Nursing and Physician Services Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-12 |
| 2024-07-11 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805 · Nutrition and Dietary Deficiencies |
J Immediate jeopardy to resident health or safety |
Corrected 2024-07-25 |
| 2024-07-11 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-08-08 |
| 2024-07-11 | 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 |
F No actual harm, potential for more than minimal harm |
Corrected 2024-08-08 |
| 2024-07-11 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-08 |
| 2024-07-11 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-08 |
| 2024-07-11 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-08 |
| 2024-07-11 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. F0940 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-08 |
| 2024-07-11 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. F0941 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-08 |
| 2024-07-11 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. F0942 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-08 |
| 2024-07-11 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. F0944 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-08 |
| 2024-07-11 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. F0945 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-08 |
| 2024-07-11 | Provide training in compliance and ethics. F0946 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-08 |
| 2024-07-11 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. F0949 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-08-08 |
| 2024-07-11 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-08 |
| 2024-07-11 | Assess the resident when there is a significant change in condition F0637 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-08 |
| 2024-07-11 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-08 |
| 2024-07-11 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-08 |
| 2024-07-11 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-08 |
| 2024-07-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-08 |
| 2024-07-11 | 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 · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-08 |
| 2024-07-11 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-08 |
| 2024-07-11 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-08-08 |
| 2024-07-11 | 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 2024-08-08 |
| 2024-07-11 | 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. F0838 · Administration Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2024-08-08 |
| 2024-07-11 | 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. F0843 · Administration Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2024-08-08 |
| 2024-05-16 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-01 |
| 2024-03-21 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-03-22 |
| 2024-02-01 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-02-08 |
| 2024-02-01 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-26 |
| 2024-02-01 | 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 2024-02-26 |
| 2024-02-01 | 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 · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-02-26 |
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 $16,801 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-07-11 | Fine | $16,801 |
| 2024-01-31 | Payment Denial | 28 days payment denial |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Accura Management Consulting Services LLC (organization) | Administrator · NOT APPLICABLE | |
| Allen, Brady (individual) | Administrator · NOT APPLICABLE | |
| Aviv Financing II LLC (organization) | Administrator · NOT APPLICABLE | |
| Aviv Healthcare Holdings LLC (organization) | Administrator · NOT APPLICABLE | |
| Aviv Healthcare of the Midwest LLC (organization) | Administrator · NOT APPLICABLE | |
| Aviv Healthcare Properties Operating Partnership I LP (organization) | Administrator · NOT APPLICABLE | |
| Aviv Op Limited Partner LLC (organization) | Administrator · NOT APPLICABLE | |
| Glaser, Kristopher (individual) | Administrator · NOT APPLICABLE | |
| Iowa Lincoln County Property LLC (organization) | Administrator · NOT APPLICABLE | |
| Kimmons Healthcare Investments LLC (organization) | Administrator · NOT APPLICABLE | |
| Kleinsasser, Megan (individual) | Administrator · NOT APPLICABLE | |
| Leneave, Ted (individual) | Administrator · NOT APPLICABLE | |
| Miller, Daniel (individual) | Administrator · NOT APPLICABLE | |
| Ohi Healthcare Properties Limited Partnership (organization) | Administrator · NOT APPLICABLE | |
| Omega Healthcare Investors INC (organization) | Administrator · NOT APPLICABLE | |
| Rohrig, Ricky (individual) | Administrator · NOT APPLICABLE | |
| Toti, Lisa (individual) | Administrator · NOT APPLICABLE | |
| Williams, Cara (individual) | Administrator · NOT APPLICABLE | |
| Aviv Healthcare of the Midwest LLC (organization) | Direct Ownership Interest · NOT APPLICABLE | |
| Allen, Brady (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Avenue94 LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Aviv Healthcare Holdings LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Glaser, Kristopher (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Kimmons Healthcare Investments LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Kleinsasser, Megan (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| KTL Enterprises LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Leneave, Ted (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Little River Investments LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Toti, Lisa (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| ZRR Opco LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Accura Management Consulting Services LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Allen, Brady (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Glaser, Kristopher (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Kleinsasser, Megan (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Leneave, Ted (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Miller, Daniel (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Rohrig, Ricky (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Toti, Lisa (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Williams, Cara (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Accura Healthcare of Creston?
Accura Healthcare of Creston 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 Accura Healthcare of Creston have?
It has 31 certified beds and cares for about 25 residents per day.
Has Accura Healthcare of Creston been fined?
Yes. CMS lists 2 penalties totaling $16,801 in the last three years.
Who owns Accura Healthcare of Creston?
It is part of Accura Healthcare and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Accura Healthcare of Creston?
(641) 782-5012. The facility is located at 1000 East Howard, Creston, IA 50801.
Other nursing homes in Creston
-
Creston Specialty Care
Nursing Home · Creston, IA · 74 beds
★★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.