Creston Specialty Care
Cost data not yet available
Nursing Homes · Medicare certified
1000 East Howard · Creston, IA 50801 · 31 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1275363103. Look this up in the CMS NPPES registry (opens in a new tab)
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Accura Healthcare of Creston is a nursing home in Creston, Iowa. Its reported capacity is 31 beds. It is recorded as a for-profit operator, part of Accura Healthcare. Federal records list it as Medicare certified. Our copy of the inspection record holds 33 citations, the newest dated 30 October 2025. Federal enforcement records add 2 fine or payment denial actions. Staffing reports put it at 3.80 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
CMS Care Compare · Source data August 2026
Staffing rating
3.0Quality-measure rating
2.0Inspections on record
2
Cited deficiencies
18
Staffing rating
3.0Quality-measure rating
2.0Inspections on record
2
Cited deficiencies
33
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
3.0Quality-measure rating
2.0Inspections on record
2
Cited deficiencies
33
Records from February 2024 to October 2025.
October 30, 2025 · D
Citation F0658Federal surveyors cited this nursing home on 2025-10-30 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2025-12-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 30, 2025 · D
Citation F0726Federal surveyors cited this nursing home on 2025-10-30 under CMS tag F0726 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-12-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 11, 2024 · C
Citation F0838Federal surveyors cited this nursing home on 2024-07-11 under CMS tag F0838 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for 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. The deficiency was recorded as corrected on 2024-08-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 11, 2024 · E
Citation F0949Federal surveyors cited this nursing home on 2024-07-11 under CMS tag F0949 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide behavior health training consistent with the requirements and as determined by a facility assessment. The deficiency was recorded as corrected on 2024-08-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 11, 2024 · D
Citation F0684Federal surveyors cited this nursing home on 2024-07-11 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2024-08-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 11, 2024 · E
Citation F0657Federal surveyors cited this nursing home on 2024-07-11 under CMS tag F0657 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2024-08-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 11, 2024 · D
Citation F0695Federal surveyors cited this nursing home on 2024-07-11 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2024-08-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 11, 2024 · D
Citation F0759Federal surveyors cited this nursing home on 2024-07-11 under CMS tag F0759 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure medication error rates are not 5 percent or greater. The deficiency was recorded as corrected on 2024-08-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 11, 2024 · E
Citation F0580Federal surveyors cited this nursing home on 2024-07-11 under CMS tag F0580 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2024-08-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 11, 2024 · D
Citation F0644Federal surveyors cited this nursing home on 2024-07-11 under CMS tag F0644 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. The deficiency was recorded as corrected on 2024-08-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 11, 2024 · F
Citation F0804Federal surveyors cited this nursing home on 2024-07-11 under CMS tag F0804 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. The deficiency was recorded as corrected on 2024-08-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 11, 2024 · E
Citation F0942Federal surveyors cited this nursing home on 2024-07-11 under CMS tag F0942 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. The deficiency was recorded as corrected on 2024-08-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 11, 2024 · D
Citation F0582Federal surveyors cited this nursing home on 2024-07-11 under CMS tag F0582 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. The deficiency was recorded as corrected on 2024-08-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 11, 2024 · J
Citation F0805Federal surveyors cited this nursing home on 2024-07-11 under CMS tag F0805 (CMS scope/severity J: isolated, immediate jeopardy) for Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. The deficiency was recorded as corrected on 2024-07-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 11, 2024 · E
Citation F0944Federal surveyors cited this nursing home on 2024-07-11 under CMS tag F0944 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. The deficiency was recorded as corrected on 2024-08-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 11, 2024 · E
Citation F0946Federal surveyors cited this nursing home on 2024-07-11 under CMS tag F0946 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide training in compliance and ethics. The deficiency was recorded as corrected on 2024-08-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 11, 2024 · E
Citation F0941Federal surveyors cited this nursing home on 2024-07-11 under CMS tag F0941 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. The deficiency was recorded as corrected on 2024-08-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 11, 2024 · E
Citation F0880Federal surveyors cited this nursing home on 2024-07-11 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-08-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 11, 2024 · D
Citation F0689Federal surveyors cited this nursing home on 2024-07-11 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-08-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
July 11, 2024 · D
Citation F0637Federal surveyors cited this nursing home on 2024-07-11 under CMS tag F0637 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Assess the resident when there is a significant change in condition. The deficiency was recorded as corrected on 2024-08-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
Total fines on file: $16,801
July 11, 2024 · Fine
Citation FINE-79472CMS recorded a civil money penalty of $16,801 against this nursing home on 2024-07-11 (Fine ID: 79472). Source: CMS Care Compare Penalties (as of 2026-07-01).
January 31, 2024 · Payment Denial
Citation PAYDEN-2024-02-23CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2024-02-23, lasting 28 days (triggered by inspection on 2024-01-31). Source: CMS Care Compare Penalties (as of 2026-07-01).
Latest: 3.80 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
Most recent period is lower than 2025Q4 (-0.26 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
For profit
CMS Care Compare chain: Accura Healthcare
Chain ID 8 · 41 facilities in chain (CMS)
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
Parent organization: Accura Management Consulting Services LLC
parent · PAC 3678003340
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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Ownership changed
The source now records ownership as "For profit - Limited Liability company".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit - Limited Liability company".
Reported by CMS nursing homes (provider info)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical IA range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · IA$9,277/moIowa publishes what its Medicaid program pays a nursing facility per resident per day. It is not a private-pay price and it is not what a family is billed. It is useful because it shows what the state considers the cost of a day of nursing-home care.
Median facility daily rate
$307.06per day
That works out to about $9,335 a month at 30.4 days. The monthly figure is our arithmetic, not a number the state published.
Median we calculated from the state's own facility rate file. Period: January 1, 2026. Calculated across 381 facilities in the state's rate file.
Other licensed providers in Creston, with their own public records.
Cost data not yet available
A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.
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