Nursing Homes · Creston, IA
Nursing Homes · Medicare certified
Creston Specialty Care
1001 Cottonwood Drive · Creston, IA 50801 · 74 certified beds
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About Creston Specialty Care
Creston Specialty Care is a nursing home in Creston, Iowa. Its capacity is 74 beds, above the Iowa median of 58 for nursing homes. It is run by a nonprofit operator and is part of Care Initiatives. It is Medicare certified. Its public inspection record shows 17 citations, the most recent on October 9, 2025. CMS also lists 2 fines or payment denials against it. Nurse staffing averages 3.38 hours per resident per day. It is one of 2 nursing homes listed in Creston. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
3.0Staffing
3.0Quality measures
5.0CMS Care Compare, October 2026.
Inspection history (17)
Records from July 2023 to October 2025.
October 9, 2025
Tag F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 10, 2025.
October 9, 2025
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 10, 2025.
May 8, 2025
Tag F0637Assess the resident when there is a significant change in condition.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 9, 2025.
May 8, 2025
Tag F0887Educate 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 9, 2025.
May 8, 2025
Tag F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 9, 2025.
December 31, 2024
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 1, 2025.
June 20, 2024
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G: isolated, actual harm. Corrected July 1, 2024.
June 20, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 11, 2024.
June 20, 2024
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 11, 2024.
June 20, 2024
Tag F0759Ensure medication error rates are not 5 percent or greater.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected July 11, 2024.
June 20, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 11, 2024.
June 20, 2024
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 11, 2024.
January 4, 2024
Tag F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity G: isolated, actual harm. Corrected January 11, 2024.
July 20, 2023
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 20, 2023.
July 20, 2023
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 20, 2023.
July 20, 2023
Tag F0602Protect each resident from the wrongful use of the resident's belongings or money.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 20, 2023.
July 20, 2023
Tag F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 20, 2023.
Penalties (2)
Total fines: $19,663
June 20, 2024 · Fine
CMS recorded a civil money penalty of $12,048 against this nursing home on June 20, 2024.
January 4, 2024 · Fine
CMS recorded a civil money penalty of $7,615 against this nursing home on January 4, 2024.
Staffing
3.38 nurse hours per resident per day in Q2 2026, up from 3.16 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
Non profit
Part of Care Initiatives, a chain of 43 nursing homes.
Average CMS star ratings across the chain: 3.0 overall, 2.7 for health inspections, 3.9 for staffing, 3.7 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Iowa.
What Medicaid pays nursing homes
This is what Iowa Medicaid pays a nursing home for each resident per day. It is not what a family pays privately, but it shows what the state treats as the cost of a day of care.
Median facility daily rate
$307.06per day
About $9,335 a month.
Median we calculated from the state's own facility rate file, January 1, 2026. Based on 381 facilities.
Source: IA Medicaid NF rate publication (opens in a new tab), updated 2026-01-01
Nearby alternatives
Other licensed providers in Creston.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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