Federal inspection record · CMS data as of October 1, 2026
Accura Healthcare of Creston
1000 East Howard, Creston, IA · (641) 782-5012
- Certified beds
- 31
- Residents per day
- 21
- Ownership
- For-Profit
- Chain
- Accura Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 21, 1996
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Iowa.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Accura Healthcare of Creston carries 45 inspection points. That is fewer than 39% of Iowa's 385 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Iowa: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–7 pts
- 4★ 7–21 pts
- 3★ 21–41 pts
- 2★ 41–86.5 pts
- 1★ over 86.5 pts
Bars show every rated home in Iowa by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
38 health citations on record since 2024. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
J
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Resident Assessment and Care Planning11E
- D
Ensure each resident receives an accurate assessment.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Assess the resident when there is a significant change in condition
- D
Ensure each resident receives an accurate assessment.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Administration7E
- E
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- E
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
- E
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- E
Provide training in compliance and ethics.
- E
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
- C
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.
- C
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.
Resident Rights6E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
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.
- E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Quality of Life and Care5E
- E
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary2F
- F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control2E
- E
Provide and implement an infection prevention and control program.
- E
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Nursing and Physician Services1D
- D
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.
Pharmacy Service1D
- D
Ensure medication error rates are not 5 percent or greater.
Freedom from Abuse, Neglect, and Exploitation1F
- F
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspection history
2026-06-25
7 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2025-05-15
0 health deficiencies · 0 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2024-07-11
31 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (8 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 15 min of nursing staff time a day, 46 min of it from a registered nurse.
This home
4 h 15 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 73% of nursing staff and 63% of registered nurses left in the past year, along with 3 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$16,801 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-07-11 | Fine | $16,801 |
| 2024-01-31 | Payment Denial · 28 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.2 pts worse | 91.0% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine8.3 pts worse | 87.5% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.7 pts better | 2.2% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.2 pts better | 0.0% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.7 pts better | 2.7% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.7 pts better | 20.3% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.9 pts better | 18.9% | 19.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened17.6 pts worse | 32.8% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased19.9 pts worse | 36.5% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.9% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.3 pts better | 1.1% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence16.8 pts worse | 41.8% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.2 pts better | 0.9% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.2 pts worse | 81.8% | 84.0% | 82.3% |
·
Who owns and runs it
39 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Accura Management Consulting Services LLC | Operational/Managerial Control · Organization | 0% | 12 facilities |
| Accura Management Consulting Services LLC | Adp Of The SNF · Organization | 0% | 12 facilities |
| Allen, Brady | Indirect Ownership Interest · Individual | 0% | 12 facilities |
| Allen, Brady | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Allen, Brady | Adp Of The SNF · Individual | 0% | 12 facilities |
| Avenue94 LLC | Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Aviv Financing Ii LLC | Adp Of The SNF · Organization | 0% | 13 facilities |
| Aviv Healthcare Holdings LLC | Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Aviv Healthcare Holdings LLC | Adp Of The SNF · Organization | 0% | 7 facilities |
| Aviv Healthcare Of The Midwest LLC | Direct Ownership Interest · Organization | 0% | 11 facilities |
| Aviv Healthcare Of The Midwest LLC | Adp Of The SNF · Organization | 0% | 11 facilities |
| Aviv Healthcare Properties Operating Partnership I LP | Adp Of The SNF · Organization | 0% | 13 facilities |
| Aviv Op Limited Partner LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Glaser, Kristopher | Indirect Ownership Interest · Individual | 0% | 13 facilities |
| Glaser, Kristopher | Operational/Managerial Control · Individual | 0% | 13 facilities |
| Glaser, Kristopher | Adp Of The SNF · Individual | 0% | 13 facilities |
| Iowa Lincoln County Property LLC | Adp Of The SNF · Organization | 0% | 4 facilities |
| Kimmons Healthcare Investments LLC | Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Kimmons Healthcare Investments LLC | Adp Of The SNF · Organization | 0% | 8 facilities |
| Kleinsasser, Megan | Indirect Ownership Interest · Individual | 0% | 12 facilities |
| Kleinsasser, Megan | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Kleinsasser, Megan | Adp Of The SNF · Individual | 0% | 12 facilities |
| Ktl Enterprises LLC | Indirect Ownership Interest · Organization | 0% | 8 facilities |
| Leneave, Ted | Indirect Ownership Interest · Individual | 0% | 44 facilities |
| Leneave, Ted | Operational/Managerial Control · Individual | 0% | 44 facilities |
| Leneave, Ted | Adp Of The SNF · Individual | 0% | 44 facilities |
| Little River Investments LLC | Indirect Ownership Interest · Organization | 0% | 7 facilities |
| Miller, Daniel | Operational/Managerial Control · Individual | 0% | 18 facilities |
| Miller, Daniel | Adp Of The SNF · Individual | 0% | 18 facilities |
| Ohi Healthcare Properties Limited Partnership | Adp Of The SNF · Organization | 0% | 15 facilities |
| Omega Healthcare Investors Inc | Adp Of The SNF · Organization | 0% | 33 facilities |
| Rohrig, Ricky | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rohrig, Ricky | Adp Of The SNF · Individual | 0% | 1 facilities |
| Toti, Lisa | Indirect Ownership Interest · Individual | 0% | 33 facilities |
| Toti, Lisa | Operational/Managerial Control · Individual | 0% | 33 facilities |
| Toti, Lisa | Adp Of The SNF · Individual | 0% | 33 facilities |
| Williams, Cara | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Williams, Cara | Adp Of The SNF · Individual | 0% | 1 facilities |
| Zrr Opco LLC | Indirect Ownership Interest · Organization | 0% | 7 facilities |
·
Fire safety
2 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness1F
- F
Develop and maintain an Emergency Preparedness Program (EP).
Miscellaneous1F
- F
Provide a written emergency evacuation plan.
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Other homes nearby
-
Creston Specialty Care
Creston, IA · Care Initiatives
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 23 min
- Fines
- $19,663
-
Lenox Care Center
Lenox, IA · Campbell Street Services
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 23 min
- Fines
- $0
-
Greenfield Rehabilitation & Health Care Center
Greenfield, IA
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 11 min
- Fines
- $4,516