Federal inspection record · CMS data as of October 1, 2026
Creston Specialty Care
1001 Cottonwood Drive, Creston, IA · (641) 782-8511
- Certified beds
- 74
- Residents per day
- 49
- Ownership
- Non-Profit
- Chain
- Care Initiatives
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 1, 1994
1
How this home got 3 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.
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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
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Iowa homes
Creston Specialty Care carries 46 inspection points. That is fewer than 38% 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
19 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)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Resident Assessment and Care Planning5E
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Assess the resident when there is a significant change in condition
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Nutrition and Dietary4E
- E
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.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service2E
- E
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.
- D
Ensure medication error rates are not 5 percent or greater.
Resident Rights2D
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Infection Control2E
- D
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.
- E
Provide and implement an infection prevention and control program.
Quality of Life and Care1D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nursing and Physician Services1D
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspection history
2026-07-01
8 health deficiencies · 1 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
2025-05-08
4 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2024-06-20
7 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 23 min of nursing staff time a day, 32 min of it from a registered nurse.
This home
3 h 23 min
Iowa average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 42% of nursing staff and 56% of registered nurses left in the past year.
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
$19,663 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-06-20 | Fine | $12,048 |
| 2024-01-04 | Fine | $7,615 |
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. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.2 pts worse | 1.6 | 1.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts worse | 2.6 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.8 pts better | 100.0% | 94.2% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.2 pts better | 100.0% | 95.8% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts better | 2.3% | 3.9% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.6 pts better | 0.6% | 4.2% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.5 pts better | 3.9% | 4.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication4.2 pts better | 16.8% | 21.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication8.8 pts better | 11.0% | 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 worsened2.5 pts worse | 17.7% | 15.2% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.3 pts better | 15.3% | 16.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better | 0.0% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.2 pts better | 1.2% | 2.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence6.6 pts worse | 31.6% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.6 pts better | 2.5% | 4.1% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16 pts better | 100.0% | 84.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.4 pts worse | 16.4% | 13.0% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.5 pts better | 0.6% | 2.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine24.2 pts better | 98.6% | 74.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.5 pts better | 14.2% | 20.7% | 23.4% |
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Who owns and runs it
24 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 |
|---|---|---|---|
| Care Initiatives | 5% Or Greater Direct Ownership Interest · Organization | 100% | 43 facilities |
| Beal, Michael | Corporate Director · Individual | 0% | 43 facilities |
| Beal, Michael | Corporate Officer · Individual | 0% | 43 facilities |
| Boeve, Destiny | Operational/Managerial Control · Individual | 0% | 17 facilities |
| Bowen, Lane | Corporate Director · Individual | 0% | 44 facilities |
| Carothers, Mary Jane | Corporate Director · Individual | 0% | 43 facilities |
| Childs, Kevin | Corporate Director · Individual | 0% | 43 facilities |
| Computershare Corporate Trust Company, Na | 5% Or Greater Mortgage Interest · Organization | 0% | 59 facilities |
| Computershare Corporate Trust Company, Na | Adp Of The SNF · Organization | 0% | 59 facilities |
| Corless, Peter | Corporate Director · Individual | 0% | 43 facilities |
| Dixon, David | Corporate Officer · Individual | 0% | 44 facilities |
| Drake, Emily | Corporate Officer · Individual | 0% | 43 facilities |
| Gijima, Desire | Operational/Managerial Control · Individual | 0% | 8 facilities |
| Gijima, Desire | Adp Of The SNF · Individual | 0% | 8 facilities |
| Gilyard, Tanya | Corporate Officer · Individual | 0% | 42 facilities |
| Harvey, Lori | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Harvey, Lori | Adp Of The SNF · Individual | 0% | 1 facilities |
| Krein, Keith | Corporate Director · Individual | 0% | 43 facilities |
| Kuhn, Jeramy | Corporate Officer · Individual | 0% | 43 facilities |
| Mcdyer, Jessica | Corporate Officer · Individual | 0% | 43 facilities |
| Rust, Elizabeth | Corporate Director · Individual | 0% | 43 facilities |
| Sturm, Denise | Corporate Director · Individual | 0% | 43 facilities |
| Upmeyer, Linda | Corporate Director · Individual | 0% | 43 facilities |
| Volm, Johanna | Corporate Officer · Individual | 0% | 29 facilities |
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Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress4F
- F
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F
Install proper backup exit lighting.
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D
Install emergency lighting that can last at least 1 1/2 hours.
Gas, Vacuum, and Electrical Systems3F
- F
Have proper medical gas storage and administration areas.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Smoke2F
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Install a fire alarm system that can be heard throughout the facility.
Miscellaneous2E
- D
Provide properly sized and located linen or trash receptacles.
- E
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Services1E
- E
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
-
Accura Healthcare of Creston
Creston, IA · Accura Healthcare
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 4 h 15 min
- Fines
- $16,801
-
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