Accura Healthcare Of Creston
1000 East Howard, Creston, IA, 50801
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Accura Healthcare
- Certified beds
- 31 · avg 24 residents/day
- Total nursing staff turnover
- 60% — higher than most Iowa nursing homesIowa avg: 44.4% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 75% — higher than most Iowa nursing homesIowa avg: 42.9% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Iowa averageIowa avg: 0.5 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $16,801 total
- Payment denials
- 1 denial
Medicare certification
- CMS Certification Number
- 165275
- Certified beds
- 31 beds · avg 24 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Accura Healthcare Of Creston Llc
- Chain affiliation
- Accura Healthcare
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Accura Healthcare chain — 41 facilities across 4 states. Chain-wide average overall rating 2.4 / 5.
Disclosed owners (22 on record)
- Aviv Healthcare Holdings LlcHolding
Adp of The Snf · since 2025
- Aviv Healthcare of The Midwest LlcHolding
Adp of The Snf · since 2025
- Kimmons Healthcare Investments Llc
Adp of The Snf · since 2025
- Accura Management Consulting Services Llc
Operational/managerial Control · since 2025
- Avenue94 Llc
Indirect Ownership Interest · 5% · since 2025
- Aviv Financing ii LlcHolding
Adp of The Snf · since 2025
+ 16 additional owners on the federal record.
Recent change of ownership
February 2025 (1 year ago) · acquired from Crest Haven Care Centre
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 33)
- D0726·Oct 30, 2025Complaint
Nursing and Physician Services Deficiencies
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.
- D0658·Oct 30, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
- D0690·Jul 11, 2024Complaint
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D0689·Jul 11, 2024Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0657·Jul 11, 2024Complaint
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E0580·Jul 11, 2024Complaint
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E0949·Jul 11, 2024
Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
- E0946·Jul 11, 2024
Administration Deficiencies
Provide training in compliance and ethics.
Federal penalties
By year
- 20241 fine · $17K · 1 payment denial
Most recent events
- Jul 11, 2024Fine · $17K
- Jan 31, 2024Payment denial · 28 days · starting Feb 23, 2024
Fire-safety citations
3 Life-Safety-Code citations on file. Most recent: Jul 11, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Accura Healthcare Of Crestoninto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.