Creston Specialty Care
1001 Cottonwood Drive, 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 - Corporation · Chain: Care Initiatives
- Certified beds
- 74 · avg 54 residents/day
- Total nursing staff turnover
- 50.9% — higher than most Iowa nursing homesIowa avg: 44.4% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 55.6% — higher than most Iowa nursing homesIowa avg: 42.9% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Iowa averageIowa avg: 0.5 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $19,663 total
Medicare certification
- CMS Certification Number
- 165199
- Certified beds
- 74 beds · avg 54 residents/day
- Ownership type
- For profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Care Initiatives
- Chain affiliation
- Care Initiatives
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Care Initiatives chain — 43 facilities. Chain-wide average overall rating 3.1 / 5.
Disclosed owners (25 on record)
- Desire t Gijima
Adp of The Snf · since 2025
- Tanya Gilyard
Corporate Officer · since 2025
- Computershare Corporate Trust Company, na
Adp of The Snf · since 2025
- Lori j Harvey
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
+ 19 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 17)
- D0725·Oct 9, 2025Complaint
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- D0658·Oct 9, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
- D0561·May 8, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D0887·May 8, 2025
Infection Control Deficiencies
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.
- E0637·May 8, 2025
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
- D0658·Dec 31, 2024Complaint
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
- E0880·Jun 20, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0842·Jun 20, 2024
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Federal penalties
By year
- 20242 fines · $20K
Most recent events
- Jun 20, 2024Fine · $12K
- Jan 4, 2024Fine · $7,615
Largest single fine on record: $12K.
Fire-safety citations
16 Life-Safety-Code citations on file. Most recent: May 8, 2025. 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 Creston Specialty Careinto 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.