Nursing homeActive
Creston Specialty Care
1001 Cottonwood Drive, Creston, IA 50801641782851174 certified beds · 52 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
6
since 2024
Deficiencies
19
● 0● 17● 2
Penalties · 3 yrs
$19,663
2 fines
Last survey
2026-07-01
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 3
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-07-01 | Standard | 060 | CMS-2567 (Care Compare) | — |
| 2025-10-09 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-05-08 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2024-12-31 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-06-20 | Standard | 051 | CMS-2567 (Care Compare) | — |
| 2024-01-04 | Complaint | 001 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-07-02Record 165199-20260701-F658
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-07-02Record 165199-20260701-F689
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-07-02Record 165199-20260701-F761
F803Ensure 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.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-07-02Record 165199-20260701-F803
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-07-02Record 165199-20260701-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-07-02Record 165199-20260701-F812
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-10Record 165199-20251009-F658
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-10Record 165199-20251009-F725
F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 165199-20250508-F561
F637Assess the resident when there is a significant change in conditionScope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 165199-20250508-F637
F887Educate 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.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-09Record 165199-20250508-F887
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-01Record 165199-20241231-F658
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-07-01Record 165199-20240620-F689
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-11Record 165199-20240620-F550
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-11Record 165199-20240620-F759
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-11Record 165199-20240620-F812
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-11Record 165199-20240620-F842
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-11Record 165199-20240620-F880
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-01-11Record 165199-20240104-F684
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-06-20 | Civil money penalty | $12,048 | CMS · Penalties |
| 2024-01-04 | Civil money penalty | $7,615 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.60
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.26
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours2.81
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover48%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover63%
Facility
Iowa
National
Iowa 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.6% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.8% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 10.5% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.7% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 16.2% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.9% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 15.3% | 20.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Care Initiatives Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Boeve, Destiny Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Gijima, Desire Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Harvey, Lori Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Beal, Michael Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Beal, Michael Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Bowen, Lane Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Carothers, Mary Jane Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Childs, Kevin Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Computershare Corporate Trust Company, Na Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Computershare Corporate Trust Company, Na Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Corless, Peter Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Dixon, David Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Drake, Emily Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Gijima, Desire Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gilyard, Tanya Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Harvey, Lori Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Krein, Keith Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kuhn, Jeramy Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Mcdyer, Jessica Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Rust, Elizabeth Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Sturm, Denise Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Upmeyer, Linda Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Volm, Johanna Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Care Initiatives — 43 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.
No county cost figures on file for Union.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Accura Healthcare of Creston Creston | 1.9 mi | 2026-06-25 | 2342 |
| Greenfield Rehabilitation & Health Care Center Greenfield | 16.6 mi | 2026-01-15 | 0151 |
| Lenox Care Center Lenox | 15.5 mi | 2026-03-24 | 0280 |
| Corning Specialty Care Corning | 18.7 mi | 2026-02-18 | 0190 |
| Clearview Home Mount Ayr | 25.4 mi | 2026-05-29 | 030 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |