Nursing homeActive
Accura Healthcare of Creston
1000 East Howard, Creston, IA 50801641782501231 certified beds · 25 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
7
since 2024
Deficiencies
38
● 2● 34● 2
Penalties · 3 yrs
$16,801
1 fine · 1 action
Last survey
2026-06-25
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 3
Quality 2
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 |
|---|---|---|---|---|
| 2026-06-25 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2025-10-30 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-05-15 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2024-07-11 | Standard | 2221 | CMS-2567 (Care Compare) | — |
| 2024-05-16 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-03-21 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-02-01 | Complaint | 031 | 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.
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 2026-07-10Record 165275-20260625-F550
F584Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-07-10Record 165275-20260625-F584
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-07-10Record 165275-20260625-F641
F645PASARR screening for Mental disorders or Intellectual DisabilitiesScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-07-10Record 165275-20260625-F645
F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-07-13Record 165275-20260625-F676
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 2025-12-12Record 165275-20251030-F658
F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Scope/severity DStandard
Staffing
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-12Record 165275-20251030-F726
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity JHarm
Food & nutrition
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-07-25Record 165275-20240711-F805
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-08Record 165275-20240711-F580
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-08Record 165275-20240711-F582
F637Assess the resident when there is a significant change in conditionScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-08Record 165275-20240711-F637
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-08Record 165275-20240711-F641
F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-08Record 165275-20240711-F644
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-08Record 165275-20240711-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-08Record 165275-20240711-F657
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-08Record 165275-20240711-F684
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 2024-08-08Record 165275-20240711-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-08Record 165275-20240711-F690
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-08Record 165275-20240711-F695
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 2024-08-08Record 165275-20240711-F759
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-08-08Record 165275-20240711-F804
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-08-08Record 165275-20240711-F812
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 2024-08-08Record 165275-20240711-F880
F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-08Record 165275-20240711-F940
F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-08Record 165275-20240711-F941
F942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-08Record 165275-20240711-F942
F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-08Record 165275-20240711-F944
F945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-08Record 165275-20240711-F945
F946Provide training in compliance and ethics.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-08Record 165275-20240711-F946
F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-08-08Record 165275-20240711-F949
F838Conduct 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.Scope/severity CPaperwork
Records
Widespread; potential for minimal harm.Corrected 2024-08-08Record 165275-20240711-F838
F843Have 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.Scope/severity CPaperwork
Records
Widespread; potential for minimal harm.Corrected 2024-08-08Record 165275-20240711-F843
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-01Record 165275-20240516-F657
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity FStandard
Abuse & neglect
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-03-22Record 165275-20240321-F607
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-02-08Record 165275-20240201-F686
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 2024-02-26Record 165275-20240201-F550
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 2024-02-26Record 165275-20240201-F658
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-26Record 165275-20240201-F842
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-07-11 | Civil money penalty | $16,801 | CMS · Penalties |
| 2024-01-31 | Denial of payment for new admissions Payment denial for 28 days, from 2024-02-23 | — | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.90
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.80
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours3.13
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover68%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover78%
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 | 1.5% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 3.2% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 20.0% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 3.2% | 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 | 37.3% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.2% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 20.8% | 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 |
|---|---|---|---|---|
| Accura Management Consulting Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Allen, Brady Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Glaser, Kristopher Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kleinsasser, Megan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Leneave, Ted Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Miller, Daniel Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rohrig, Ricky Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Toti, Lisa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Williams, Cara Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Accura Management Consulting Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Allen, Brady Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Allen, Brady Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Avenue94 LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Aviv Financing II LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Aviv Healthcare Holdings LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Aviv Healthcare Holdings LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Aviv Healthcare Of The Midwest LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Aviv Healthcare Of The Midwest LLC Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Aviv Healthcare Properties Operating Partnership I LP Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Aviv Op Limited Partner LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Glaser, Kristopher Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Glaser, Kristopher Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Iowa Lincoln County Property LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kimmons Healthcare Investments LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kimmons Healthcare Investments LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Kleinsasser, Megan Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Kleinsasser, Megan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ktl Enterprises LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Leneave, Ted Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Leneave, Ted Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Little River Investments LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Miller, Daniel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ohi Healthcare Properties Limited Partnership Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Omega Healthcare Investors Inc Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rohrig, Ricky Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Toti, Lisa Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Toti, Lisa Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Williams, Cara Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Zrr Opco LLC Organization | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
Part of a chain
Accura Healthcare — 41 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 |
|---|---|---|---|
| Creston Specialty Care Creston | 1.9 mi | 2026-07-01 | 0172 |
| Greenfield Rehabilitation & Health Care Center Greenfield | 17.5 mi | 2026-01-15 | 0151 |
| Lenox Care Center Lenox | 16.2 mi | 2026-03-24 | 0280 |
| Clearview Home Mount Ayr | 24.4 mi | 2026-05-29 | 030 |
| Mount Ayr Health Care Center Mount Ayr | 25.0 mi | 2026-04-14 | 0110 |
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 |