Skilled Nursing

Accura Healthcare of Creston

1000 East Howard, Creston, IA 50801

31beds
Skilled Nursingcare types
2/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

3.6h

Hrs/resident · weekday

Expected: 4.5h

4.0h

Hrs/resident · weekend

vs 3.6h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
75%
LPNs
CNAs
60%

Administrator turnover: 2 in the past year — above average

Health Inspection Deficiencies · Last 3 Years

SeriousImmediate Jeopardy0805Severity JJul 11, 2024

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected: Jul 25, 2024

32 standard deficiencies in the last 3 years

View all
0726Severity DOct 30, 2025

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.

0658Severity DOct 30, 2025

Ensure services provided by the nursing facility meet professional standards of quality.

0949Severity EJul 11, 2024

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

0946Severity EJul 11, 2024

Provide training in compliance and ethics.

0945Severity EJul 11, 2024

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

0944Severity EJul 11, 2024

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

0942Severity EJul 11, 2024

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

0941Severity EJul 11, 2024

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

0940Severity EJul 11, 2024

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

0880Severity EJul 11, 2024

Provide and implement an infection prevention and control program.

0843Severity CJul 11, 2024

Have 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.

0838Severity CJul 11, 2024

Conduct 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.

0812Severity FJul 11, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0804Severity FJul 11, 2024

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0759Severity DJul 11, 2024

Ensure medication error rates are not 5 percent or greater.

0695Severity DJul 11, 2024

Provide safe and appropriate respiratory care for a resident when needed.

0690Severity DJul 11, 2024

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0689Severity DJul 11, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0684Severity DJul 11, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0657Severity EJul 11, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0656Severity DJul 11, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0644Severity DJul 11, 2024

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0641Severity DJul 11, 2024

Ensure each resident receives an accurate assessment.

0637Severity DJul 11, 2024

Assess the resident when there is a significant change in condition

0582Severity DJul 11, 2024

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0580Severity EJul 11, 2024

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0657Severity DMay 16, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0607Severity FMar 21, 2024

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0842Severity DFeb 1, 2024

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0686Severity GFeb 1, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0658Severity DFeb 1, 2024

Ensure services provided by the nursing facility meet professional standards of quality.

0550Severity DFeb 1, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

ACCURA HEALTHCARE OF CRESTON LLC· For profit - Limited Liability company

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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