Accura Healthcare of Creston
1000 East Howard, Creston, IA 50801 · (641) 782-5012
For profit - Limited Liability company · 31 certified beds
Accura Healthcare of Creston has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in June 2026, found 5 citations (the Iowa average is 6.5). It was fined 1 time in the last three years, $16,801 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 2 out of 5 stars · Below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 3 out of 5 stars · Average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on June 25, 2026 found 5 citations. What an inspection citation means
- Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.June 25, 2026 · F0676 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.June 25, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor 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.June 25, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives an accurate assessment.June 25, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- PASARR screening for Mental disorders or Intellectual DisabilitiesJune 25, 2026 · F0645 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 14 citations.
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.June 25, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.October 30, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.October 30, 2025 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.July 11, 2024 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.July 11, 2024 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.July 11, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 11, 2024 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.July 11, 2024 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.May 16, 2024 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.March 21, 2024 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.February 1, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure services provided by the nursing facility meet professional standards of quality.February 1, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.February 1, 2024 · F0686 · Level of harm: Actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.February 1, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $16,801July 11, 2024
- Medicare payment denial for 28 daysStarting February 23, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Iowa average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.80 | 3.82 | 3.86 |
| Registered nurses (RN) | 0.90 | 0.74 | 0.69 |
| Licensed practical nurses (LPN) | 0.57 | 0.56 | 0.86 |
| Nurse aides | 2.33 | 2.52 | 2.32 |
| Total nursing staff turnover | 68.4% | 44% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 31 |
| Average residents per day | 25.3 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Creston Specialty Care Creston · ★★★★★ 2 out of 5 stars
- Bedford Specialty Care Bedford · ★★★★★ 4 out of 5 stars
- Corning Specialty Care Corning · ★★★★★ 4 out of 5 stars
- Greenfield Rehabilitation & Health Care Center Greenfield · ★★★★★ 3 out of 5 stars
- Lenox Care Center Lenox · ★★★★★ 3 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Accura Healthcare of Creston on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.