Creston Specialty Care
1001 Cottonwood Drive, Creston, IA 50801 · (641) 782-8511
Non profit - Corporation · 74 certified beds
Creston Specialty Care has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in July 2026, found 6 citations (the Iowa average is 6.5). It was fined 2 times in the last three years, $19,663 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. | ★★★★★ 3 out of 5 stars · 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 July 1, 2026 found 6 citations. What an inspection citation means
- Ensure 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.July 1, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure 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.July 1, 2026 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.July 1, 2026 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.July 1, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure services provided by the nursing facility meet professional standards of quality.July 1, 2026 · F0658 · 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 1, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 7 citations.
- Ensure services provided by the nursing facility meet professional standards of quality.July 1, 2026 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure 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.July 1, 2026 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure services provided by the nursing facility meet professional standards of quality.October 9, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.October 9, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.May 8, 2025 · F0561 · 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.December 31, 2024 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.January 4, 2024 · F0684 · Level of harm: Actual harm · Residents affected: Few
Fines and payment denials
- Fine of $12,048June 20, 2024
- Fine of $7,615January 4, 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 | 3.26 | 3.82 | 3.86 |
| Registered nurses (RN) | 0.60 | 0.74 | 0.69 |
| Licensed practical nurses (LPN) | 0.91 | 0.56 | 0.86 |
| Nurse aides | 1.75 | 2.52 | 2.32 |
| Total nursing staff turnover | 48.1% | 44% | 45.8% |
About this home
| Ownership | Non profit - Corporation |
| Certified beds | 74 |
| Average residents per day | 51.6 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Accura Healthcare of Creston 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
Compare every nursing home in Creston, IA · Nursing homes in Iowa
Comparing nursing homes?
See whether help at home or assisted living fits better. Answer four questions and we'll suggest where to start: a medical alert, help at home, or assisted living.
Free for families. This isn't medical advice.
Care matcherStep 1 of 7
Who are you looking for help for?
Free for families. Your answers aren't saved.
Data from Medicare (CMS), updated October 2026, from Creston Specialty Care on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.