Accura Healthcare of Creston
1000 East Howard, Creston, IA 50801 · Union County · (641) 782-5012
31 certified beds, about 25 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1996
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165275 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 25, 2026, inspectors cited 5 health deficiencies (the Iowa average is 6.5, the national average 9.2).
Of 38 health citations since February 2024, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $16,801 in the last three years; the largest was $16,801, and the latest is dated July 11, 2024.
Nurses and nurse aides worked 3.80 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.90 of those hours.
68.4% of nursing staff left within the year CMS measured (Iowa average 44.0%).
CMS links it to Accura Healthcare, an affiliated group of 41 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
402/24
103/24
105/24
2507/24
005/25
210/25
506/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 38 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
20D
11E
3F
Potential for minimal harm
0A
0B
2C
June 25, 2026Standard inspection, Complaint inspection · 5 citations
- E Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Inspectors wroteBased on Electronic Health Record (EHR) review, resident interviews, staff interviews, and policy review the facility failed to provide restorative services to maintain or improve residents abilities for 6 of 19 residents reviewed (Resident #12, #18, #19, #3, #4, and #23). The facility reported a census of 19.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on resident interviews, staff interviews, Electronic Health Record (EHR) reviews and policy review the facility failed to provide residents with dignity, respect and interact with residents in a kind and considerate manner during cares for 2 of 2 residents reviewed (Resident #2 and Resident #19). The facility reported a census of 19 residents. Findings Include: 1. The Minimum Data Set (MDS) dated [DATE] documented Resident #2 had a Brief Mental Interview for Mental Status (BIMS) of 1 indicating severe cognitive impairment. On 6/25/26 at 3:58 PM Staff J, Certified Nurse Assistant (CNA) stated she had witnessed Staff E, Register Nurse (RN) yelling at Resident #2 to act her age and comments to Resident #2 telling her to shut up on multiple occasions. Staff J stated she reported the incidents to Staff F, previous Director of Nursing (DON). 2. [...]
- D 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.
Inspectors wroteBased on observations, staff interviews, Electronic Health Record review (EHR) and policy review the facility failed to provide a clean and homelike environment. The facility failed to remove black fuzzy substance from window air conditioning units, surrounding window trim and walls to 2 of 2 resident rooms reviewed (Resident #18 and #19). The facility reported a census of 19. Findings Include:1. The Minimum Data Set (MDS) dated [DATE] documented Resident #18 had a Brief Mental Interview for Mental Status (BIMS) of 14 indicating no cognitive impairment. On 6/22/26 at 3:11 PM an observation revealed a black and fuzzy substance inside of window air conditioning unit in Resident #18's window. On 6/22/26 at 3:13 PM Resident #18 stated she believed mold was inside her window air conditioning unit. She explained she reported it to the facility and was told it would be replaced in April. [...]
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review, resident and staff interviews, and policy review, the facility failed to accurately complete a comprehensive Minimum Data Set (MDS) assessment for 3 of 15 residents (#5, #7, #8). The facility reported a census of 19 residents.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on Electronic Health Record (EHR) review, staff interview, and policy review, the facility failed to refer a resident with a negative Level I result for the Preadmission Screening and Resident Review (PASRR), who had an identified mental disorder, intellectual disability or other related condition that was not addressed on the PASRR completed prior to admission to the facility, to the appropriate state-designated authority for Level II PASRR evaluation and determination for Resident #3. The facility failed to refer Resident #3 to the PASRR appropriate state-designated authority for Level II PASSR evaluation and review for determination when a new antidepressant medication was started. The facility failed to re-submit a Level II PASRR with a 180 day time limited approval to the appropriate state-designated authority for Level II PASRR evaluation and determination for Resident #14. [...]
October 30, 2025Complaint inspection · 2 citations
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on clinical record review, resident and staff interviews, and policy review, the facility failed to follow the physician's orders for 1 of 3 residents (#1). The facility reported a census of 21 residents.
- D 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.
Inspectors wroteBased on clinic record review, resident and staff interviews, and policy review, the facility failed to maintain competent staff by failing to access a G-tube (a feeding tube surgically inserted directly into the stomach) to provide medications and failing to stop feeding a resident through a G-tube when the resident complained of pain for 1 of 3 residents reviewed (#1). The facility reported a census of 21 residents.
May 15, 2025Standard inspection · 0 citations
July 11, 2024Standard inspection, Complaint inspection · 25 citations
- J Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on observations, clinical record review, staff interviews, and facility education record review, the facility failed to prepare and serve the recommended therapeutic meals in a form designed to safely meet their needs and according to physician orders for 3 of 3 residents reviewed (Resident #9, Res #16, Res #25). This had the potential of causing harm to the residents due to the risk of choking or aspiration related to eating food which was prepared at the improper consistency or being served the incorrect textured diet. The facility reported a census of 30 residents. On July 9, 2024 at 4:35 pm, the State Agency informed the facility the staff's failure to properly prepare and serve the therapeutic meals per orders creating an Immediate Jeopardy situation, which began on July 9, 2024. [...]
- F Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observations and staff interview, the facility failed to maintain proper food temperature during lunch service. The facility reported a census of 30 residents.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview and facility policy review, the facility failed to properly label, date, store and serve resident foods. The facility reported a census of 30 residents.
- E Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on clinical record review, family interview, staff interviews and facility policy review, the facility failed to notify the family and/or physician of a medication error, a fall and a significant change for 4 of 6 residents reviewed (Resident #3, #24, #26, and #34). The facility reported a census of 30 residents.
- E Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observations, clinical record review, resident interview, staff interviews, and policy review, the facility failed to fully review and revise the comprehensive care plan for 4 of 15 resident reviewed (#11, #12, #26, and #34). The facility reported a census of 30.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, record review, staff interview, and policy review, the facility failed to implement infection control practices to prevent cross contamination by staff failing to perform appropriate hand hygiene during resident cares, medication administration, and meal service for 5 of 5 residents (Resident #3, #6, #12, #16, and #26) reviewed for infection control. The facility also failed to ensure resident equipment was sanitized after use for 2 of 2 residents (Resident #6 and #12). The facility reported a census of 30 residents.
- E Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Inspectors wroteBased on personnel file review, the facility mandatory education calendar, and staff interview, the facility failed to implement required training for multiple topics for 5 of 5 staff reviewed (Staff F, G, H, I, J). The facility reported a census of 30 residents.
- E Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Inspectors wroteBased on personnel file review, the facility mandatory education calendar, and staff interview, the facility failed to implement communication training for 5 of 5 staff reviewed (Staff F, G, H, I, J). The facility reported a census of 30 residents.
- E Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Inspectors wroteBased on personnel file review, the facility mandatory education calendar, and staff interview, the facility failed to implement resident rights training for 1 of 5 staff reviewed (Staff J). The facility reported a census of 30 residents.
- E Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Inspectors wroteBased on personnel file review, the facility mandatory education calendar, and staff interview, the facility failed to implement Quality Assurance and Performance Improvement (QAPI) training for 5 of 5 staff reviewed (Staff F, G, H, I, J). The facility reported a census of 30 residents.
- E Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Inspectors wroteBased on personnel file review, the facility mandatory education calendar, and staff interview, the facility failed to implement infection control training for 1 of 5 staff reviewed (Staff J). The facility reported a census of 30 residents.
- E Provide training in compliance and ethics.
Inspectors wroteBased on personnel file review, the facility mandatory education calendar, and staff interview, the facility failed to implement compliance and eithics training for 5 of 5 staff reviewed (Staff F, G, H, I, J). The facility reported a census of 30 residents.
- E Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Inspectors wroteBased on personnel file review, the facility mandatory education calendar, and staff interview, the facility failed to implement behavioral health training for 5 of 5 staff reviewed (Staff F, G, H, I, J). The facility reported a census of 30 residents.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on clinical record review, policy review, and staff interview, the facility failed to document whether or not a resident wished to appeal the decision of skilled services ending for 1 of 3 residents reviewed who discharged from skilled services(Resident #234). The facility reported a census of 30 residents.
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on clinical record review, staff interview, and facility policy review, the facility failed to complete a Significant Change Minimum Data Sheet (MDS) within 14 days for a resident placed on hospice care for 1 of 1 residents (Resident #27) reviewed. The facility reported a census of 30 residents.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review, staff interviews, resident interview, direction from the Resident Assessment Instrument (RAI), and policy review, the facility failed to assure each resident received an accurate Minimum Data Set (MDS) assessment, reflective of the resident's status at the time of the assessment for 1 of 14 residents (#21) reviewed for Accuracy of Assessment. The facility reported a census of 30 residents.
- D Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Inspectors wroteBased on clinical record review, staff interview, and facility policy review, the facility failed to notify Preadmission Screening and Resident Review (PASRR) for 1 of 2 residents reviewed for mental diagnosis and medications (Resident #6). The facility reported census of 30 residents.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, clinical record review, and policy review, the facility failed to implement a comprehensive care plan for 1 of 15 residents reviewed (#9). The facility reported a census of 30 residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review, family interviews, staff interview and hospital record review, the facility failed to perform complete and accurate assessments following a fall for 1 of 1 residents reviewed for falls (Resident #34). The facility reported a census of 30 residents.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record review, facility document review, observation, staff interviews, and facility policy review, the facility failed to provide an environment that is free from accidents/hazards for 2 of 5 residents reviewed for environmental hazards (Resident # 11, #9). The facility reported a census of 30 residents.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on clinical record review, observations, staff interview, and policy review the facility failed to follow infection prevention standards during incontinence cares for 2 of 2 residents review for incontinence cares (Residents #6, #12). The facility reported a census of 30 residents.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observations, staff interviews clinical record review, and policy review, the facility failed to provide oxygen per physician orders for 1 of 14 residents reviewed (#9). The facility reported a census of 30 residents.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observations, clinical record review, staff interview and facility policy review the facility failed to administer medications at an error rate of under 5%. The facility reported a census of 30 residents.
- C 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.
Inspectors wroteBased on the facility assessment and staff interview, the facility failed to review and update the facility assessment annually. The facility reported a census of 30 residents.
- C 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.
Inspectors wroteBased on facility document review and staff interview, the facility failed to hold a written transfer agreement with a hospital in order to assure that residents would be transferred from the facility to the hospital. The facility reported a census of 30 residents.
May 16, 2024Complaint inspection · 1 citation
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on clinical record review, staff, family and provider interviews, and facility policy review, the facility failed to update and revise a resident care plan to reflect non compliance with physician orders for 1 of 4 (Resident #1) residents reviewed. The facility reported a census of 27 residents.
March 21, 2024Complaint inspection · 1 citation
- F Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on facility document review, staff interviews and policy review, the facility failed to implement the abuse and neglect policy by not completing background checks appropriately prior to staff employment. The facility reported a census of 27 residents.
February 1, 2024Complaint inspection · 4 citations
- G Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on clinical record review, facility policy review, staff interviews and provider interviews, the facility failed to implement interventions to prevent the development and deterioration of pressure ulcers for 1 of 3 residents reviewed (Resident #5). The resident was admitted to the facility with intact skin and developed a Stage III pressure ulcer along with other wounds over the course of 3 months. The facility reported a census of 28 residents.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on clinical record review, family interview and staff interview, the facility failed to treat each resident with dignity and respect for 1 of 3 residents reviewed (Resident #3) by not providing appropriate clothing when the resident was in a public area of the facility. The facility reported a census of 28 residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on clinical record review and staff interview, the facility failed to follow physician orders for 2 of 3 residents reviewed (Resident #3, #5). The facility reported a census of 28 residents.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on observation, clinical record review, staff interview and policy review, the facility failed to keep complete and accurate resident records for 1 of 3 residents reviewed (Resident #5). The facility reported a census of 28 residents.
Fire safety inspections
2 fire safety citations on file: 1 on July 11, 2024, 1 on January 31, 2024.
Every fire safety citation2 citations
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Provide a written emergency evacuation plan.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| July 11, 2024 | Fine | $16,801 |
| January 31, 2024 | Payment Denial | 28 days from February 23, 2024 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.80 | 3.82 | 3.86 |
| Registered nurses | 0.90 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.13 | 3.37 | 3.42 |
| Nurse aides | 2.33 | ||
| Licensed practical nurses | 0.57 | ||
| Nursing staff turnover (share who left in a year) | 68.4% | 44.0% | 45.8% |
| Registered nurse turnover | 77.8% | 42.1% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.51 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.07 on weekdays and 3.13 on weekends, 23% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 9.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.81 in April to June 2025 to 3.80 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.80 | 0.90 | 4.07 | 3.13 | 9.0% | 0 of 90 | 25 |
| Oct to Dec 2025 | 4.06 | 0.88 | 4.23 | 3.63 | 1.7% | 0 of 92 | 24 |
| Jul to Sep 2025 | 4.43 | 0.97 | 4.77 | 3.57 | 13.3% | 0 of 92 | 24 |
| Apr to Jun 2025 | 3.81 | 0.80 | 4.11 | 3.07 | 6.0% | 0 of 91 | 27 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Iowa
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Iowa, all employers | |||
| CNAs (nursing assistants) | $18.92 | $17.96 to $21.95 | 22,670 |
| LPNs and LVNs | $30.11 | $27.12 to $34.06 | 5,510 |
| Registered nurses | $37.80 | $32.83 to $41.32 | 34,420 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 37.3 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.6 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.2 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.2 | 3.8 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 44.6 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.5 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 20.0 | 19.4 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.9 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.8 | 2.1 | 1.8 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for Accura Healthcare of Creston's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Owners and operators
Legal business name: ACCURA HEALTHCARE OF CRESTON LLC. CMS links this home to Accura Healthcare, a group of 41 nursing homes averaging 2.5 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Aviv Healthcare of the Midwest LLC | Direct ownership interest | Organization | 02/01/2025 | |
| Avenue94 LLC | Indirect ownership interest | Organization | 02/01/2025 | |
| Aviv Healthcare Holdings LLC | Indirect ownership interest | Organization | 02/01/2025 | |
| Kimmons Healthcare Investments LLC | Indirect ownership interest | Organization | 02/01/2025 | |
| Ktl Enterprises LLC | Indirect ownership interest | Organization | 02/01/2025 | |
| Little River Investments LLC | Indirect ownership interest | Organization | 02/01/2025 | |
| Zrr Opco LLC | Indirect ownership interest | Organization | 02/01/2025 | |
| Allen, Brady | Indirect ownership interest | Individual | 02/01/2025 | |
| Glaser, Kristopher | Indirect ownership interest | Individual | 02/01/2025 | |
| Kleinsasser, Megan | Indirect ownership interest | Individual | 02/01/2025 | |
| Leneave, Ted | Indirect ownership interest | Individual | 02/01/2025 | |
| Toti, Lisa | Indirect ownership interest | Individual | 02/01/2025 | |
| Accura Management Consulting Services LLC | Operational/managerial control | Organization | 02/01/2025 | |
| Allen, Brady | Operational/managerial control | Individual | 02/01/2025 | |
| Glaser, Kristopher | Operational/managerial control | Individual | 02/01/2025 | |
| Kleinsasser, Megan | Operational/managerial control | Individual | 02/01/2025 | |
| Leneave, Ted | Operational/managerial control | Individual | 02/01/2025 | |
| Miller, Daniel | Operational/managerial control | Individual | 02/01/2025 | |
| Rohrig, Ricky | Operational/managerial control | Individual | 02/01/2025 | |
| Toti, Lisa | Operational/managerial control | Individual | 02/01/2025 | |
| Williams, Cara | Operational/managerial control | Individual | 02/01/2025 | |
| Accura Management Consulting Services LLC | Adp of the SNF | Organization | 02/01/2025 | |
| Aviv Financing II LLC | Adp of the SNF | Organization | 02/01/2025 | |
| Aviv Healthcare Holdings LLC | Adp of the SNF | Organization | 06/03/2025 | |
| Aviv Healthcare of the Midwest LLC | Adp of the SNF | Organization | 06/03/2025 | |
| Aviv Healthcare Properties Operating Partnership I LP | Adp of the SNF | Organization | 02/01/2025 | |
| Aviv Op Limited Partner LLC | Adp of the SNF | Organization | 02/01/2025 | |
| Iowa Lincoln County Property LLC | Adp of the SNF | Organization | 02/01/2025 | |
| Kimmons Healthcare Investments LLC | Adp of the SNF | Organization | 06/03/2025 | |
| Ohi Healthcare Properties Limited Partnership | Adp of the SNF | Organization | 02/01/2025 | |
| Omega Healthcare Investors Inc | Adp of the SNF | Organization | 02/01/2025 | |
| Allen, Brady | Adp of the SNF | Individual | 02/01/2025 | |
| Glaser, Kristopher | Adp of the SNF | Individual | 02/01/2025 | |
| Kleinsasser, Megan | Adp of the SNF | Individual | 02/01/2025 | |
| Leneave, Ted | Adp of the SNF | Individual | 02/01/2025 | |
| Miller, Daniel | Adp of the SNF | Individual | 02/01/2025 | |
| Rohrig, Ricky | Adp of the SNF | Individual | 02/01/2025 | |
| Toti, Lisa | Adp of the SNF | Individual | 02/01/2025 | |
| Williams, Cara | Adp of the SNF | Individual | 02/01/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 11 problems in this area, most recently on June 25, 2026: "Ensure each resident receives an accurate assessment."
- Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 7 problems in this area, most recently on July 11, 2024: "Develop, implement, and/or maintain an effective training program for all new and existing staff members."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on June 25, 2026: "Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on June 25, 2026: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.13 hours per resident per day, below the Iowa average of 3.37.
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- Creston Specialty Care Creston, 1.9 mi · 2 of 5 stars · 19 citations
- Lenox Care Center Lenox, 16.2 mi · 3 of 5 stars · 28 citations
- Greenfield Rehabilitation & Health Care Center Greenfield, 17.5 mi · 3 of 5 stars · 20 citations
- Corning Specialty Care Corning, 20.3 mi · 4 of 5 stars · 19 citations
- Clearview Home Mount Ayr, 24.4 mi · 4 of 5 stars · 3 citations
- Mount Ayr Health Care Center Mount Ayr, 25 mi · 4 of 5 stars · 11 citations
Iowa contacts for a concern about a nursing home
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.
Common questions
- What is Accura Healthcare of Creston's Medicare star rating?
- CMS rates Accura Healthcare of Creston 2 out of 5 stars overall, with 2 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Accura Healthcare of Creston get at its last inspection?
- 5 health deficiencies at the standard inspection on June 25, 2026. The Iowa average is 6.5.
- Has Accura Healthcare of Creston been fined?
- Yes. CMS lists 1 fine totaling $16,801 in the last three years.
- Does Accura Healthcare of Creston accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Accura Healthcare of Creston?
- CMS lists 39 owners and managers, and links the home to Accura Healthcare. Legal business name: ACCURA HEALTHCARE OF CRESTON LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.