Accura Healthcare of Creston
1000 East Howard · Creston, IA · 50801 · 6417825012
31 certified beds For profit - Limited Liability company Chain: Accura Healthcare
- Inspection results have improved across recent cycles.
The composite number cleared 70 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
60% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.06 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.88 | 0.55–0.75 |
| Weekend hours / resident-day | 3.63 | ≈ weekday level |
| Nursing turnover / year | 60% | median 45% |
| Fines (3-yr window) | 1 · $16,801 |
Inspection citations (33 in the current record)
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Potential for harm · D October 30, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected December 12, 2025 · Resident Assessment and Care Planning
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Potential for harm · D October 30, 2025 · found via complaint
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.
Corrected December 12, 2025 · Nursing and Physician Services
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Immediate jeopardy · J July 11, 2024
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected July 25, 2024 · Nutrition and Dietary
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Potential for harm · D July 11, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 8, 2024 · Quality of Life and Care
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Potential for harm · D July 11, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected August 8, 2024 · Resident Rights
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Potential for harm · D July 11, 2024
Assess the resident when there is a significant change in condition
Corrected August 8, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 11, 2024
Ensure each resident receives an accurate assessment.
Corrected August 8, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 11, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected August 8, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 11, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 8, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 11, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected August 8, 2024 · Quality of Life and Care
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Potential for harm · D July 11, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected August 8, 2024 · Pharmacy Service
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Potential for harm · F July 11, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected August 8, 2024 · Nutrition and Dietary
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Potential for harm · F July 11, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 8, 2024 · Nutrition and Dietary
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Potential for harm · E July 11, 2024
Provide and implement an infection prevention and control program.
Corrected August 8, 2024 · Infection Control
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Potential for harm · E July 11, 2024
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected August 8, 2024 · Administration
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Potential for harm · E July 11, 2024
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected August 8, 2024 · Administration
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Potential for harm · E July 11, 2024
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected August 8, 2024 · Resident Rights
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Potential for harm · E July 11, 2024
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected August 8, 2024 · Administration
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Potential for harm · E July 11, 2024
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected August 8, 2024 · Infection Control
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Potential for harm · E July 11, 2024
Provide training in compliance and ethics.
Corrected August 8, 2024 · Administration
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Potential for harm · E July 11, 2024
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected August 8, 2024 · Administration
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Potential for harm · E July 11, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected August 8, 2024 · Resident Rights
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Potential for harm · E July 11, 2024 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 8, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 11, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 8, 2024 · Quality of Life and Care
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Potential for harm · D July 11, 2024 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected August 8, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| July 11, 2024 | Fine | $16,801 |
| January 31, 2024 | Payment Denial | 28 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165275 · certified since June 21, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.