Creston Specialty Care
1001 Cottonwood Drive · Creston, IA · 50801 · 6417828511
74 certified beds For profit - Corporation Chain: Care Initiatives
- Inspection results have improved across recent cycles.
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
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.16 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.63 | 0.55–0.75 |
| Weekend hours / resident-day | 2.79 | ≈ weekday level |
| Nursing turnover / year | 51% | median 45% |
| Fines (3-yr window) | 2 · $19,663 |
Inspection citations (17 in the current record)
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Potential for harm · D October 9, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 10, 2025 · Resident Assessment and Care Planning
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Potential for harm · D October 9, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected October 10, 2025 · Nursing and Physician Services
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Potential for harm · E May 8, 2025
Assess the resident when there is a significant change in condition
Corrected May 9, 2025 · Resident Assessment and Care Planning
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Potential for harm · D May 8, 2025
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Corrected May 9, 2025 · Infection Control
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Potential for harm · D May 8, 2025 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected May 9, 2025 · Resident Rights
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Potential for harm · D December 31, 2024 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 1, 2025 · Resident Assessment and Care Planning
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Actual harm · G June 20, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 1, 2024 · Quality of Life and Care
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Potential for harm · D June 20, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 11, 2024 · Resident Rights
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Potential for harm · D June 20, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected July 11, 2024 · Pharmacy Service
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Potential for harm · E June 20, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 11, 2024 · Nutrition and Dietary
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Potential for harm · E June 20, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · E June 20, 2024
Provide and implement an infection prevention and control program.
Corrected July 11, 2024 · Infection Control
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Actual harm · G January 4, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 11, 2024 · Quality of Life and Care
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Potential for harm · D July 20, 2023
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected August 20, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E July 20, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected August 20, 2023 · Resident Assessment and Care Planning
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Potential for harm · E July 20, 2023
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected August 20, 2023 · Nutrition and Dietary
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Potential for harm · E July 20, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 20, 2023 · Nutrition and Dietary
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 20, 2024 | Fine | $12,048 |
| January 4, 2024 | Fine | $7,615 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165199 · certified since March 1, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.