Accura Healthcare of Creston
1000 East Howard, Creston, IA 50801 · CCN 165275
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★☆☆☆ 2
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 31
- Avg residents/day
- 24.3
- Phone
- 6417825012
Inspection history vs Iowa & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Iowa avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-05-15 | 2 | 6.2 | 9.5 | -4.2 better |
| 2 | 2024-07-11 | 27 | 7.0 | 9.8 | +20.0 worse |
| 3 | 2023-04-27 | 4 | 7.9 | 9.3 | -3.9 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Resident assessment and care planning | 1 |
| Nursing and physician services | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.43 | — |
| RN staffing (reported) | 0.97 | — |
| Total nurse staffing (adjusted) | 4.56 | — |
Fines & penalties
- Total fines
- $16,801
- Number of fines
- 1
- Number of penalties
- 2
- Payment denials
- 1
Chain
- Chain
- ARBORETA HEALTHCARE
- Facilities in chain
- 8
- Chain avg overall
- 2.30 / 5
Inspection citations (33)1 immediate jeopardy1 actual harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-10-30 · Health · corrected 2025-12-12
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-10-30 · Health · corrected 2025-12-12
Potential for more than minimal harm
- EF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-07-11 · Health · corrected 2024-08-08
Potential for more than minimal harm
- DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2024-07-11 · Health · corrected 2024-08-08
Potential for more than minimal harm
- DF0637Assess the resident when there is a significant change in condition2024-07-11 · Health · corrected 2024-08-08
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-07-11 · Health · corrected 2024-08-08
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2024-07-11 · Health · corrected 2024-08-08
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-07-11 · Health · corrected 2024-08-08
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-07-11 · Health · corrected 2024-08-08
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-11 · Health · corrected 2024-08-08
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-11 · Health · corrected 2024-08-08
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-07-11 · Health · corrected 2024-08-08
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-07-11 · Health · corrected 2024-08-08
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2024-07-11 · Health · corrected 2024-08-08
Potential for more than minimal harm
- FF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-07-11 · Health · corrected 2024-08-08
Potential for more than minimal harm
- JF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-07-11 · Health · corrected 2024-07-25
Immediate jeopardy
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-07-11 · Health · corrected 2024-08-08
Potential for more than minimal harm
- CF0838Conduct 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.2024-07-11 · Health · corrected 2024-08-08
Potential for minimal harm
- CF0843Have 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.2024-07-11 · Health · corrected 2024-08-08
Potential for minimal harm
- EF0880Provide and implement an infection prevention and control program.2024-07-11 · Health · corrected 2024-08-08
Potential for more than minimal harm
- EF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2024-07-11 · Health · corrected 2024-08-08
Potential for more than minimal harm
- EF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2024-07-11 · Health · corrected 2024-08-08
Potential for more than minimal harm
- EF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.2024-07-11 · Health · corrected 2024-08-08
Potential for more than minimal harm
- EF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2024-07-11 · Health · corrected 2024-08-08
Potential for more than minimal harm
- EF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2024-07-11 · Health · corrected 2024-08-08
Potential for more than minimal harm
- EF0946Provide training in compliance and ethics.2024-07-11 · Health · corrected 2024-08-08
Potential for more than minimal harm
- EF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2024-07-11 · Health · corrected 2024-08-08
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-05-16 · Health · corrected 2024-06-01
Potential for more than minimal harm
- FF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-03-21 · Health · corrected 2024-03-22
Potential for more than minimal harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-02-01 · Health · corrected 2024-02-26
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-02-01 · Health · corrected 2024-02-26
Potential for more than minimal harm
- GF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-02-01 · Health · corrected 2024-02-08
Actual harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-02-01 · Health · corrected 2024-02-26
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| ACCURA MANAGEMENT CONSULTING SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-01 |
| ALLEN, BRADY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-01 |
| GLASER, KRISTOPHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-01 |
| KLEINSASSER, MEGAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-01 |
| LENEAVE, TED | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-01 |
| MILLER, DANIEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-01 |
| ROHRIG, RICKY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-01 |
| TOTI, LISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-01 |
| WILLIAMS, CARA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-02-01 |
Other facilities in Creston
| Name | Overall | Beds |
|---|---|---|
| Creston Specialty Care | ★★★☆☆ | 74 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.