Accura Healthcare of Creston
1000 East Howard, Creston, IA 50801
Accura Healthcare of Creston is a nursing home in Creston, Iowa. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating2 of 5
- Last standard health inspectionJune 25, 2026 (4 months ago)
- Health citations since February 1, 202438 (Iowa average 21)
- Fines in the past three years1, $16,801 in total
- CMS flagsNone listed by CMS
Get an email when CMS publishes something new about this home
One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
Health inspection on June 25, 2026
5 citationsCMS lists this as a standard inspection and a complaint inspection.
Show the 5 citations
Citation F0676. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
CMS lists it as corrected on July 13, 2026.
Citation F0550. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on July 10, 2026.
CMS has cited this home for F0550 2 times since 2024.
Citation F0584. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on July 10, 2026.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on July 10, 2026.
CMS has cited this home for F0641 2 times since 2024.
Citation F0645. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
PASARR screening for Mental disorders or Intellectual Disabilities
CMS lists it as corrected on July 10, 2026.
CMS update of April 29, 2026
Ownership
CMS lists this home under a new chain.
CMS update of February 25, 2026
Name
CMS lists a new legal business name for this home.
CMS update of November 20, 2025
Name
CMS lists a new name for this home. It was ACCURA HEALTHCARE OF CRESTON, LLC.
Fire safety citation
CMS removed citation K0353 from the fire safety inspection on May 13, 2025.
Fire safety citation
CMS removed citation K0362 from the fire safety inspection on May 13, 2025.
Fire safety citation
CMS removed citation K0761 from the fire safety inspection on May 13, 2025.
Fire safety citation
CMS removed citation K0911 from the fire safety inspection on May 13, 2025.
Fire safety citation
CMS removed citation K0923 from the fire safety inspection on May 13, 2025.
Fire safety citation
CMS removed citation K0291 from the fire safety inspection on July 16, 2024.
Fire safety citation
CMS removed citation K0324 from the fire safety inspection on July 16, 2024.
Fire safety citation
CMS removed citation K0354 from the fire safety inspection on July 16, 2024.
Fire safety citation
CMS removed citation K0712 from the fire safety inspection on July 16, 2024.
Fire safety citation
CMS removed citation K0741 from the fire safety inspection on July 16, 2024.
Fire safety citation
CMS removed citation K0761 from the fire safety inspection on July 16, 2024.
Fire safety citation
CMS removed citation K0914 from the fire safety inspection on July 16, 2024.
Health inspection on October 30, 2025
2 citationsCMS lists this as a complaint inspection.
Show the 2 citations
Citation F0658. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on December 12, 2025.
CMS has cited this home for F0658 2 times since 2024.
Citation F0726. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on December 12, 2025.
CMS update of July 30, 2025
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS health inspection star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of June 25, 2025
Name
CMS lists a new legal business name for this home.
CMS update of April 30, 2025
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
CMS update of March 26, 2025
Name
CMS lists a new name for this home. It was CREST HAVEN CARE CENTRE.
CMS update of February 26, 2025
Star rating
The CMS quality measures star rating changed from 3 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of October 30, 2024
Star rating
The CMS staffing star rating changed from 2 of 5 to 4 of 5.
CMS update of September 26, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 1 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 1 of 5.
CMS update of July 31, 2024
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Health inspection on July 11, 2024
25 citationsCMS lists this as a standard inspection and a complaint inspection.
Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
57 of 387 Iowa homes (15%) got a citation at the immediate jeopardy level in 2024.
CMS fine of $16,801 on July 11, 2024.
Show the 25 citations
Citation F0805. Severity J: immediate jeopardy, isolated.
The rule CMS cited:
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
CMS lists it as corrected on July 25, 2024.
Citation F0804. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS lists it as corrected on August 8, 2024.
Citation F0812. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on August 8, 2024.
Citation F0580. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS lists it as corrected on August 8, 2024.
Citation F0657. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on August 8, 2024.
CMS has cited this home for F0657 2 times since 2024.
Citation F0880. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide and implement an infection prevention and control program.
CMS lists it as corrected on August 8, 2024.
Citation F0940. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
CMS lists it as corrected on August 8, 2024.
Citation F0941. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
CMS lists it as corrected on August 8, 2024.
Citation F0942. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
CMS lists it as corrected on August 8, 2024.
Citation F0944. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
CMS lists it as corrected on August 8, 2024.
Citation F0945. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
CMS lists it as corrected on August 8, 2024.
Citation F0946. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide training in compliance and ethics.
CMS lists it as corrected on August 8, 2024.
Citation F0949. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
CMS lists it as corrected on August 8, 2024.
Citation F0582. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
CMS lists it as corrected on August 8, 2024.
Citation F0637. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Assess the resident when there is a significant change in condition
CMS lists it as corrected on August 8, 2024.
Citation F0641. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure each resident receives an accurate assessment.
CMS lists it as corrected on August 8, 2024.
Citation F0644. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
CMS lists it as corrected on August 8, 2024.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on August 8, 2024.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on August 8, 2024.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on August 8, 2024.
Citation F0690. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
CMS lists it as corrected on August 8, 2024.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on August 8, 2024.
Citation F0759. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on August 8, 2024.
Citation F0838. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
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.
CMS lists it as corrected on August 8, 2024.
Citation F0843. Severity C: potential for minimal harm, widespread.
The rule CMS cited:
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.
CMS lists it as corrected on August 8, 2024.
Fire safety inspection on July 11, 2024
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation E0004. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Develop and maintain an Emergency Preparedness Program (EP).
CMS lists it as corrected on July 31, 2024.
CMS update of May 29, 2024
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 4 of 5 to 3 of 5.
Health inspection on May 16, 2024
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on June 1, 2024.
Health inspection on March 21, 2024
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation F0607. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS lists it as corrected on March 22, 2024.
February 23, 2024
Payment stoppedCMS stopped payment for new admissions from February 23, 2024, for 28 days.
Health inspection on February 1, 2024
4 citationsCMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
91 of 387 Iowa homes (24%) got a citation at the actual harm level in 2024.
Show the 4 citations
Citation F0686. Severity G: actual harm, isolated.
The rule CMS cited:
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
CMS lists it as corrected on February 8, 2024.
Citation F0550. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on February 26, 2024.
Citation F0658. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on February 26, 2024.
Citation F0842. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on February 26, 2024.
Fire safety inspection on January 31, 2024
1 citationCMS lists this as a complaint inspection.
Show the 1 citation
Citation K0711. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Provide a written emergency evacuation plan.
CMS lists it as corrected on February 23, 2024.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS staffing star rating changed from 2 of 5 to 1 of 5.
Staffing
Total nurse staffing reported to CMS went from 3.1 to 2.4 hours per resident per day.
CMS star ratings
- 2 of 5CMS overall star rating
- 2 of 5CMS health inspection star rating
- 3 of 5CMS staffing star rating
- 2 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (641) 782-5012
- Last standard health inspection
- June 25, 2026 (4 months ago)
- Certified beds
- 31
- Residents per day, on average
- 20.8
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Accura Healthcare of Creston LLC
- Chain
- Accura Healthcare
- Takes part in
- Medicare and Medicaid
More health citations than the Iowa average (38 vs 21).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- AVIV HEALTHCARE OF THE MIDWEST LLCDirect ownership interest · not applicable · since 02/01/2025
- AVENUE94 LLCIndirect ownership interest · not applicable · since 02/01/2025
- AVIV HEALTHCARE HOLDINGS LLCIndirect ownership interest · not applicable · since 02/01/2025
- KIMMONS HEALTHCARE INVESTMENTS LLCIndirect ownership interest · not applicable · since 02/01/2025
- KTL ENTERPRISES LLCIndirect ownership interest · not applicable · since 02/01/2025
Show 16 more
- LITTLE RIVER INVESTMENTS LLCIndirect ownership interest · not applicable · since 02/01/2025
- ZRR OPCO LLCIndirect ownership interest · not applicable · since 02/01/2025
- ALLEN, BRADYIndirect ownership interest · not applicable · since 02/01/2025
- GLASER, KRISTOPHERIndirect ownership interest · not applicable · since 02/01/2025
- KLEINSASSER, MEGANIndirect ownership interest · not applicable · since 02/01/2025
- LENEAVE, TEDIndirect ownership interest · not applicable · since 02/01/2025
- TOTI, LISAIndirect ownership interest · not applicable · since 02/01/2025
- ACCURA MANAGEMENT CONSULTING SERVICES LLCOperational/managerial control · not applicable · since 02/01/2025
- ALLEN, BRADYOperational/managerial control · not applicable · since 02/01/2025
- GLASER, KRISTOPHEROperational/managerial control · not applicable · since 02/01/2025
- KLEINSASSER, MEGANOperational/managerial control · not applicable · since 02/01/2025
- LENEAVE, TEDOperational/managerial control · not applicable · since 02/01/2025
- MILLER, DANIELOperational/managerial control · not applicable · since 02/01/2025
- ROHRIG, RICKYOperational/managerial control · not applicable · since 02/01/2025
- TOTI, LISAOperational/managerial control · not applicable · since 02/01/2025
- WILLIAMS, CARAOperational/managerial control · not applicable · since 02/01/2025
Questions
When was Accura Healthcare of Creston last inspected?
CMS lists June 25, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Accura Healthcare of Creston have?
CMS lists 38 health citations since February 1, 2024. CMS also calls these deficiencies.
Has Accura Healthcare of Creston been fined?
CMS lists 1 fine in the past three years, $16,801 in total.
What is the CMS star rating of Accura Healthcare of Creston?
Its CMS overall star rating is 2 of 5.
Is Accura Healthcare of Creston a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.