Nursing homes › Iowa › Accura Healthcare of Creston
1000 East Howard, Creston, IA 50801 · 6417825012 · 31 certified beds
Per CMS filings, this facility is affiliated with Accura Healthcare, a group operating 43 facilities in 4 states. Group record: average rating 2.3/5, 2 abuse citation icons, 0 facilities on the Special Focus list, $519,199 in federal fines. This facility rates below its group average (2.3/5).
Total nurse staffing: 3.80 (Iowa median: 3.69). RN hours: 0.90. Weekend total: 3.13. Nursing staff turnover: 68%.
All-time on record: 33 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-10-30 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2025-12-12 |
| 2025-10-30 | 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. | D | complaint | corrected 2025-12-12 |
| 2024-07-11 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | J | Health | corrected 2024-07-25 |
| 2024-07-11 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | Health | corrected 2024-08-08 |
| 2024-07-11 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2024-08-08 |
| 2024-07-11 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | complaint | corrected 2024-08-08 |
| 2024-07-11 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | complaint | corrected 2024-08-08 |
| 2024-07-11 | Provide and implement an infection prevention and control program. | E | Health | corrected 2024-08-08 |
| 2024-07-11 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | Health | corrected 2024-08-08 |
| 2024-07-11 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | E | Health | corrected 2024-08-08 |
| 2024-07-11 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | E | Health | corrected 2024-08-08 |
| 2024-07-11 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | Health | corrected 2024-08-08 |
| 2024-07-11 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | E | Health | corrected 2024-08-08 |
| 2024-07-11 | Provide training in compliance and ethics. | E | Health | corrected 2024-08-08 |
| 2024-07-11 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | Health | corrected 2024-08-08 |
| 2024-07-11 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2024-08-08 |
| 2024-07-11 | Assess the resident when there is a significant change in condition | D | Health | corrected 2024-08-08 |
| 2024-07-11 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2024-08-08 |
| 2024-07-11 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2024-08-08 |
| 2024-07-11 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2024-08-08 |
| 2024-07-11 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | complaint | corrected 2024-08-08 |
| 2024-07-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2024-08-08 |
| 2024-07-11 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | complaint | corrected 2024-08-08 |
| 2024-07-11 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2024-08-08 |
| 2024-07-11 | Ensure medication error rates are not 5 percent or greater. | D | Health | corrected 2024-08-08 |
| 2024-07-11 | 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. | C | Health | corrected 2024-08-08 |
| 2024-07-11 | 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. | C | Health | corrected 2024-08-08 |
| 2024-05-16 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2024-06-01 |
| 2024-03-21 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | F | complaint | corrected 2024-03-22 |
| 2024-02-01 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2024-02-08 |
| 2024-02-01 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | complaint | corrected 2024-02-26 |
| 2024-02-01 | Ensure services provided by the nursing facility meet professional standards of quality. | D | complaint | corrected 2024-02-26 |
| 2024-02-01 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2024-02-26 |
| Date | Type | Amount |
|---|---|---|
| 2024-07-11 | Fine | $16,801 |
| 2024-01-31 | Payment Denial | 28 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| AVIV HEALTHCARE OF THE MIDWEST LLC | Direct Ownership Interest | Organization | NOT APPLICABLE | since 02/01/2025 |
| AVENUE94 LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 02/01/2025 |
| AVIV HEALTHCARE HOLDINGS LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 02/01/2025 |
| KIMMONS HEALTHCARE INVESTMENTS LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 02/01/2025 |
| KTL ENTERPRISES LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 02/01/2025 |
| LITTLE RIVER INVESTMENTS LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 02/01/2025 |
| ZRR OPCO LLC | Indirect Ownership Interest | Organization | NOT APPLICABLE | since 02/01/2025 |
| ALLEN, BRADY | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 02/01/2025 |
| GLASER, KRISTOPHER | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 02/01/2025 |
| KLEINSASSER, MEGAN | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 02/01/2025 |
| LENEAVE, TED | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 02/01/2025 |
| TOTI, LISA | Indirect Ownership Interest | Individual | NOT APPLICABLE | since 02/01/2025 |
| ACCURA MANAGEMENT CONSULTING SERVICES LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 02/01/2025 |
| ALLEN, BRADY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2025 |
| GLASER, KRISTOPHER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2025 |
| KLEINSASSER, MEGAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2025 |
| LENEAVE, TED | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2025 |
| MILLER, DANIEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2025 |
| ROHRIG, RICKY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2025 |
| TOTI, LISA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2025 |
| WILLIAMS, CARA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/01/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 165275. Corrections: data@carerecords.org.