All states › Iowa › Creston › Accura Healthcare of Creston
1000 East Howard Creston, IA 50801 · Union County
All 2 nursing homes in Creston, IA (2 take Medicaid)
CMS certification number 165275 · See this home on Medicare Care Compare
Is Accura Healthcare of Creston a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Accura Healthcare of Creston as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Iowa average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.25 hours per resident per day at Accura Healthcare of Creston, above the Iowa median of 3.76 (US median: 3.72). About 0.77 of those hours are from registered nurses. On weekends it falls to 3.68 hours, 13% below its all-week average. 73% of nursing staff left within a year (Iowa median 41.7%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 3 administrators left in the past year.
About this nursing home
Paying for care at Accura Healthcare of Creston: Medicare and Medicaid
Accura Healthcare of Creston is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Iowa's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on June 25, 2026 and found 4 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 38 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 38 citations at Accura Healthcare of Creston across 6 inspection dates, 14 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on July 11, 2024. The most common areas cited were resident assessment and care planning (11) and administration (7). The most serious was cited under the CMS rule to "ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs" (tag F0805, level J, July 11, 2024). 1 citation was under CMS's abuse, neglect and exploitation rules.
June 25, 2026 · 5 citations · includes complaint inspection
EEnsure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DHonor 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.
DEnsure each resident receives an accurate assessment.
DPASARR screening for Mental disorders or Intellectual Disabilities
October 30, 2025 · 2 citations · includes complaint inspection
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
July 11, 2024 · 25 citations, includes immediate jeopardy · includes complaint inspection
JEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
FEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EProvide and implement an infection prevention and control program.
EDevelop, implement, and/or maintain an effective training program for all new and existing staff members.
EDevelop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
EEnsure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
EConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
EInclude as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
EProvide training in compliance and ethics.
EProvide behavior health training consistent with the requirements and as determined by a facility assessment.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DAssess the resident when there is a significant change in condition
DEnsure each resident receives an accurate assessment.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide safe and appropriate respiratory care for a resident when needed.
DEnsure medication error rates are not 5 percent or greater.
CConduct 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.
CHave 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.
May 16, 2024 · 1 citation · includes complaint inspection
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
March 21, 2024 · 1 citation · includes complaint inspection
FDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
February 1, 2024 · 4 citations, includes actual harm · includes complaint inspection
GProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DEnsure services provided by the nursing facility meet professional standards of quality.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Questions to ask on a tour of Accura Healthcare of Creston
- Inspectors cited the home at the immediate-jeopardy level on July 11, 2024 under the rule on nutrition and dietary. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on March 21, 2024. How are staff trained, and how are concerns reported?
- Nursing staff turnover was 73% a year. How many of the staff come from agencies?
- Several administrators left in the past year. What has changed for residents since then?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $16,801 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jul 11, 2024 | Fine | $16,801 |
| Jan 31, 2024 | Payment Denial | 28 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 3/5 | 2/5 |
| August 2026 | 2/5 | 2/5 | 3/5 | 2/5 |
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Location
Hospitals near Accura Healthcare of Creston
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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1.9 mi
Greater Regional Medical Center CrestonEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 1h 41m for patients treated and sent home
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17.6 mi
Adair County Memorial Hospital GreenfieldEmergency roomMedian ER visit 2h 20m for patients treated and sent home
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21.4 mi
Alegent Health Mercy Hospital CorningEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 4m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Accura Healthcare of Creston › All nursing homes in Creston ›
Compare Accura Healthcare of Creston with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Creston Specialty Care · Creston · 3 stars · 1.9 mi
Other Accura Healthcare nursing homes in Iowa
- Accura Healthcare of New Hampton · New Hampton · 5 stars
- Accura Healthcare of Bancroft · Bancroft · 5 stars
- Accura Healthcare of Sioux City · Sioux City · 5 stars
- Accura Healthcare of Milford · Milford · 5 stars
- Accura Healthcare of Stanton · Stanton · 4 stars
- Accura Healthcare of Ogden · Ogden · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 44 Accura Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.