Nursing home
Accura Healthcare of Creston
1000 East Howard, Creston, IA 50801 · Map
For profit - Limited Liability company · Part of Arboreta Healthcare (8 facilities) · 31 certified beds
Accura Healthcare of Creston is a Medicare-certified nursing home in Creston, Iowa. CMS rates it 2 out of 5 stars overall (3/5 for staffing, 2/5 for health inspections). Nurse staffing is 4.43 hours per resident per day, above the Iowa average of 3.83. Its most recent inspection on May 15, 2025 cited 2 deficiencies.
- 1 fine totaling $16,801In CMS records: 2 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Accura Healthcare of Creston compares
This facility vs. the Iowa and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Iowa avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.43 | 3.83 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.97 | 0.73 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.67 | 2.53 | 2.34 | above avg |
| Nursing staff turnover | —% | 43.9% | 46.4% | — |
| Deficiencies cited, last inspection | 2.0 | 6.2 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $16,801, 2 total penalties, 1 Medicare payment denial.
What inspectors found at Accura Healthcare of Creston
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
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.
Nursing and Physician Services Deficiencies · Oct 30, 2025 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Oct 30, 2025 · Full report (PDF) - Immediate jeopardy
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Jul 11, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jul 11, 2024 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Jul 11, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Jul 11, 2024 · Full report (PDF) - Potential for harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Jul 11, 2024 · Full report (PDF) - Potential for harm
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Administration Deficiencies · Jul 11, 2024 · Full report (PDF) - Potential for harm
Provide training in compliance and ethics.
Administration Deficiencies · Jul 11, 2024 · Full report (PDF) - Potential for harm
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Infection Control Deficiencies · Jul 11, 2024 · Full report (PDF) - Potential for harm
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Administration Deficiencies · Jul 11, 2024 · Full report (PDF) - Potential for harm
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Resident Rights Deficiencies · Jul 11, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1000 East Howard
Creston, IA 50801 - CMS certification #
- 165275
- Ownership
- For profit - Limited Liability company
- Certified beds
- 31
- Avg residents/day
- 24.3
- Provider type
- Medicare and Medicaid
- First certified
- 1996-06-21
- Chain
- Arboreta Healthcare (8 facilities)
- Setting
- Rural
Part of Arboreta Healthcare
Arboreta Healthcare operates 8 nursing facilities across the United States. View all Arboreta Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Accura Healthcare of Creston using Google Maps.
Other public records
- Website says Respite stays, nurse 24 hours a day, works with hospice
Full public records, with dates and sources
Care and services
From the community’s website
What Accura Healthcare of Creston says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
Respite Care
(page, checked Oct 12, 2026) - Nurse on site: 24 hours a day.
24-hour skilled nursing care
(page, checked Oct 12, 2026) - Offers hospice care on site or works with hospice providers.
Hospice & Palliative Care
(page, checked Oct 15, 2026) - Apartment types named: private room, semi-private room.
Private and semi-private rooms
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Greater Regional Medical Center, Creston. 1.9 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Creston Specialty Care, Creston. 1.9 miles away, straight line.
- Nearest home health agency office
- Everystep, Creston. 0.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Medicap® Pharmacy. 1.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 50801 as small town (small town core).
- Dialysis within 15 miles
- Davita Creston Dialysis, Creston, 1.9 miles away, straight line (CMS rating 3 of 5 stars)
- Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 50801.
Care Initiatives Hospice - Greenfield, office in Greenfield, 17.8 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Ch Specialty Services Ia PC, Osceola. 29.4 miles away, straight line. 2 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane very low, inland flooding relatively moderate, wildfire relatively low, tornado very high, heat wave very high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Only cases that look tied to an earlier operator (not shown) |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Accura Healthcare of Creston a good nursing home?
CMS gives Accura Healthcare of Creston an overall rating of 2 out of 5 stars, including 3/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Accura Healthcare of Creston staffed?
Accura Healthcare of Creston reports 4.43 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has Accura Healthcare of Creston had inspection problems?
Its most recent CMS inspection cited 2 deficiencies.
How many beds does Accura Healthcare of Creston have?
Accura Healthcare of Creston is certified for 31 beds.