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Accura Healthcare of Creston

1000 East Howard
Creston, IA 50801 · 6417825012 · Union County

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds31
OwnershipFor profit - Limited Liability company
State rank#301

By the numbers

38
Health citations (3 cycles)
1
Immediate-jeopardy (J/K/L)
1
Actual-harm (G/H/I)
$16,801
Federal fines (CMPs)
The trend: Citations are trending down — 7 in the most recent cycle versus 31 two cycles ago.

Recent Health Citations

Jun 25, 2026 · Health survey · F-tag 0645
D — No actual harm
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Jun 25, 2026 · Health survey · F-tag 0641
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Jun 25, 2026 · Health survey · F-tag 0584
D — No actual harm
Resident Rights Deficiencies
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.
Jun 25, 2026 · Health survey · F-tag 0550
D — No actual harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Jun 25, 2026 · Health survey · F-tag 0676
E — No actual harm
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Oct 30, 2025 · Health survey · F-tag 0726
D — No actual harm
Nursing and Physician Services Deficiencies
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.
Oct 30, 2025 · Health survey · F-tag 0658
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Jul 11, 2024 · Health survey · F-tag 0843
C — Cited
Administration Deficiencies
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.
Jul 11, 2024 · Health survey · F-tag 0838
C — Cited
Administration Deficiencies
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.
Jul 11, 2024 · Health survey · F-tag 0759
D — No actual harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Jul 11, 2024 · Health survey · F-tag 0695
D — No actual harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Jul 11, 2024 · Health survey · F-tag 0690
D — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Jul 11, 2024 · Health survey · F-tag 0689
D — No actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jul 11, 2024 · Health survey · F-tag 0684
D — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Jul 11, 2024 · Health survey · F-tag 0656
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Jul 11, 2024 · Health survey · F-tag 0644
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Jul 11, 2024 · Health survey · F-tag 0641
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Jul 11, 2024 · Health survey · F-tag 0637
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Jul 11, 2024 · Health survey · F-tag 0582
D — No actual harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Jul 11, 2024 · Health survey · F-tag 0949
E — No actual harm
Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Showing the 20 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in Iowa →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.