The home failed to ensure residents received food prepared in a form that met their individual needs. Cited July 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 805 — 42 CFR §483.60 — S/S: J
Nursing home report
Accura Healthcare of Creston
Creston, IA · Medicare-certified · 31 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
2 of 5 overall
Accura Healthcare of Creston has an overall rating of 2 out of 5 stars, with 2-star health inspections and quality measures and 3-star staffing. Reported nurse staffing is 3.80 hours per resident per day, below the federal benchmark of 4.1, and the facility had $16,801 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.8002 hrs/resident/day
Quality measures
Last inspection: October 30, 2025Penalties, last 24 months: $16,801recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8002.
Staffing detail
- Registered nurses
- 0.90
- Licensed practical nurses
- 0.57
- Nurse aides
- 2.33
- Weekend nursing
- 3.13
Hours per resident per day.
Total staff turnover: 68%
Registered nurse turnover: 78%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—20%—
Residents with a fall causing major injury
3.8%4.8%Worsening
Residents with pressure ulcers (bedsores)
5.4%0%Improving
Residents with a urinary tract infection
7.7%4.8%Improving
Residents who lost too much weight
9.5%9.1%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
—37.3%—
Residents whose ability to walk got worse
—44.6%—
Long-stay residents on antianxiety or sleep medication
19%31.8%Worsening
Residents with a long-term catheter
2.6%3.3%Worsening
Residents with new or worsening incontinence
25.1%64.1%Worsening
Residents with depressive symptoms
5%0%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—96.2%—
Long-stay residents given the pneumonia vaccine
84.6%85.7%Improving
Short-stay residents given the pneumonia vaccine
—81.8%—
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited February 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited July 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 804 — 42 CFR §483.60 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited March 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $16,801 was recorded.
- INSPECTION
Health inspection found 25 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $16,801 in total fines · 1 payment denial.
- $16,801
Federal fine
Jul 11, 2024
- 28 days
Medicare/Medicaid payment denial
Jan 31, 2024
Operator & ownership
Recent ownership change · Feb 1, 2025
Now operated by Accura Healthcare of Creston, previously Crest Haven Care Centre.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of ACCURA HEALTHCARE · 43 homes · 2.3 stars avg
- Occupancy
- 25.3 residents on an average day (82% of 31 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 30 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.