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
2 of 5 overall
Accura Healthcare of Creston in Creston, IA has a 2-star overall rating, with 2-star health inspection and quality ratings and 3-star staffing. It has recent federal penalty/fines ($16,801), and reported nurse staffing is 4.06 hours per resident per day, just below the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
4.0607 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 4.0607.
Staffing detail
- Registered nurses
- 0.88
- Licensed practical nurses
- 0.67
- Nurse aides
- 2.51
- Weekend nursing
- 3.63
Hours per resident per day.
Total staff turnover: 60%
Registered nurse turnover: 75%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
21.3%Steady
Residents with a fall causing major injury
2.1%Steady
Residents with pressure ulcers (bedsores)
4.5%Improving
Residents with a urinary tract infection
4.1%Improving
Residents who lost too much weight
10.3%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
34.4%Steady
Residents whose ability to walk got worse
28.7%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
21.8%Worsening
Residents with a long-term catheter
1.5%Worsening
Residents with new or worsening incontinence
38.5%Worsening
Residents with depressive symptoms
1.2%Steady
Long-stay residents given the seasonal flu vaccine
96.2%Steady
Long-stay residents given the pneumonia vaccine
90.7%Improving
Short-stay residents given the pneumonia vaccine
78.6%Steady
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
- Ownership
- For profit - Limited Liability company
- Chain
- Part of ACCURA HEALTHCARE · 41 homes · 2.4 stars avg
- Occupancy
- 24.3 residents on an average day (78% 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.