The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Creston Specialty Care
Creston, IA · Medicare-certified · 74 beds
Needs attention
For-profitChain member
3 of 5 overall
Creston Specialty Care has a 3 out of 5 star overall rating, with 3-star health inspection, staffing, and quality ratings. It has reported nurse staffing below the federal benchmark (3.16 vs 4.1 hours per resident per day) and has had $12,048 in fines in the last 24 months, including a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.1579 hrs/resident/day
Quality measures
Last inspection: October 9, 2025Penalties, last 24 months: $12,048recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1579.
Staffing detail
- Registered nurses
- 0.63
- Licensed practical nurses
- 0.95
- Nurse aides
- 1.58
- Weekend nursing
- 2.79
Hours per resident per day.
Total staff turnover: 51%
Registered nurse turnover: 56%
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
13.8%10.3%Improving
Residents with a fall causing major injury
2.2%0%Improving
Residents with pressure ulcers (bedsores)
4.4%2.2%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
2.9%3%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
17.1%9.1%Improving
Residents whose ability to walk got worse
21.1%21.6%No change
Long-stay residents on antianxiety or sleep medication
11.4%18.2%Worsening
Short-stay residents newly given an antipsychotic
2.6%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
45.5%32.4%Improving
Residents with depressive symptoms
0%0%No change
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
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—98.5%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to properly assess a resident after a major change in condition. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 637 — 42 CFR §483.20(b)(2) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited June 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 842 — 42 CFR §483.70 — S/S: E
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
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $12,048 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $19,663 in total fines.
- $12,048
Federal fine
Jun 20, 2024
- $7,615
Federal fine
Jan 4, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of CARE INITIATIVES · 43 homes · 3.1 stars avg
- Occupancy
- 53.9 residents on an average day (73% of 74 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 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.