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
In good standing
For-profitChain member
Data as of July 1, 2026
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 reported 3.26 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had $0 in fines over the last 24 months, and recent inspection citations included accident hazards/supervision, following care orders and resident preferences, and assessing residents after significant changes in condition.
Facility ratings
Health inspections
Staffing
3.2589 hrs/resident/day
Quality measures
Last inspection: October 9, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2589.
Staffing detail
- Registered nurses
- 0.60
- Licensed practical nurses
- 0.91
- Nurse aides
- 1.75
- Weekend nursing
- 2.81
Hours per resident per day.
Total staff turnover: 48%
Registered nurse turnover: 63%
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
12%12.1%No change
Residents with a fall causing major injury
4.8%2.4%Improving
Residents with pressure ulcers (bedsores)
3.6%2.6%Improving
Residents with a urinary tract infection
2.4%2.4%No change
Residents who lost too much weight
3.1%6.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
19.4%11.8%Improving
Residents whose ability to walk got worse
26.9%8.2%Improving
Long-stay residents on antianxiety or sleep medication
12.5%17.6%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
28.7%29.7%Worsening
Residents with depressive symptoms
2.5%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
—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
98.5%100%Improving
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 stars avg
- Occupancy
- 51.6 residents on an average day (70% 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.