D65

Accura Healthcare of Creston

Grade D 65/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
2/5
Staffing
3/5
RN Staffing
Not rated

Certified Beds

31

Ownership

For profit - Limited Liability company

Total Fines

$16,801

Last Survey

N/A

1000 East Howard, Creston, IA 50801
6417825012

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.99h
LPN
0.82h
CNA
2.75h
Total
4.56h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

ACCURA MANAGEMENT CONSULTING SERVICES LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Feb 2025

ALLEN, BRADY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2025

GLASER, KRISTOPHER

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2025

KLEINSASSER, MEGAN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2025

LENEAVE, TED

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2025

MILLER, DANIEL

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2025

ROHRIG, RICKY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2025

TOTI, LISA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2025

WILLIAMS, CARA

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 2025

Penalties & Fines (2)

$16,801total fines
DateTypeDescriptionAmount
Jul 11, 2024Fine$16,801
Jan 31, 2024Payment Denial

Health Inspection Deficiencies (33)

October 30, 2025Health2 deficiencies
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Dec 12, 2025
0726DMinimal harm, Isolated

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.

Nursing and Physician Services Deficiencies

Corrected Dec 12, 2025
July 11, 2024Health25 deficiencies1 severe
0805JImmediate jeopardy, Isolated

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Nutrition and Dietary Deficiencies

Corrected Jul 25, 2024
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Aug 8, 2024
0582DMinimal harm, Isolated

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Resident Rights Deficiencies

Corrected Aug 8, 2024
0637DMinimal harm, Isolated

Assess the resident when there is a significant change in condition

Resident Assessment and Care Planning Deficiencies

Corrected Aug 8, 2024
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 8, 2024
0644DMinimal harm, Isolated

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 8, 2024
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 8, 2024
0695DMinimal harm, Isolated

Provide safe and appropriate respiratory care for a resident when needed.

Quality of Life and Care Deficiencies

Corrected Aug 8, 2024
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Aug 8, 2024
0804FMinimal harm, Widespread

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected Aug 8, 2024
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Aug 8, 2024
0838CNo harm, Widespread

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.

Administration Deficiencies

Corrected Aug 8, 2024
0843CNo harm, Widespread

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.

Administration Deficiencies

Corrected Aug 8, 2024
0880EMinimal harm, Pattern

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Aug 8, 2024
0940EMinimal harm, Pattern

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Administration Deficiencies

Corrected Aug 8, 2024
0941EMinimal harm, Pattern

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Administration Deficiencies

Corrected Aug 8, 2024
0942EMinimal harm, Pattern

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

Resident Rights Deficiencies

Corrected Aug 8, 2024
0944EMinimal harm, Pattern

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Administration Deficiencies

Corrected Aug 8, 2024
0945EMinimal harm, Pattern

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

Infection Control Deficiencies

Corrected Aug 8, 2024
0946EMinimal harm, Pattern

Provide training in compliance and ethics.

Administration Deficiencies

Corrected Aug 8, 2024
0949EMinimal harm, Pattern

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Administration Deficiencies

Corrected Aug 8, 2024
0580EMinimal harm, Pattern

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Resident Rights Deficiencies

Corrected Aug 8, 2024
0657EMinimal harm, Pattern

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 8, 2024
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Aug 8, 2024
0690DMinimal harm, Isolated

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Quality of Life and Care Deficiencies

Corrected Aug 8, 2024
May 16, 2024Health1 deficiency
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Jun 1, 2024
March 21, 2024Health1 deficiency
0607FMinimal harm, Widespread

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Mar 22, 2024
February 1, 2024Health4 deficiencies1 severe
0550DMinimal harm, Isolated

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Resident Rights Deficiencies

Corrected Feb 26, 2024
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Feb 26, 2024
0686GActual harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Feb 8, 2024
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Feb 26, 2024

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Frequently Asked Questions

What is the CareGrader rating for Accura Healthcare of Creston?

Accura Healthcare of Creston in Creston, Iowa has a CareGrader grade of D (Below Average), with a composite score of 65.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Accura Healthcare of Creston?

Accura Healthcare of Creston has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 3/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Accura Healthcare of Creston have?

Accura Healthcare of Creston has 33 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has Accura Healthcare of Creston been fined?

Yes. Accura Healthcare of Creston has $16,801 in total fines from CMS enforcement actions across 2 penalties.

How many beds does Accura Healthcare of Creston have?

Accura Healthcare of Creston has 31 certified beds with approximately 24 current residents (77% occupancy). The facility is located at 1000 East Howard, Creston, Iowa 50801. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.