Accura Healthcare Of Creston
Creston, Union County, Iowa · CCN 165275 · For-profit (LLC) · part of Accura Healthcare (41 facilities, chain average 2.5 stars)
CMS rates Accura Healthcare Of Creston 2 of 5 overall as of August 2026. 31 certified beds, 25 residents a day on average. 38 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $16,801 and 1 payment denial.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★☆☆☆ 2 of 5 |
| Quality: long-stay / short-stay | 2 / — of 5 |
Staffing
| Total nurse staffing | 3.80015 hours per resident per day |
|---|---|
| Registered nurses | 0.89756 hours per resident per day |
| Weekend total | 3.12806 hours per resident per day |
| Nursing staff turnover | 68.4% (registered nurses 77.8%) |
| Administrators who left | 2 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-06-25 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · tag F0676 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-07-13 |
| 2026-06-25 complaint survey |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-07-10 |
| 2026-06-25 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · tag F0584 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-07-10 |
| 2026-06-25 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-07-10 |
| 2026-06-25 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-07-10 |
| 2025-10-30 complaint survey |
Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-12 |
| 2025-10-30 complaint survey |
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 · tag F0726 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-12 |
| 2024-07-11 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · tag F0805 |
J Immediate jeopardy to resident health or safety; isolated | Deficient, Provider has date of correction 2024-07-25 |
| 2024-07-11 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-08-08 |
| 2024-07-11 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-08-08 |
| 2024-07-11 complaint survey |
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 · tag F0580 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-08-08 |
| 2024-07-11 complaint survey |
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 · tag F0657 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-08-08 |
| 2024-07-11 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-08-08 |
| 2024-07-11 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · tag F0940 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-08-08 |
| 2024-07-11 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Administration Deficiencies · tag F0941 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-08-08 |
| 2024-07-11 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. Resident Rights Deficiencies · tag F0942 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-08-08 |
| 2024-07-11 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · tag F0944 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-08-08 |
| 2024-07-11 | 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 · tag F0945 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-08-08 |
| 2024-07-11 | Provide training in compliance and ethics. Administration Deficiencies · tag F0946 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-08-08 |
| 2024-07-11 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. Administration Deficiencies · tag F0949 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-08-08 |
| 2024-07-11 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · tag F0582 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-08 |
| 2024-07-11 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · tag F0637 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-08 |
| 2024-07-11 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-08 |
| 2024-07-11 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · tag F0644 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-08 |
| 2024-07-11 | 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 · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-08 |
| 2024-07-11 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-08 |
| 2024-07-11 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-08 |
| 2024-07-11 complaint survey |
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 · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-08 |
| 2024-07-11 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-08 |
| 2024-07-11 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-08 |
| 2024-07-11 | 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 · tag F0838 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2024-08-08 |
| 2024-07-11 | 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 · tag F0843 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2024-08-08 |
| 2024-05-16 complaint survey |
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 · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-01 |
| 2024-03-21 complaint survey |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-03-22 |
| 2024-02-01 complaint survey |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-02-08 |
| 2024-02-01 complaint survey |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-26 |
| 2024-02-01 complaint survey |
Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-26 |
| 2024-02-01 complaint survey |
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 · tag F0842 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-26 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-07-11 | Fine | $16,801 |
| 2024-01-31 | Payment denial for 28 days from 2024-02-23 | — |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Accura Management Consulting Services LLC Organization | adp of the snf | — | 2025-02-01 |
| Aviv Financing II LLC Organization | adp of the snf | — | 2025-02-01 |
| Aviv Healthcare Holdings LLC Organization | adp of the snf | — | 2025-06-03 |
| Aviv Healthcare Of The Midwest LLC Organization | adp of the snf | — | 2025-06-03 |
| Aviv Healthcare Properties Operating Partnership I Lp Organization | adp of the snf | — | 2025-02-01 |
| Aviv Op Limited Partner LLC Organization | adp of the snf | — | 2025-02-01 |
| Iowa Lincoln County Property LLC Organization | adp of the snf | — | 2025-02-01 |
| Kimmons Healthcare Investments LLC Organization | adp of the snf | — | 2025-06-03 |
| Ohi Healthcare Properties Limited Partnership Organization | adp of the snf | — | 2025-02-01 |
| Omega Healthcare Investors Inc. Organization | adp of the snf | — | 2025-02-01 |
| Aviv Healthcare Of The Midwest LLC Organization | direct ownership interest | — | 2025-02-01 |
| Avenue94 LLC Organization | indirect ownership interest | — | 2025-02-01 |
| Aviv Healthcare Holdings LLC Organization | indirect ownership interest | — | 2025-02-01 |
| Kimmons Healthcare Investments LLC Organization | indirect ownership interest | — | 2025-02-01 |
| Ktl Enterprises LLC Organization | indirect ownership interest | — | 2025-02-01 |
| Little River Investments LLC Organization | indirect ownership interest | — | 2025-02-01 |
| Zrr Opco LLC Organization | indirect ownership interest | — | 2025-02-01 |
| Accura Management Consulting Services LLC Organization | operational/managerial control | — | 2025-02-01 |
| Allen, Brady Individual | adp of the snf | — | 2025-02-01 |
| Glaser, Kristopher Individual | adp of the snf | — | 2025-02-01 |
| Kleinsasser, Megan Individual | adp of the snf | — | 2025-02-01 |
| Leneave, Ted Individual | adp of the snf | — | 2025-02-01 |
| Miller, Daniel Individual | adp of the snf | — | 2025-02-01 |
| Rohrig, Ricky Individual | adp of the snf | — | 2025-02-01 |
| Toti, Lisa Individual | adp of the snf | — | 2025-02-01 |
| Williams, Cara Individual | adp of the snf | — | 2025-02-01 |
| Allen, Brady Individual | indirect ownership interest | — | 2025-02-01 |
| Glaser, Kristopher Individual | indirect ownership interest | — | 2025-02-01 |
| Kleinsasser, Megan Individual | indirect ownership interest | — | 2025-02-01 |
| Leneave, Ted Individual | indirect ownership interest | — | 2025-02-01 |
| Toti, Lisa Individual | indirect ownership interest | — | 2025-02-01 |
| Allen, Brady Individual | operational/managerial control | — | 2025-02-01 |
| Glaser, Kristopher Individual | operational/managerial control | — | 2025-02-01 |
| Kleinsasser, Megan Individual | operational/managerial control | — | 2025-02-01 |
| Leneave, Ted Individual | operational/managerial control | — | 2025-02-01 |
| Miller, Daniel Individual | operational/managerial control | — | 2025-02-01 |
| Rohrig, Ricky Individual | operational/managerial control | — | 2025-02-01 |
| Toti, Lisa Individual | operational/managerial control | — | 2025-02-01 |
| Williams, Cara Individual | operational/managerial control | — | 2025-02-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Accura Healthcare Of Creston.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Union County.