61.5/100
Average
Accura Healthcare Of Creston
1000 East Howard, Creston, IA 50801
- Certified beds
- 31
- Occupancy
- 82%
- Ownership
- For-profit
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
$16,801 in federal fines
CMS has fined this facility across 1 penalty action(s).
Nursing staff turnover of 68%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Our read on Accura Healthcare Of Creston
Accura Healthcare of Creston runs 31 certified beds under for-profit limited liability ownership, and the numbers worth your attention are the staffing ones. Nurse coverage sits at 3.80 hours per resident day, a bit under the national average, and it thins out on weekends, roughly 18% below the home's own weekday level. Annual turnover of 68.4% is well above the 45.8% national figure, meaning most of the people caring for residents are relatively new to the building. The inspection record shows 33 deficiencies, including two at the harm level and one tied to abuse, with a $16,801 fine and a May 2025 inspection. State surveyors rated health inspections and quality measures 2 out of 5.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
20.5/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →4.16 total nurse hours per resident per day (national median 3.77)
- →0.9 RN hours per resident per day
- →Weekend staffing drops 18% against weekdays
Staff stability
0/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →68% of nursing staff left in the last year
- →-2 for 2 administrator departures
Resident outcomes
5/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →2 of 5 stars on the CMS quality-measure rating
Enforcement history
6/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$16,801 in federal fines across 1 action(s)
- →-2 for 1 denial(s) of Medicare payment for new admissions
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: June 25, 2026 (4 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of ACCURA HEALTHCARE, which operates 41 homes. Staffing budgets are usually set at chain level, not in the building.
What families say
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Common questions about Accura Healthcare Of Creston
What is the ElderGrade for Accura Healthcare Of Creston? +
Accura Healthcare Of Creston holds an ElderGrade of C (61.5 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Accura Healthcare Of Creston? +
Residents receive an average of 3.80 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Accura Healthcare Of Creston been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Accura Healthcare Of Creston accept Medicaid? +
Yes, Accura Healthcare Of Creston is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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