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Data / Nursing homes / Iowa / Accura Healthcare of Creston

Accura Healthcare of Creston, Creston, IA: 2 star rating, fined $16,801 across 1 fine and had 1 payment denial

Accura Healthcare of Creston in Creston, IA is owned by Aviv Healthcare of the Midwest LLC, is rated 2 of 5 stars by Medicare, and was fined $16,801 across 1 fine and had 1 payment denial in the three years to October 1, 2026. CMS lists 38 health citations from inspections in that time, the latest survey on June 25, 2026, and 2 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

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Address
1000 East Howard, Creston, IA 50801
Overall rating
2 of 5 stars
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measure rating
2 of 5
Certified beds
31
Residents per day
21 on average
Ownership type
For profit, limited liability company
Legal business name
Accura Healthcare of Creston LLC
Chain
Accura Healthcare, 44 facilities
Fines
$16,801 across 1 fine, three years to October 1, 2026
Payment denials
1
Health citations
38, of which 2 with actual harm or immediate jeopardy
Latest survey
June 25, 2026
CMS Certification Number
165275
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
July 11, 2024Fine$16,801Not listeddata.cms.gov
January 31, 2024Payment denialNot listedFebruary 23, 202428data.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
June 25, 2026F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 13, 2026data.cms.gov
June 25, 2026F645PASARR screening for Mental disorders or Intellectual DisabilitiesD: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2026data.cms.gov
June 25, 2026F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2026data.cms.gov
June 25, 2026F584Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2026data.cms.gov
June 25, 2026F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2026data.cms.gov
October 30, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 12, 2025data.cms.gov
October 30, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 12, 2025data.cms.gov
July 11, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.J: isolated, immediate jeopardyCorrectedJuly 25, 2024data.cms.gov
July 11, 2024F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 8, 2024data.cms.gov
July 11, 2024F946Provide training in compliance and ethics.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 8, 2024data.cms.gov
July 11, 2024F945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 8, 2024data.cms.gov
July 11, 2024F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 8, 2024data.cms.gov
July 11, 2024F942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 8, 2024data.cms.gov
July 11, 2024F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 8, 2024data.cms.gov
July 11, 2024F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 8, 2024data.cms.gov
July 11, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 8, 2024data.cms.gov
July 11, 2024F843Have 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.C: widespread, minimal harm potentialCorrectedAugust 8, 2024data.cms.gov
July 11, 2024F838Conduct 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.C: widespread, minimal harm potentialCorrectedAugust 8, 2024data.cms.gov
July 11, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedAugust 8, 2024data.cms.gov
July 11, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.F: widespread, no actual harm, potential for more than minimal harmCorrectedAugust 8, 2024data.cms.gov
July 11, 2024F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 8, 2024data.cms.gov
July 11, 2024F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 8, 2024data.cms.gov
July 11, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 8, 2024data.cms.gov
July 11, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 8, 2024data.cms.gov
July 11, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 8, 2024data.cms.gov
July 11, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 8, 2024data.cms.gov
July 11, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 8, 2024data.cms.gov
July 11, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 8, 2024data.cms.gov
July 11, 2024F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 8, 2024data.cms.gov
July 11, 2024F637Assess the resident when there is a significant change in conditionD: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 8, 2024data.cms.gov
July 11, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 8, 2024data.cms.gov
July 11, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 8, 2024data.cms.gov
May 16, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 1, 2024data.cms.gov
March 21, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.F: widespread, no actual harm, potential for more than minimal harmCorrectedMarch 22, 2024data.cms.gov
February 1, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedFebruary 8, 2024data.cms.gov
February 1, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 26, 2024data.cms.gov
February 1, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 26, 2024data.cms.gov
February 1, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 26, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 21 individual or personal trusts (5 owners, 8 managers, 8 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Aviv Healthcare of the Midwest LLCDirect ownerNot listedFebruary 1, 2025data.cms.gov
Avenue94 LLCIndirect ownerNot listedFebruary 1, 2025data.cms.gov
Aviv Healthcare Holdings LLCIndirect ownerNot listedFebruary 1, 2025data.cms.gov
Kimmons Healthcare Investments LLCIndirect ownerNot listedFebruary 1, 2025data.cms.gov
KTL Enterprises LLCIndirect ownerNot listedFebruary 1, 2025data.cms.gov
Little River Investments LLCIndirect ownerNot listedFebruary 1, 2025data.cms.gov
ZRR OPCO LLCIndirect ownerNot listedFebruary 1, 2025data.cms.gov
Accura Management Consulting Services LLCOperational or managerial controlNot listedFebruary 1, 2025data.cms.gov
Accura Management Consulting Services LLCAdditional disclosable partyNot listedFebruary 1, 2025data.cms.gov
Aviv Financing II LLCAdditional disclosable partyNot listedFebruary 1, 2025data.cms.gov
Aviv Healthcare Holdings LLCAdditional disclosable partyNot listedJune 3, 2025data.cms.gov
Aviv Healthcare of the Midwest LLCAdditional disclosable partyNot listedJune 3, 2025data.cms.gov
Aviv Healthcare Properties Operating Partnership I LPAdditional disclosable partyNot listedFebruary 1, 2025data.cms.gov
Aviv OP Limited Partner LLCAdditional disclosable partyNot listedFebruary 1, 2025data.cms.gov
Iowa Lincoln County Property LLCAdditional disclosable partyNot listedFebruary 1, 2025data.cms.gov
Kimmons Healthcare Investments LLCAdditional disclosable partyNot listedJune 3, 2025data.cms.gov
Ohi Healthcare Properties Limited PartnershipAdditional disclosable partyNot listedFebruary 1, 2025data.cms.gov
Omega Healthcare Investors IncAdditional disclosable partyNot listedFebruary 1, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.