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Data / Nursing homes / Iowa / Creston Specialty Care

Creston Specialty Care, Creston, IA: 3 star rating, fined $19,663 across 2 fines

Creston Specialty Care in Creston, IA is owned by Care Initiatives, is rated 3 of 5 stars by Medicare, and was fined $19,663 across 2 fines in the three years to October 1, 2026. CMS lists 19 health citations from inspections in that time, the latest survey on July 1, 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.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Iowa
Address
1001 Cottonwood Drive, Creston, IA 50801
Overall rating
3 of 5 stars
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measure rating
5 of 5
Certified beds
74
Residents per day
49 on average
Ownership type
Nonprofit, corporation
Legal business name
Care Initiatives
Chain
Care Initiatives, 43 facilities
Fines
$19,663 across 2 fines, three years to October 1, 2026
Payment denials
0
Health citations
19, of which 2 with actual harm or immediate jeopardy
Latest survey
July 1, 2026
CMS Certification Number
165199
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
June 20, 2024Fine$12,048Not listeddata.cms.gov
January 4, 2024Fine$7,615Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
July 1, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 2, 2026data.cms.gov
July 1, 2026F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 2, 2026data.cms.gov
July 1, 2026F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 2, 2026data.cms.gov
July 1, 2026F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 2, 2026data.cms.gov
July 1, 2026F689Ensure 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 harmCorrectedJuly 2, 2026data.cms.gov
July 1, 2026F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 2, 2026data.cms.gov
October 9, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 10, 2025data.cms.gov
October 9, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 10, 2025data.cms.gov
May 8, 2025F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 9, 2025data.cms.gov
May 8, 2025F637Assess the resident when there is a significant change in conditionE: pattern, no actual harm, potential for more than minimal harmCorrectedMay 9, 2025data.cms.gov
May 8, 2025F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 9, 2025data.cms.gov
December 31, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 1, 2025data.cms.gov
June 20, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedJuly 1, 2024data.cms.gov
June 20, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 11, 2024data.cms.gov
June 20, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 11, 2024data.cms.gov
June 20, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 11, 2024data.cms.gov
June 20, 2024F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 11, 2024data.cms.gov
June 20, 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 harmCorrectedJuly 11, 2024data.cms.gov
January 4, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmCorrectedJanuary 11, 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 (3 managers, 16 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Care InitiativesDirect owner100%November 12, 2010data.cms.gov
Computershare Corporate Trust Company, NAMortgage interestNot listedFebruary 1, 2025data.cms.gov
Computershare Corporate Trust Company, NAAdditional disclosable partyNot listedApril 10, 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.