Creston Specialty Care

1001 Cottonwood Drive, Creston, IA 50801 · CCN 165199 · 74 certified beds · Data as of 2026-07-01

CMS overall3 of 5CMS inspections3 of 5CMS staffing3 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 2 citation(s) in the last three years where CMS determined a resident was actually harmed.

Serious inspection findings

2024-06-20 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-01-04 ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Staffing, from payroll records

Nursing hours / resident / day

2.88

state median 3.10

Weekend staffing gap

−8%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.34

registered nurses only

Contract (agency) staff

0%

share of all nursing hours

Nursing staff turnover

48%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

2 enforcement action(s), totaling $19,663 in fines.

DateTypeAmount
2024-06-20Fine$12,048
2024-01-04Fine$7,615

Ownership

Ownership type: For profit - Corporation. Part of the CARE INITIATIVES chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Actual harm: 2 · Potential for more than minimal harm: 15

Survey dateTagCategorySeverityCorrected
2025-10-09F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2025-10-09F0725Nursing and Physician Services DeficienciesDnot recorded
2025-05-08F0561Resident Rights DeficienciesDnot recorded
2025-05-08F0637Resident Assessment and Care Planning DeficienciesEnot recorded
2025-05-08F0887Infection Control DeficienciesDnot recorded
2024-12-31F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2024-06-20F0550Resident Rights DeficienciesDnot recorded
2024-06-20F0689Quality of Life and Care DeficienciesGnot recorded
2024-06-20F0759Pharmacy Service DeficienciesDnot recorded
2024-06-20F0812Nutrition and Dietary DeficienciesEnot recorded
2024-06-20F0842Resident Assessment and Care Planning DeficienciesEnot recorded
2024-06-20F0880Infection Control DeficienciesEnot recorded
2024-01-04F0684Quality of Life and Care DeficienciesGnot recorded
2023-07-20F0602Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2023-07-20F0658Resident Assessment and Care Planning DeficienciesEnot recorded
2023-07-20F0804Nutrition and Dietary DeficienciesEnot recorded
2023-07-20F0812Nutrition and Dietary DeficienciesEnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Creston Specialty Care, Creston” at medicare.gov/care-compare.