Accura Healthcare of Creston
State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2024-07-11 — IMMEDIATE JEOPARDY (tag F0805, severity J)
Nutrition and Dietary Deficiencies · correction not recorded in CMS data
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
2024-02-01 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Staffing, from payroll records
Nursing hours / resident / day
3.46
state median 3.10
Weekend staffing gap
−13%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.68
registered nurses only
Contract (agency) staff
9%
share of all nursing hours
Days with zero RN hours reported
1
with residents present
Nursing staff turnover
68%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $16,801 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-07-11 | Fine | $16,801 |
| 2024-01-31 | Payment Denial | payment denial |
Ownership
Ownership type: For profit - Limited Liability company. Part of the ACCURA HEALTHCARE chain.
Other facilities under the same ownership, with their CMS overall ratings:
- Accura Healthcare of Lake City, LLC (Lake City, IA) —
- Accura Healthcare of Carlisle (Carlisle, IA) —
- Accura Healthcare of Onawa (Onawa, IA) —
- Accura Healthcare of South Des Moines (Des Moines, IA) —
- Accura Healthcare of New Hampton (New Hampton, IA) —
- Shell Rock Senior Living (Shell Rock, IA) —
- Accura Healthcare of Le Mars (Le Mars, IA) —
- Accura Healthcare of Pleasantville, LLC (Pleasantville, IA) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-10-30 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-10-30 | F0726 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2024-07-11 | F0580 | Resident Rights Deficiencies | E | not recorded |
| 2024-07-11 | F0582 | Resident Rights Deficiencies | D | not recorded |
| 2024-07-11 | F0637 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-07-11 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-07-11 | F0644 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-07-11 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-07-11 | F0657 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-07-11 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-11 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-11 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-11 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-07-11 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-07-11 | F0804 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-07-11 | F0805 | Nutrition and Dietary Deficiencies | J | not recorded |
| 2024-07-11 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-07-11 | F0838 | Administration Deficiencies | C | not recorded |
| 2024-07-11 | F0843 | Administration Deficiencies | C | not recorded |
| 2024-07-11 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2024-07-11 | F0940 | Administration Deficiencies | E | not recorded |
| 2024-07-11 | F0941 | Administration Deficiencies | E | not recorded |
| 2024-07-11 | F0942 | Resident Rights Deficiencies | E | not recorded |
| 2024-07-11 | F0944 | Administration Deficiencies | E | not recorded |
| 2024-07-11 | F0945 | Infection Control Deficiencies | E | not recorded |
| 2024-07-11 | F0946 | Administration Deficiencies | E | not recorded |
| 2024-07-11 | F0949 | Administration Deficiencies | E | not recorded |
| 2024-05-16 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-03-21 | F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | F | not recorded |
| 2024-02-01 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-02-01 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-02-01 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-02-01 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |