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Nursing homeFAID #4201

Accura Healthcare of Creston

1000 EAST HOWARD, CRESTON, IA, 50801
(641) 782-5012
accura.healthcare
31 licensed beds
★★★★★2/5CMS Five-Star overall2/5 health inspections3/5 staffing2/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
31
CMS facility ID
165275
Care type
Nursing home
County
Union
Facility name
Accura Healthcare of Creston
Street address
1000 EAST HOWARD
City / state / ZIP
Creston, IA 50801
Phone
(641) 782-5012
Website
accura.healthcare

About this facility — Accura Healthcare of Creston

Accura Healthcare of Creston is a Medicare/Medicaid-certified skilled nursing facility in Creston, Iowa. It is licensed for 31 beds — below the median for skilled nursing facilities in Iowa (57 beds).

It is one of 5 senior care facilities in Creston and 389 skilled nursing facilities across Iowa. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Accura Healthcare of Creston 40 times across 13 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $16,801 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Accura Healthcare
Ownership type
For profit - Limited Liability company

Registered owners & officers

Accura Management Consulting Services Llc
Operational control · Additional disclosable party — since 2025
Allen, Brady
Indirect owner · Operational control · Additional disclosable party — since 2025
Avenue94 Llc
Indirect owner — since 2025
Aviv Financing Ii Llc
Additional disclosable party — since 2025
Aviv Healthcare Holdings Llc
Indirect owner · Additional disclosable party — since 2025
Aviv Healthcare of the Midwest Llc
Direct owner · Additional disclosable party — since 2025
Aviv Healthcare Properties Operating Partnership I Lp
Additional disclosable party — since 2025
Aviv Op Limited Partner Llc
Additional disclosable party — since 2025
Glaser, Kristopher
Indirect owner · Operational control · Additional disclosable party — since 2025
Iowa Lincoln County Property Llc
Additional disclosable party — since 2025
Kimmons Healthcare Investments Llc
Indirect owner · Additional disclosable party — since 2025
Kleinsasser, Megan
Indirect owner · Operational control · Additional disclosable party — since 2025
Ktl Enterprises Llc
Indirect owner — since 2025
Leneave, Ted
Indirect owner · Operational control · Additional disclosable party — since 2025
Little River Investments Llc
Indirect owner — since 2025
Miller, Daniel
Operational control · Additional disclosable party — since 2025
Ohi Healthcare Properties Limited Partnership
Additional disclosable party — since 2025
Omega Healthcare Investors Inc
Additional disclosable party — since 2025
Rohrig, Ricky
Operational control · Additional disclosable party — since 2025
Toti, Lisa
Indirect owner · Operational control · Additional disclosable party — since 2025
Williams, Cara
Operational control · Additional disclosable party — since 2025
Zrr Opco Llc
Indirect owner — since 2025

Regulatory standing

Federal court records
1 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1996-06-21
CMS overall rating
2 of 5 stars
Health deficiencies
7 at the last standard inspection
Federal fines
$16,801 total
Last standard inspection
2026-06-25
Nurse staffing
3.8 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$323 per day (≈ $9,820/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
57% Medicaid · 7% Medicare · 36% private/other
Occupancy
64% (fiscal year 2023)
Vs. state median
6% below the IA median of $342/day — full state cost breakdown

Services & coverage

Licensed beds
31
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-25Health inspectionComplaint-triggered5 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-07-10
F-0584
D · No harm found
Honor 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.
Corrected 2026-07-10
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2026-07-10
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2026-07-10
F-0676
E · No harm found
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2026-07-13
2025-10-30Health inspectionComplaint-triggered2 citations
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-12-12
F-0726
D · No harm foundFrom a complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2025-12-12
6 earlier / fire-safety inspections (33 citations)
2024-07-11Health inspectionComplaint-triggered25 citations
F-0580
E · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-08-08
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2024-08-08
F-0637
D · No harm found
Assess the resident when there is a significant change in condition
Corrected 2024-08-08
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-08-08
F-0644
D · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2024-08-08
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-08-08
F-0657
E · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-08-08
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-08
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-08-08
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-08-08
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-08-08
F-0759
D · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-08-08
F-0804
F · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-08-08
F-0805
J · Immediate jeopardyFood safety
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-07-25
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-08
F-0838
C · No harm found
Conduct 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.
Corrected 2024-08-08
F-0843
C · No harm found
Have 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.
Corrected 2024-08-08
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-08-08
F-0940
E · No harm found
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected 2024-08-08
F-0941
E · No harm found
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected 2024-08-08
F-0942
E · No harm found
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected 2024-08-08
F-0944
E · No harm found
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected 2024-08-08
F-0945
E · No harm found
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected 2024-08-08
F-0946
E · No harm found
Provide training in compliance and ethics.
Corrected 2024-08-08
F-0949
E · No harm found
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected 2024-08-08
2024-05-16Health inspectionComplaint-triggered1 citation
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-06-01
2024-03-21Health inspectionComplaint-triggered1 citation
F-0607
F · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-03-22
2024-02-01Health inspectionComplaint-triggered4 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-02-26
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-02-26
F-0686
G · Actual harmFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-02-08
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-02-26
2024-07-11Fire-safety inspection1 citation
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2024-07-31
2024-01-31Fire-safety inspectionComplaint-triggered1 citation
K-0711
F · No harm foundFrom a complaint
Provide a written emergency evacuation plan.
Corrected 2024-02-23

Federal penalties

2024-07-11Fine$16,801
2024-01-31Medicare payment denial — 28 days
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 165275.

Inside your report

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Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 40 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered