Home›Browse›Iowa›Creston›Creston Specialty Care

Nursing homeFAID #4144

Creston Specialty Care

1001 COTTONWOOD DRIVE, CRESTON, IA, 50801

(641) 782-8511

74 licensed beds

CMS rates Creston Specialty Care 3 out of 5 overall. Federal inspectors issued 31 citations across 11 inspections in the last three years, with $19,663 in fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall2/5 health inspections3/5 staffing5/5 quality measuresSource: CMS Care Compare

Generate this report

Primary Report$79 Advanced Report$99

Delivered within 24–48 hours

Address

1001 Cottonwood Drive

Creston, IA 50801

Get directions

Map facilities in this area

All facilities in Creston

Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

165199

Care type

Nursing home

County

Union

Facility name

Creston Specialty Care

Street address

1001 COTTONWOOD DRIVE

City / state / ZIP

Creston, IA 50801

Phone

(641) 782-8511

About this facility — Creston Specialty Care

Creston Specialty Care is a Medicare/Medicaid-certified skilled nursing facility in Creston, Iowa. It is licensed for 74 beds — above 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.

It is listed as part of Care Initiatives, a group of 43 facilities on this site.

Federal inspectors have cited Creston Specialty Care 31 times across 11 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $19,663 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 November 6, 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

Care Initiatives

Ownership type

Non profit - Corporation

Registered owners & officers

Care Initiatives

Direct owner — 100% stake — since 2010

Beal, Michael

Director · Officer — since 2020

Boeve, Destiny

Operational control — since 2024

Bowen, Lane

Director — since 2021

Carothers, Mary Jane

Director — since 2023

Childs, Kevin

Director — since 2023

Computershare Corporate Trust Company, Na

Mortgage holder · Additional disclosable party — since 2025

Corless, Peter

Director — since 2025

Dixon, David

Officer — since 2016

Drake, Emily

Officer — since 2023

Gijima, Desire

Operational control · Additional disclosable party — since 2024

Gilyard, Tanya

Officer — since 2025

Harvey, Lori

Operational control · Additional disclosable party — since 2013

Krein, Keith

Director — since 2022

Kuhn, Jeramy

Officer — since 2008

Mcdyer, Jessica

Officer — since 2023

Rust, Elizabeth

Director — since 2023

Sturm, Denise

Director — since 2021

Upmeyer, Linda

Director — since 2022

Volm, Johanna

Officer — since 2021

Regulatory standing

Federal court records

18 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

1994-03-01

CMS overall rating

3 of 5 stars

Health deficiencies

8 at the last standard inspection

Federal fines

$19,663 total

Last standard inspection

2026-07-01

Nurse staffing

3.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$472 per day (≈ $14,350/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

56% Medicaid · 11% Medicare · 33% private/other

Occupancy

81% (fiscal year 2023)

Vs. state median

38% above the IA median of $342/day — full state cost breakdown

Services & coverage

Licensed beds

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 2026-11-06. 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 4 food-safety citations on its three-year record — flagged below among the inspections.

2026-07-01Health inspectionComplaint-triggered6 citations

F-0658

D · No harm foundFrom a complaint

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2026-07-02

F-0689

D · No harm found

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-07-02

F-0761

E · No harm found

Ensure 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.

Corrected 2026-07-02

F-0803

E · No harm foundFood safetyFrom a complaint

Ensure 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.

Corrected 2026-07-02

F-0804

E · No harm foundFood safety

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2026-07-02

F-0812

E · 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 2026-07-02

2025-10-09Health inspectionComplaint-triggered2 citations

F-0658

D · No harm foundFrom a complaint

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-10-10

F-0725

D · No harm foundFrom a complaint

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-10-10

7 earlier / fire-safety inspections (23 citations)

2025-05-08Health inspectionComplaint-triggered3 citations

F-0561

D · No harm foundFrom a complaint

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2025-05-09

F-0637

E · No harm found

Assess the resident when there is a significant change in condition

Corrected 2025-05-09

F-0887

D · No harm found

Educate 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.

Corrected 2025-05-09

2024-12-31Health inspectionComplaint-triggered1 citation

F-0658

D · No harm foundFrom a complaint

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-01-01

2024-06-20Health inspection6 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-07-11

F-0689

G · Actual harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-07-01

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-07-11

F-0812

E · 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 2024-07-11

F-0842

E · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-07-11

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-07-11

2024-01-04Health inspectionComplaint-triggered1 citation

F-0684

G · Actual harmFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-01-11

2026-07-01Fire-safety inspection1 citation

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2026-07-06

2025-05-08Fire-safety inspection5 citations

K-0222

F · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-05-12

K-0281

F · No harm found

Install proper backup exit lighting.

Corrected 2025-05-12

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-09

K-0754

D · No harm found

Provide properly sized and located linen or trash receptacles.

Corrected 2025-05-08

K-0923

F · No harm found

Have proper medical gas storage and administration areas.

Corrected 2025-05-09

2024-06-20Fire-safety inspection6 citations

K-0222

D · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-06-25

K-0291

D · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-07-01

K-0341

D · No harm found

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-07-01

K-0761

E · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-07-08

K-0914

F · No harm found

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-06-26

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-06-26

Federal penalties

2024-06-20Fine$12,048

2024-01-04Fine$7,615

Total fines$19,663

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 165199.

Quality of care & staffing

How it compares in Iowa.

Inspection citations, 3 years

More than 57% of nursing homes in the state

State median: 27

Federal fines, 3 years

$19,663

More than 77% of nursing homes in the state

State median: $0

Nurse staffing, hours per resident per day

3.4

Higher than 20% of nursing homes in the state

State median: 3.8

Nursing staff turnover, annual

42%

Higher than 50% of nursing homes in the state

State median: 42%

Resident outcomes

On 21 federal quality measures, this facility does better than the Iowa average on 13 and worse on 4. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	15.3%	16.6%	13.5%	Near state average
Lose too much weight	3.9%	4.4%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	1.4%	0.7%	Better than state
With a urinary tract infection	1.2%	2.4%	1.5%	Better than state
Have depressive symptoms	0.6%	4.2%	13.5%	Better than state
Were physically restrained	0.0%	0.2%	0.1%	Better than state
Experiencing one or more falls with major injury	2.3%	3.9%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	94.2%	93.7%	Near state average
Ability to walk independently worsened	17.7%	15.2%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	16.8%	21.0%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	100.0%	95.8%	95.3%	Near state average
With pressure ulcers	2.5%	4.1%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	31.6%	25.0%	18.3%	Worse than state
Received an antipsychotic medication	11.0%	19.8%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	1.57	1.45	1.81	Near state average
Outpatient emergency department visits per 1000 long-stay resident days	2.60	1.94	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	100.0%	84.0%	82.3%	Better than state
Newly received an antipsychotic medication	0.6%	2.1%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	98.6%	74.4%	80.1%	Better than state
Were rehospitalized after a nursing home admission	14.2%	20.7%	23.4%	Better than state
Had an outpatient emergency department visit	16.4%	13.0%	11.8%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0658 3 inspections. Ensure services provided by the nursing facility meet professional standards of quality.
F-0689 2 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0812 2 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
K-0222 2 inspections. Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

What its owners also hold

Care Initiatives has an ownership stake on file at 43 nursing homes, averaging 3 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Iowa

Licensing: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities Division
File a complaint: 877-686-0027 · Online
Long-Term Care Ombudsman: 866-236-1430. A free advocate for residents and families.
Adult Protective Services: 800-362-2178. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Greater Regional Medical Center, about 0.2 miles. CMS rating 3 of 5.
Adair County Memorial Hospital, about 17 miles.
Chi Health - Mercy Corning, about 20 miles. CMS rating 3 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Accura Healthcare of Creston, Creston, about 1.9 miles. CMS rating 2 of 5.
Lenox Care Center, Lenox, about 16 miles. CMS rating 2 of 5.
Greenfield Rehabilitation & Health Care Center, Greenfield, about 17 miles. CMS rating 2 of 5.
Corning Specialty Care, Corning, about 19 miles. CMS rating 4 of 5.
Clearview Home, Mount Ayr, about 25 miles. CMS rating 4 of 5.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 31 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

Unlock the full file

Citations, owner history, lawsuits — decoded into one PDF.

$79 $99 Advanced

Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

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