Nursing home

Accura Healthcare of Creston

1000 East Howard, Creston, IA, 50801

CMS ownership records associate this facility with Accura Healthcare · For profit - Limited Liability company.

CMS overall rating
CMS overall rating: 2 out of 52of 5

At a glance

CMS reports a 2-star overall rating for Accura Healthcare of Creston, with 33 inspection citations on record (2 higher severity). Federal records include $16,801 and 1 payment-denial record in the current dataset.
CMS overall
2
of 5
Health inspection
2
of 5
Staffing
3
of 5
Quality measures
2
of 5
Certified beds
31
CMS-reported

CMS rating profile

The four CMS ratings on one aligned scale, with county and state averages for context.

Rating profile

How this facility's overall rating relates to its three CMS component ratings.

Overall2 of 5
Health inspection2 of 5
Staffing3 of 5
Quality measures2 of 5

CMS-reported data · updated 2026-07-17

Comparative context

This facility's CMS overall rating next to its county and state averages.

This facility 2
15
Union Co. avg 2.5Iowa avg 3.13This facility
This facility: 2 of 5. Union Co. avg: 2.5. Iowa avg: 3.13.

CMS-reported data · updated 2026-07-17 · site-calculated context, not a CMS rating

Methodology
Averages are calculated from CMS records included in this dataset and exclude facilities CMS has not rated. A neutral reference point, not a CMS rating or a pass/fail line.

Inspections and citations

Health-inspection citations CMS reports for this facility. Individual records are in the technical appendix.

Citation profile

How many citations CMS reports, how severe, and when they occurred.

33
Citations on record
2
Higher severity (G–L)
13
From complaints
0
Infection control
Citations by inspection year
312024
22025
Higher severity Standard

CMS-reported data · updated 2026-07-17

Methodology
Severity uses the CMS scope-and-severity letter (G–L count as higher severity). Counts are CMS-reported inspection findings, not a judgment about current conditions.

Federal records

Federal fines (CMPs) and payment-denial records CMS reports in the recent reporting period. These are distinct record types and are never merged.

Federal fines (CMP)

Fine records over time, sized by amount.

1 record · $16,801 total · Jul 11, 2024
  1. Jul 11, 2024$16,801

CMS-reported data · updated 2026-07-17

Payment denials

Payment-denial records over time, sized by duration.

1 record · 28 days total · Jan 31, 2024
  1. Jan 31, 202428 days

CMS-reported data · updated 2026-07-17

Methodology
CMS may deny Medicare/Medicaid payment for new admissions. This is a distinct record type from a civil monetary fine. Confirm current status on CMS Care Compare.

Staffing and care

Selected CMS care indicators for long-stay residents, with a typical level for context. The CMS staffing star rating appears in the rating profile above.

Selected care measures

How this facility's reported care indicators sit against a typical level.

3 of 3 care measures reported by CMS
On antipsychotic medication(lower is better)21.31%

Long-stay residents given antipsychotic medication.

With new/worsened pressure ulcers(lower is better)4.47%

Long-stay residents with new or worsened pressure ulcers.

Falls with major injury(lower is better)2.06%

Long-stay residents with one or more falls with major injury.

CMS-reported data · updated 2026-07-17 · site-calculated context, not a CMS rating

Methodology
The tick marks a typical level for context and is calculated from CMS records included in this dataset — not a CMS rating. Per-shift staffing hours are not part of this dataset. Missing values are shown as “Not reported”, never as zero.

Facilities and agencies grouped by CMS-reported ownership fields. A company appearing here does not by itself mean it controlled day-to-day care or did anything wrong.

Owner / organizationRole
Aviv Healthcare of the Midwest LLCDIRECT OWNERSHIP INTEREST
Avenue94 LLCINDIRECT OWNERSHIP INTEREST
Aviv Healthcare Holdings LLCINDIRECT OWNERSHIP INTEREST
Kimmons Healthcare Investments LLCINDIRECT OWNERSHIP INTEREST
Ktl Enterprises LLCINDIRECT OWNERSHIP INTEREST
Little River Investments LLCINDIRECT OWNERSHIP INTEREST
Zrr Opco LLCINDIRECT OWNERSHIP INTEREST
Allen, BradyINDIRECT OWNERSHIP INTEREST
Glaser, KristopherINDIRECT OWNERSHIP INTEREST
Kleinsasser, MeganINDIRECT OWNERSHIP INTEREST
Leneave, TedINDIRECT OWNERSHIP INTEREST
Toti, LisaINDIRECT OWNERSHIP INTEREST
Accura Management Consulting Services LLCOPERATIONAL/MANAGERIAL CONTROL
Allen, BradyOPERATIONAL/MANAGERIAL CONTROL
Glaser, KristopherOPERATIONAL/MANAGERIAL CONTROL
Kleinsasser, MeganOPERATIONAL/MANAGERIAL CONTROL
Leneave, TedOPERATIONAL/MANAGERIAL CONTROL
Miller, DanielOPERATIONAL/MANAGERIAL CONTROL
Rohrig, RickyOPERATIONAL/MANAGERIAL CONTROL
Toti, LisaOPERATIONAL/MANAGERIAL CONTROL
Williams, CaraOPERATIONAL/MANAGERIAL CONTROL
Accura Management Consulting Services LLCADP OF THE SNF
Aviv Financing II LLCADP OF THE SNF
Aviv Healthcare Holdings LLCADP OF THE SNF
Aviv Healthcare of the Midwest LLCADP OF THE SNF
Aviv Healthcare Properties Operating Partnership I LPADP OF THE SNF
Aviv Op Limited Partner LLCADP OF THE SNF
Iowa Lincoln County Property LLCADP OF THE SNF
Kimmons Healthcare Investments LLCADP OF THE SNF
Ohi Healthcare Properties Limited PartnershipADP OF THE SNF
Omega Healthcare Investors IncADP OF THE SNF
Allen, BradyADP OF THE SNF
Glaser, KristopherADP OF THE SNF
Kleinsasser, MeganADP OF THE SNF
Leneave, TedADP OF THE SNF
Miller, DanielADP OF THE SNF
Rohrig, RickyADP OF THE SNF
Toti, LisaADP OF THE SNF
Williams, CaraADP OF THE SNF

Nearby facilities

Other CMS-certified nursing homes near Union County.

1000 East Howard, Creston
Union County · IA · 50801
31 certified beds41.0609, -94.3500

Verify the current location and license with official sources.

FacilityLocationOverallHealthStaffingCMS abuse iconFederal penalties
Iowa Jewish Senior Life Center
CCN 165006
Des Moines, IA444Not shown$44,814
Harmony Cedar Rapids
CCN 165017
Cedar Rapids, IA112Not shown$61,400
Chautauqua Guest Home #2
CCN 165019
Charles City, IA545Not shown$0
Oaknoll Retirement Residence
CCN 165030
Iowa City, IA555Not shown$0
Harmony Davenport
CCN 165033
Davenport, IA223Not shown$30,186
Harmony Waterloo
CCN 165034
Waterloo, IA113Shown$146,830

Related research

Frequently asked questions

What is Accura Healthcare of Creston's CMS rating?

Accura Healthcare of Creston has a 2-star CMS overall rating (out of 5) in the current dataset, with CMS component ratings of 2 for health inspections, 3 for staffing, and 2 for quality measures. A star rating is a CMS summary of past data, not a judgment about current conditions.

Where is Accura Healthcare of Creston located?

Accura Healthcare of Creston is located at 1000 East Howard, Creston, IA, 50801 in Union County, and CMS lists 31 certified beds.

Does Accura Healthcare of Creston have federal penalties or payment denials on record?

The CMS data includes $16,801 in federal fine amounts and 1 payment-denial record for Accura Healthcare of Creston over roughly the past three years. These are CMS-reported records; see CMS Care Compare for the details and context.

How does Accura Healthcare of Creston's rating compare to nearby facilities?

Accura Healthcare of Creston's CMS overall rating is 2 of 5. For comparison, the average CMS overall rating is 2.5 across 2 facilities in Union County, and 3.13 across Iowa. Averages exclude facilities CMS has not rated, and a star rating is a CMS summary, not a judgment about any individual facility.

How can I verify Accura Healthcare of Creston's current information?

SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Confirm Accura Healthcare of Creston's current ratings, inspection reports, and license status on the official CMS Care Compare site and with your state survey agency.

Technical appendix

Record identifiers

CMS provider number (CCN)
165275
Ownership type
For profit - Limited Liability company
Certified beds
31
Data snapshot
2026-07-17
All 33 citation records
DateCMS tagSeverityTypeCMS deficiency statusCorrection date
Oct 30, 20250658DComplaintDeficient, Provider has date of correctionDec 12, 2025
Oct 30, 20250726DComplaintDeficient, Provider has date of correctionDec 12, 2025
Jul 11, 20240684DComplaintDeficient, Provider has date of correctionAug 8, 2024
Jul 11, 20240582DStandardDeficient, Provider has date of correctionAug 8, 2024
Jul 11, 20240637DStandardDeficient, Provider has date of correctionAug 8, 2024
Jul 11, 20240641DStandardDeficient, Provider has date of correctionAug 8, 2024
Jul 11, 20240644DStandardDeficient, Provider has date of correctionAug 8, 2024
Jul 11, 20240656DStandardDeficient, Provider has date of correctionAug 8, 2024
Jul 11, 20240695DStandardDeficient, Provider has date of correctionAug 8, 2024
Jul 11, 20240759DStandardDeficient, Provider has date of correctionAug 8, 2024
Jul 11, 20240804FStandardDeficient, Provider has date of correctionAug 8, 2024
Jul 11, 20240805JStandardDeficient, Provider has date of correctionJul 25, 2024
Jul 11, 20240812FStandardDeficient, Provider has date of correctionAug 8, 2024
Jul 11, 20240838CStandardDeficient, Provider has date of correctionAug 8, 2024
Jul 11, 20240843CStandardDeficient, Provider has date of correctionAug 8, 2024
Jul 11, 20240880EStandardDeficient, Provider has date of correctionAug 8, 2024
Jul 11, 20240940EStandardDeficient, Provider has date of correctionAug 8, 2024
Jul 11, 20240941EStandardDeficient, Provider has date of correctionAug 8, 2024
Jul 11, 20240942EStandardDeficient, Provider has date of correctionAug 8, 2024
Jul 11, 20240944EStandardDeficient, Provider has date of correctionAug 8, 2024
Jul 11, 20240945EStandardDeficient, Provider has date of correctionAug 8, 2024
Jul 11, 20240946EStandardDeficient, Provider has date of correctionAug 8, 2024
Jul 11, 20240949EStandardDeficient, Provider has date of correctionAug 8, 2024
Jul 11, 20240580EComplaintDeficient, Provider has date of correctionAug 8, 2024
Jul 11, 20240657EComplaintDeficient, Provider has date of correctionAug 8, 2024
Showing the 25 most recent of 33 citations.

How to verify this data

  • The current CMS profile on Medicare’s Care Compare
  • Your state survey agency’s latest inspection reports
  • Any recent complaint investigations
  • Current ownership and license status

SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Ratings and records are CMS-reported summaries of past data, not a judgment about current conditions. See methodology.

SeniorCareRating.com summarizes public CMS data. It is not affiliated with CMS, Medicare.gov, or any nursing home. Data may lag current conditions. This is not medical, legal, or care-placement advice — always verify with official sources and qualified professionals.