Hearth Record

Accura Healthcare of Creston

A nursing home in Creston, Iowa 50801

1000 East Howard, Creston, Iowa 50801. (641) 782-5012.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 38 citations in 6 months of the last 36. Last cited Jun 2026. Most serious: immediate jeopardy to health or safety (J). Every month

Each figure’s source sits beside it, in its section below.

What these words mean8
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Immediate jeopardy
CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

7 health citations at the latest inspection cycle

The Iowa average is 6.6.

Last standard inspection Jun 25, 2026.

Most serious in three years: immediate jeopardy to health or safety (J), at a standard inspection on Jul 11, 2024

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

38 citations in 6 months of the last 36. Last cited Jun 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.

38 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 38 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 14 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Jun 25, 2026: standard inspection4 citations
  • 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.

    Rule F0584. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 10, 2026.

  • Ensure each resident receives an accurate assessment.

    Rule F0641. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 10, 2026.

  • PASARR screening for Mental disorders or Intellectual Disabilities

    Rule F0645. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 10, 2026.

  • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Rule F0676. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 13, 2026.

Jun 25, 2026: standard and complaint inspection1 citation
  • Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Rule F0550. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 10, 2026.

Oct 30, 2025: complaint inspection2 citations
  • Ensure services provided by the nursing facility meet professional standards of quality.

    Rule F0658. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 12, 2025.

  • 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.

    Rule F0726. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 12, 2025.

Jul 11, 2024: standard inspection20 citations
  • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Rule F0805. J: immediate jeopardy to health or safety. Correction date, as CMS recorded it: Jul 25, 2024.

  • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Rule F0582. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 8, 2024.

  • Assess the resident when there is a significant change in condition

    Rule F0637. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 8, 2024.

  • Ensure each resident receives an accurate assessment.

    Rule F0641. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 8, 2024.

  • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Rule F0644. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 8, 2024.

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 8, 2024.

  • Provide safe and appropriate respiratory care for a resident when needed.

    Rule F0695. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 8, 2024.

  • Ensure medication error rates are not 5 percent or greater.

    Rule F0759. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 8, 2024.

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

    Rule F0804. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 8, 2024.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 8, 2024.

  • Provide and implement an infection prevention and control program.

    Rule F0880. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 8, 2024.

  • Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Rule F0940. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 8, 2024.

  • Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

    Rule F0941. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 8, 2024.

  • Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

    Rule F0942. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 8, 2024.

  • Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Rule F0944. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 8, 2024.

  • Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

    Rule F0945. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 8, 2024.

  • Provide training in compliance and ethics.

    Rule F0946. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 8, 2024.

  • Provide behavior health training consistent with the requirements and as determined by a facility assessment.

    Rule F0949. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 8, 2024.

  • 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.

    Rule F0838. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Aug 8, 2024.

  • 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.

    Rule F0843. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Aug 8, 2024.

Jul 11, 2024: standard and complaint inspection4 citations
  • Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Rule F0580. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 8, 2024.

  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Rule F0657. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 8, 2024.

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

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 8, 2024.

  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Rule F0690. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 8, 2024.

Jul 11, 2024: complaint inspection1 citation
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 8, 2024.

May 16, 2024: complaint inspection1 citation
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Rule F0657. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 1, 2024.

Mar 21, 2024: complaint inspection1 citation
  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Rule F0607. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 22, 2024.

Feb 1, 2024: complaint inspection4 citations
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. G: actual harm. From a complaint. Correction date, as CMS recorded it: Feb 8, 2024.

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

    Rule F0550. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 26, 2024.

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

    Rule F0658. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 26, 2024.

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

    Rule F0842. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 26, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Jun 21, 1996.
  • Not on CMS’s special focus list.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, limited liability company.
  • 31 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • 1 fine in the last three years, $16,801 in all.
  • 1 Medicare payment denial in the last three years.
  • 14 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
Jul 11, 2024Fine$16,801
Jan 31, 2024Medicare payment denialNot given

Who does the caring?

4.25 nurse hours per resident per day

The Iowa average is 3.86.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeIowa average
Nurse hours per resident per day4.253.86
Of which registered nurses0.770.74
At weekends3.683.38
Nursing staff turnover73%44.1%
Registered nurse turnover62.5%42.1%
Administrators who left3Not given

Who owns it?

  • Aviv Healthcare of the Midwest LLC owns 100% directly since Feb 1, 2025.
  • Accura Management Consulting Services LLC runs it.
  • 21 owners or officers are people: Ted A Leneave (owns a share through other companies, 80%); Megan Kleinsasser (owns a share through other companies, 5%); Brady Allen (owns a share through other companies, 5%); Lisa Toti (owns a share through other companies, 5%); Kristopher Glaser (owns a share through other companies, 5%); Megan Kleinsasser (runs it (operational or managerial control)); Megan Kleinsasser (additional disclosable party (controls, leases property to, or provides services to the home)); Ted A Leneave (runs it (operational or managerial control)); Ted A Leneave (additional disclosable party (controls, leases property to, or provides services to the home)); Brady Allen (runs it (operational or managerial control)); Brady Allen (additional disclosable party (controls, leases property to, or provides services to the home)); Lisa Toti (runs it (operational or managerial control)); Lisa Toti (additional disclosable party (controls, leases property to, or provides services to the home)); Ricky Rohrig (runs it (operational or managerial control)); Ricky Rohrig (additional disclosable party (controls, leases property to, or provides services to the home)); Cara Williams (runs it (operational or managerial control)); Cara Williams (additional disclosable party (controls, leases property to, or provides services to the home)); Daniel Miller (runs it (operational or managerial control)); Daniel Miller (additional disclosable party (controls, leases property to, or provides services to the home)); Kristopher Glaser (runs it (operational or managerial control)); Kristopher Glaser (additional disclosable party (controls, leases property to, or provides services to the home)).
  • Part of Accura Healthcare (44 homes in CMS’s data).
  • A private-equity firm is among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Aviv Healthcare Holdings LLCOwns a share through other companies100%Feb 1, 2025
Aviv Healthcare of the Midwest LLCOwns a share directly100%Feb 1, 2025
Kimmons Healthcare Investments LLCOwns a share through other companies80%Feb 1, 2025
Avenue94 LLCOwns a share through other companies5%Feb 1, 2025
Zrr Opco LLCOwns a share through other companies5%Feb 1, 2025
Little River Investments LLCOwns a share through other companies5%Feb 1, 2025
Ktl Enterprises LLCOwns a share through other companies5%Feb 1, 2025
Aviv Healthcare Properties Operating Partnership I LPAdditional disclosable party (controls, leases property to, or provides services to the home)Feb 1, 2025
Kimmons Healthcare Investments LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jun 3, 2025
Ohi Healthcare Properties Limited PartnershipAdditional disclosable party (controls, leases property to, or provides services to the home)Feb 1, 2025
Omega Healthcare Investors Inc.Additional disclosable party (controls, leases property to, or provides services to the home)Feb 1, 2025
Accura Management Consulting Services LLCRuns it (operational or managerial control)Feb 1, 2025
Accura Management Consulting Services LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Feb 1, 2025
Aviv Healthcare Holdings LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jun 3, 2025
Iowa Lincoln County Property LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Feb 1, 2025
Aviv Healthcare of the Midwest LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Jun 3, 2025
Aviv Op Limited Partner LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Feb 1, 2025
Aviv Financing II LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Feb 1, 2025

How do residents fare?

  • CMS rates its quality measures 2 of 5 (Iowa average 3.4).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating2 of 5
Health inspections2 of 5
Staffing3 of 5
Quality measures2 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 33.8 miles, this one had the 6th most health citations at the latest inspection cycle (7; the middle value was 6).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
PlaceMiles awayCitations, latest cycle
Accura Healthcare of Creston This nursing home7
Creston Specialty Care1.98
Lenox Care Center16.25
Greenfield Rehabilitation & Health Care Center17.59
Corning Specialty Care20.32
Clearview Home24.42
Mount Ayr Health Care Center25.05
Azria Health Winterset25.114
Community Care Center30.110
Southern Hills Specialty Care30.65
Bedford Specialty Care33.31
Caring Acres Nursing and Rehab Center33.831

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

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