{
 "id": "165275",
 "kind": "snf",
 "kind_label": "Nursing home",
 "name": "Accura Healthcare of Creston",
 "slug": "accura-healthcare-of-creston",
 "path": "/ia/union/creston/accura-healthcare-of-creston",
 "address": {
  "street": "1000 East Howard",
  "city": "Creston",
  "county": "Union",
  "state": "IA",
  "state_name": "Iowa",
  "zip": "50801"
 },
 "phone": "6417825012",
 "coords": [
  41.060851,
  -94.349796
 ],
 "capacity": 31,
 "residents_per_day": 25.3,
 "status": "Medicare and Medicaid",
 "licensee": "Accura Healthcare of Creston LLC",
 "administrator": null,
 "licensed_since": "1996-06-21",
 "last_visit": "2025-05-15",
 "visits_total": null,
 "citations": {
  "type_a": null,
  "type_b": null,
  "basis": "Not applicable: certified federally, not cited by the state"
 },
 "citations_by_visit_type": {
  "complaint": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "inspection": {
   "visits": null,
   "type_a": null,
   "type_b": null
  },
  "other": {
   "visits": null,
   "type_a": null,
   "type_b": null
  }
 },
 "allegations": {
  "substantiated": null,
  "inconclusive": null,
  "unsubstantiated": null,
  "unfounded": null,
  "investigated": null
 },
 "capabilities": {},
 "capabilities_raw": null,
 "reports_on_file": 0,
 "reports": [],
 "federal": {
  "ownership_type": "For profit - Limited Liability company",
  "chain": "ACCURA HEALTHCARE",
  "in_hospital": false,
  "ccrc": false,
  "abuse_icon": false,
  "special_focus": null,
  "ratings": {
   "overall": 2,
   "health_inspection": 2,
   "staffing": 3,
   "quality": 2
  },
  "cycle1": {
   "date": "2025-05-15",
   "total": 2,
   "standard": 0,
   "complaint": 2
  },
  "fines": {
   "count": 1,
   "dollars": 16801,
   "penalties": 2
  },
  "staffing": {
   "nurse_hours_per_resident_day": 3.80015,
   "turnover_pct": 68.4
  },
  "on_record": {
   "immediate_jeopardy": 1,
   "actual_harm": 1,
   "potential_harm": 29,
   "minimal": 2
  },
  "penalties_on_file": {
   "count": 2,
   "dollars": 16801
  },
  "owners": [
   {
    "name": "AVIV HEALTHCARE OF THE MIDWEST LLC",
    "role": "Organization",
    "since": "since 02/01/2025",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "AVENUE94 LLC",
    "role": "Organization",
    "since": "since 02/01/2025",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "AVIV HEALTHCARE HOLDINGS LLC",
    "role": "Organization",
    "since": "since 02/01/2025",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "KIMMONS HEALTHCARE INVESTMENTS LLC",
    "role": "Organization",
    "since": "since 02/01/2025",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "KTL ENTERPRISES LLC",
    "role": "Organization",
    "since": "since 02/01/2025",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "LITTLE RIVER INVESTMENTS LLC",
    "role": "Organization",
    "since": "since 02/01/2025",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "ZRR OPCO LLC",
    "role": "Organization",
    "since": "since 02/01/2025",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "ALLEN, BRADY",
    "role": "Individual",
    "since": "since 02/01/2025",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "GLASER, KRISTOPHER",
    "role": "Individual",
    "since": "since 02/01/2025",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "KLEINSASSER, MEGAN",
    "role": "Individual",
    "since": "since 02/01/2025",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "LENEAVE, TED",
    "role": "Individual",
    "since": "since 02/01/2025",
    "share": "NOT APPLICABLE"
   },
   {
    "name": "TOTI, LISA",
    "role": "Individual",
    "since": "since 02/01/2025",
    "share": "NOT APPLICABLE"
   }
  ]
 },
 "deficiencies": [
  {
   "date": "2025-10-30",
   "tag": "0658",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2025-10-30",
   "tag": "0726",
   "sev": "D",
   "complaint": true
  },
  {
   "date": "2024-07-11",
   "tag": "0805",
   "sev": "J",
   "complaint": false
  },
  {
   "date": "2024-07-11",
   "tag": "0804",
   "sev": "F",
   "complaint": false
  },
  {
   "date": "2024-07-11",
   "tag": "0812",
   "sev": "F",
   "complaint": false
  },
  {
   "date": "2024-07-11",
   "tag": "0580",
   "sev": "E",
   "complaint": true
  },
  {
   "date": "2024-07-11",
   "tag": "0657",
   "sev": "E",
   "complaint": true
  },
  {
   "date": "2024-07-11",
   "tag": "0880",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2024-07-11",
   "tag": "0940",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2024-07-11",
   "tag": "0941",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2024-07-11",
   "tag": "0942",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2024-07-11",
   "tag": "0944",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2024-07-11",
   "tag": "0945",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2024-07-11",
   "tag": "0946",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2024-07-11",
   "tag": "0949",
   "sev": "E",
   "complaint": false
  },
  {
   "date": "2024-07-11",
   "tag": "0582",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-07-11",
   "tag": "0637",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-07-11",
   "tag": "0641",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-07-11",
   "tag": "0644",
   "sev": "D",
   "complaint": false
  },
  {
   "date": "2024-07-11",
   "tag": "0656",
   "sev": "D",
   "complaint": false
  }
 ],
 "source": {
  "name": "Centers for Medicare & Medicaid Services, Nursing Home Care Compare",
  "retrieved": "2026-07-29",
  "licence_number": "165275"
 }
}