Accura Healthcare of Creston
1000 East Howard, Creston, IA, 50801
Yes. Federal inspectors cited 2 deficiencies against Accura Healthcare of Creston in Creston, Iowa at its most recent standard inspection on 2025-05-15, 2 of them arising from complaints. 1 finding has been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 1 time, totalling $16,801. Medicare rates it 2 out of 5 overall.
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · F0658 · 2025-10-30 · from a complaint · No actual harm, potential for more than minimal harm
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.
Nursing and Physician Services Deficiencies · F0726 · 2025-10-30 · from a complaint · No actual harm, potential for more than minimal harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · F0805 · 2024-07-11 · standard survey · Immediate jeopardy to resident health or safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · F0804 · 2024-07-11 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2024-07-11 · standard survey · No actual harm, potential for more than minimal harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · F0580 · 2024-07-11 · from a complaint · No actual harm, potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · F0657 · 2024-07-11 · from a complaint · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2024-07-11 · standard survey · No actual harm, potential for more than minimal harm
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration Deficiencies · F0940 · 2024-07-11 · standard survey · No actual harm, potential for more than minimal harm
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Administration Deficiencies · F0941 · 2024-07-11 · standard survey · No actual harm, potential for more than minimal harm
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Resident Rights Deficiencies · F0942 · 2024-07-11 · standard survey · No actual harm, potential for more than minimal harm
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Administration Deficiencies · F0944 · 2024-07-11 · standard survey · No actual harm, potential for more than minimal harm
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Infection Control Deficiencies · F0945 · 2024-07-11 · standard survey · No actual harm, potential for more than minimal harm
Provide training in compliance and ethics.
Administration Deficiencies · F0946 · 2024-07-11 · standard survey · No actual harm, potential for more than minimal harm
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Administration Deficiencies · F0949 · 2024-07-11 · standard survey · No actual harm, potential for more than minimal harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · F0582 · 2024-07-11 · standard survey · No actual harm, potential for more than minimal harm
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · F0637 · 2024-07-11 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2024-07-11 · standard survey · No actual harm, potential for more than minimal harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · F0644 · 2024-07-11 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2024-07-11 · standard survey · No actual harm, potential for more than minimal harm
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
What Medicare has fined this home
Who owns Accura Healthcare of Creston
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| AVIV HEALTHCARE OF THE MIDWEST LLC | Organization | NOT APPLICABLE | since 02/01/2025 |
| AVENUE94 LLC | Organization | NOT APPLICABLE | since 02/01/2025 |
| AVIV HEALTHCARE HOLDINGS LLC | Organization | NOT APPLICABLE | since 02/01/2025 |
| KIMMONS HEALTHCARE INVESTMENTS LLC | Organization | NOT APPLICABLE | since 02/01/2025 |
| KTL ENTERPRISES LLC | Organization | NOT APPLICABLE | since 02/01/2025 |
| LITTLE RIVER INVESTMENTS LLC | Organization | NOT APPLICABLE | since 02/01/2025 |
| ZRR OPCO LLC | Organization | NOT APPLICABLE | since 02/01/2025 |
| ALLEN, BRADY | Individual | NOT APPLICABLE | since 02/01/2025 |
| GLASER, KRISTOPHER | Individual | NOT APPLICABLE | since 02/01/2025 |
| KLEINSASSER, MEGAN | Individual | NOT APPLICABLE | since 02/01/2025 |
| LENEAVE, TED | Individual | NOT APPLICABLE | since 02/01/2025 |
| TOTI, LISA | Individual | NOT APPLICABLE | since 02/01/2025 |
Part of the ACCURA HEALTHCARE group.
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 165275.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction