Creston Specialty Care
1001 Cottonwood Drive, Creston, IA, 50801
Yes. Federal inspectors cited 5 deficiencies against Creston Specialty Care in Creston, Iowa at its most recent standard inspection on 2025-05-08, 3 of them arising from complaints. 2 findings have been recorded at the actual-harm level. Medicare has fined it 2 times, totalling $19,663. Medicare rates it 3 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 17 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 · 2025-10-09 · from a complaint · No actual harm, potential for more than minimal harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · F0725 · 2025-10-09 · from a complaint · 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 · 2025-05-08 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · F0561 · 2025-05-08 · from a complaint · No actual harm, potential for more than minimal harm
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.
Infection Control Deficiencies · F0887 · 2025-05-08 · standard survey · No actual harm, potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · F0658 · 2024-12-31 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2024-06-20 · standard survey · Actual harm to a resident
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 · 2024-06-20 · standard survey · No actual harm, potential for more than minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · F0842 · 2024-06-20 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2024-06-20 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2024-06-20 · standard survey · No actual harm, potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · F0759 · 2024-06-20 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2024-01-04 · from a complaint · Actual harm to a resident
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · F0658 · 2023-07-20 · standard survey · No actual harm, potential for more than minimal harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · F0804 · 2023-07-20 · 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 · 2023-07-20 · standard survey · No actual harm, potential for more than minimal harm
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0602 · 2023-07-20 · 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 Creston Specialty Care
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 |
|---|---|---|---|
| CARE INITIATIVES | Organization | 100% | since 11/12/2010 |
| COMPUTERSHARE CORPORATE TRUST COMPANY, NA | Organization | NOT APPLICABLE | since 02/01/2025 |
| BEAL, MICHAEL | Individual | NOT APPLICABLE | since 06/01/2020 |
| BOWEN, LANE | Individual | NOT APPLICABLE | since 01/01/2021 |
| CAROTHERS, MARY JANE | Individual | NOT APPLICABLE | since 01/01/2023 |
| CHILDS, KEVIN | Individual | NOT APPLICABLE | since 04/01/2023 |
| CORLESS, PETER | Individual | NOT APPLICABLE | since 01/01/2025 |
| KREIN, KEITH | Individual | NOT APPLICABLE | since 06/29/2022 |
| RUST, ELIZABETH | Individual | NOT APPLICABLE | since 01/01/2023 |
| STURM, DENISE | Individual | NOT APPLICABLE | since 01/01/2021 |
| UPMEYER, LINDA | Individual | NOT APPLICABLE | since 06/29/2022 |
| BEAL, MICHAEL | Individual | NOT APPLICABLE | since 06/01/2020 |
Part of the CARE INITIATIVES group.
Ask Creston Specialty Care a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 165199.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction