Accura Healthcare of Creston: Staffing, Turnover, and Inspection Record
Accura Healthcare of Creston is a 31-bed for-profit nursing home in Creston, Iowa, part of Accura Healthcare. In the CMS August 2026 release it reported 2.33 nurse aide hours per resident per day, 7% below the Iowa average of 2.51, and 68.4% nursing staff turnover (Iowa average 44.0%).
Accura Healthcare of Creston
1000 East HowardCreston, IA 50801
Union County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Accura Healthcare of Creston, nurse aides logged 2.33 hours per resident per day, 7% below the Iowa average. With about 25 residents a day, that works out to roughly 59 aide hours a day, or about 7 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 18% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.33 | 2.51 | 2.32 |
| Licensed practical nurses | 0.57 | 0.56 | 0.86 |
| Registered nurses | 0.90 | 0.74 | 0.69 |
| All nursing staff | 3.80 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.13 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
68.4% of nursing staff at Accura Healthcare of Creston left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 77.8%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jun 25, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 7 health deficiencies (Iowa average 6.5). CMS lists 1 fine totaling $16,801 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jul 11, 2024 | Fine | $16,801 |
| Jan 31, 2024 | Payment Denial | 28 days from Feb 23, 2024 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Accura Healthcare of Creston holds 2 of 5 overall; the Iowa average is 3.1.
About Accura Healthcare of Creston
- Ownership: For profit - Limited Liability company
- Chain: Accura Healthcare, 41 homes
- Legal name: Accura Healthcare of Creston LLC
- Medicare and Medicaid certified since: Jun 21, 1996
- Councils: resident council
- Area: rural
Nursing homes near Accura Healthcare of Creston
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Creston Specialty Care Creston | 1.9 | 74 | 1.75 | 3.26 | 48.1% | 2 | $19,663 |
| Lenox Care Center Lenox | 16.2 | 36 | 2.83 | 4.63 | 31.6% | 3 | None |
| Greenfield Rehabilitation & Health Care Center Greenfield | 17.5 | 46 | 2.06 | 3.28 | 55.8% | 3 | $4,516 |
| Corning Specialty Care Corning | 20.3 | 40 | 2.03 | 3.43 | 43.5% | 4 | None |
| Clearview Home Mount Ayr | 24.4 | 82 | 2.32 | 3.25 | 43.8% | 4 | None |
| Mount Ayr Health Care Center Mount Ayr | 25.0 | 46 | 2.38 | 3.68 | 37.0% | 4 | None |
| Azria Health Winterset Winterset | 25.1 | 65 | 2.31 | 3.45 | 42.9% | 2 | None |
| Community Care Center Stuart | 30.1 | 65 | 2.42 | 3.48 | 20.4% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.