Creston Specialty Care: Staffing, Turnover, and Inspection Record
Creston Specialty Care is a 74-bed nonprofit nursing home in Creston, Iowa, part of Care Initiatives. In the CMS August 2026 release it reported 1.75 nurse aide hours per resident per day, 30% below the Iowa average of 2.51, and 48.1% nursing staff turnover (Iowa average 44.0%).
Creston Specialty Care
1001 Cottonwood DriveCreston, 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 Creston Specialty Care, nurse aides logged 1.75 hours per resident per day, 30% below the Iowa average. With about 52 residents a day, that works out to roughly 90 aide hours a day, or about 11 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 14% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.75 | 2.51 | 2.32 |
| Licensed practical nurses | 0.91 | 0.56 | 0.86 |
| Registered nurses | 0.60 | 0.74 | 0.69 |
| All nursing staff | 3.26 | 3.82 | 3.86 |
| All nursing staff, weekends | 2.81 | 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
48.1% of nursing staff at Creston Specialty Care left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 62.5%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jul 1, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 8 health deficiencies (Iowa average 6.5). CMS lists 2 fines totaling $19,663 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jun 20, 2024 | Fine | $12,048 |
| Jan 4, 2024 | Fine | $7,615 |
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. Creston Specialty Care holds 2 of 5 overall; the Iowa average is 3.1.
About Creston Specialty Care
- Ownership: Non profit - Corporation
- Chain: Care Initiatives, 43 homes
- Legal name: Care Initiatives
- Medicare and Medicaid certified since: Mar 1, 1994
- Councils: resident council
- Area: rural
Nursing homes near Creston Specialty Care
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Accura Healthcare of Creston Creston | 1.9 | 31 | 2.33 | 3.80 | 68.4% | 2 | $16,801 |
| Lenox Care Center Lenox | 15.5 | 36 | 2.83 | 4.63 | 31.6% | 3 | None |
| Greenfield Rehabilitation & Health Care Center Greenfield | 16.6 | 46 | 2.06 | 3.28 | 55.8% | 3 | $4,516 |
| Corning Specialty Care Corning | 18.7 | 40 | 2.03 | 3.43 | 43.5% | 4 | None |
| Clearview Home Mount Ayr | 25.4 | 82 | 2.32 | 3.25 | 43.8% | 4 | None |
| Azria Health Winterset Winterset | 26.0 | 65 | 2.31 | 3.45 | 42.9% | 2 | None |
| Mount Ayr Health Care Center Mount Ayr | 26.0 | 46 | 2.38 | 3.68 | 37.0% | 4 | None |
| Community Care Center Stuart | 29.8 | 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.