About Accura Healthcare Of CrestonAccura Healthcare Of Creston is located at 1000 East Howard, Creston, IA, reachable at (641) 782-5012. This For profit – Limited Liability company facility operates 31.0 certified beds and serves an average of 24 residents per day. It is part of the Arboreta Healthcare network (8 facilities nationwide). Medicare and Medicaid services have been provided since 1996-06-21. The facility currently holds a below average (2-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Accura Healthcare Of Creston may be considered for families with limited options in Creston, IA, but its lower CMS ratings suggest careful due diligence is warranted.
Overall Rating 2022-2026
Total Nurse Hours/Day 2022-2026
Current Ratings (2026)
Overall Rating
★★★★★2 / 5
Health Inspection
★★★★★2 / 5
Staffing Rating
★★★★★3 / 5
Quality Measures (QM)
★★★★★2 / 5
Long-Stay QM Rating
★★★★★2 / 5
Short-Stay QM Rating
N/A
5-Year Rating Trends
Overall Rating
Health Inspection Rating
Quality of Care (QM)
Staffing Rating
Average Residents per Day
Occupancy % (Residents / Beds)
Staffing InsightAccura Healthcare Of Creston currently provides 4 hours 26 minutes of total nurse staffing per resident per day, including 58 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating is 3 out of 5 (average). RN hours per resident have increased from 32 min/day (2022) to 58 min/day (2026), a positive sign of investment in skilled nursing.
Current Staffing Hours Per Resident Per Day (2026)
Total Nurse Staffing4 hours 26 minutes
Nurse Aide Hours2 hours 40 minutes
Licensed Practical Nurse (LPN) Hours48 minutes
Registered Nurse (RN) Hours58 minutes
Physical Therapist Hours0 minutes
National average total nurse staffing is approximately 3.5 hours per day
Weekend Staffing Hours Per Resident Per Day (2026)
Weekend Total Nurse Hours3 hours 34 minutes
Weekend Registered Nurse (RN) Hours45 minutes
Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.
5-Year Staffing Trends
Total Nurse Hours/Day
Registered Nurse (RN) Hours/Day
Licensed Practical Nurse (LPN) Hours/Day
Nurse Aide Hours/Day
Total Staff Turnover %
Registered Nurse (RN) Turnover %
Compliance SummaryIn the current reporting period, the facility received 1 fine(s) totaling $16,801. 21 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 1 Medicare payment denial(s) in the current period.
Nationally, Accura Healthcare Of Creston ranks 11216th out of 14,703 facilities (composite score: 62.6/100), placing it in the bottom 25% nationwide. Within IA, it ranks 284th out of 390 nursing homes. In Creston, it ranks 2nd out of 2 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 2. For 2026 staffing: total nurse hours rank #2,641 nationally and RN hours rank #2,206 nationally (#61 in IA).
Total Nurse Staffing – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
IA State Rank
Note
2022
3.09
#11,130 / 14,703
#299 / 390
⚠️ Bottom 25%
2023
3.89
#4,803 / 14,703
#135 / 390
Above average
2024
2.37
#13,957 / 14,703
#369 / 390
⚠️ Bottom 10%
2025
3.72
#6,764 / 14,703
#166 / 390
Above average
2026
4.43
#2,641 / 14,703
#56 / 390
Top 25%
Registered Nurse (RN) Hours – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
IA State Rank
Note
2022
0.54
#7,936 / 14,703
#279 / 390
Below average
2023
0.53
#7,527 / 14,703
#274 / 390
Below average
2024
0.65
#5,368 / 14,703
#198 / 390
Above average
2025
1.01
#1,799 / 14,703
#50 / 390
Top 25%
2026
0.97
#2,206 / 14,703
#61 / 390
Top 25%
Total Nurse Rank – National (lower number = better)
Registered Nurse Rank – National (lower number = better)
Frequently Asked Questions
Accura Healthcare Of Creston is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1996-06-21. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (641) 782-5012 or your local Medicaid office to verify current eligibility.
Accura Healthcare Of Creston holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (3★), and Quality of Resident Care (2★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 62.6/100, placing it #11216 of 14703 facilities nationally and #284 of 390 in Iowa. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.
Each resident at Accura Healthcare Of Creston receives a reported average of 4 hours 26 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 58 minutes; Licensed Practical Nurse (LPN) — 48 minutes; Nurse Aide — 2 hours 40 minutes. On weekends, total nurse staffing is 3 hours 34 minutes per resident per day. The CMS Staffing Rating for this facility is 3 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Families are encouraged to ask about current staffing schedules during their facility visit.
In the current reporting period, the facility received 1 fine(s) totaling $16,801. 21 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 1 Medicare payment denial(s) in the current period. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $16,801, and 1 Medicare payment denial(s). Total penalties: 2. The Total Weighted Health Survey Score is 70.5 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.
Nationally, Accura Healthcare Of Creston ranks 11216th out of 14,703 facilities (composite score: 62.6/100), placing it in the bottom 25% nationwide. Within IA, it ranks 284th out of 390 nursing homes. In Creston, it ranks 2nd out of 2 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 2. For 2026 staffing: total nurse hours rank #2,641 nationally and RN hours rank #2,206 nationally (#61 in IA). Our composite quality score of 62.6/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Creston, visit: https://nursinghomesnearme.org/iowa/creston/
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.