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Creston Specialty Care

Creston, IA · Medicare and Medicaid-certified nursing home (CCN 165199) · 74 certified beds

CMS overall rating: 2★ (state average 3.07★ — below state average)
Health inspection: 2 · Quality measures: 3 · Staffing: 3
Federal fines: 2 totaling $19,663
Phone: (641) 782-8511 · Verify on Medicare Care Compare ↗

Creston Specialty Care has a CMS overall rating of 2 out of 5 stars, which is below the Iowa state average of 3.07 stars. Its health inspection rating is 2 stars and its staffing rating is 3 stars.

Creston Specialty Care reports total nurse staffing of 3.26 hours per resident per day, including 0.60 RN hours per resident per day, with a nursing staff turnover rate of 48.1%. CMS gives the facility a staffing rating of 3 out of 5 stars.

Creston Specialty Care has 2 federal fines on record totaling $19,663.00, with no payment denials reported. CMS does not display an abuse icon for this facility, and it is not currently listed in the Special Focus Facility program.

Overall rating vs. benchmarks
Creston Specialty Care Creston Specialty Care: 2★ 2★ IA average IA average: 3.07★ 3.07★ Care Initiatives chain avg Care Initiatives chain avg: 2.9★ 2.9★

About this facility

Creston Specialty Care is a non-profit nursing home in Creston, Union County, Iowa, certified for 74 beds with an average of 51.6 residents. The facility is certified for both Medicare and Medicaid and has been approved since March 1994.

According to CMS Care Compare, Creston Specialty Care holds an overall rating of 2 out of 5 stars, below the Iowa state average of 3.07. Its component ratings are: health inspection rating of 2 stars, quality measure (QM) rating of 3 stars, and staffing rating of 3 stars.

Nurse staffing data reported to CMS show total nurse staffing hours of 3.26 per resident per day, including 0.60 RN hours per resident per day. Nursing staff turnover is reported at 48.1%.

On penalties, CMS records show 2 federal fines totaling $19,663.00 for this facility. There are no payment denials on record.

Creston Specialty Care is part of the Care Initiatives chain, which operates 43 facilities nationally with an average CMS rating of 2.9 stars. There is no ownership change reported within the last 12 months for this facility.

Data reflects information published by CMS Care Compare; families should consult Care Compare directly for the most current figures.

Questions families ask

What is this nursing home's CMS overall star rating and how does it compare to the state average?

Creston Specialty Care has an overall CMS rating of 2 out of 5 stars, below the Iowa state average of 3.07 stars.

Does this facility accept Medicare, Medicaid, or both?

Yes, the facility is certified for both Medicare and Medicaid.

How well is this facility staffed — nurse hours per resident and turnover?

Total nurse staffing is 3.26 hours per resident per day, including 0.60 RN hours per resident per day, with a 48.1% nursing turnover rate; CMS rates staffing at 3 out of 5 stars.

Does this facility have federal fines or penalties on record?

Yes, CMS records show 2 fines totaling $19,663.00 and no payment denials.

Has CMS flagged this facility for abuse or placed it in the Special Focus program?

No abuse icon or Special Focus status is reported for this facility in the given data.

How large is this facility and how many residents live there?

The facility is certified for 74 beds and has an average of 51.6 residents.

Who owns this facility — and is it part of a chain?

It is a non-profit corporation and part of the Care Initiatives chain, which operates 43 facilities nationally with an average rating of 2.9 stars.

How long has this facility been Medicare/Medicaid certified?

The facility was first approved for Medicare/Medicaid certification on March 1, 1994.

What do the four different CMS star ratings mean?

CMS publishes an overall rating along with separate ratings for health inspections (2 stars), quality measures (3 stars), and staffing (3 stars) for this facility.

Does this facility offer short-term rehabilitation as well as long-term care?

This information is not included in the available data; contact the facility at 6417828511 or check Medicare Care Compare to confirm.

What should I look for when touring this facility?

The data provided does not cover tour details; contact the facility at 6417828511 to arrange a visit.

How do I verify this facility's current record on Medicare Care Compare?

You can review the most current details at https://www.medicare.gov/care-compare/details/nursing-home/165199?state=IA.

Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.