Home›Iowa›Union County›Accura Healthcare of Creston
A
Very Good

Accura Healthcare of Creston

1000 East Howard · Creston, IA 50801

6417825012 · For profit - Limited Liability company

31 beds24.3 residents96 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
A
Very Good
RN Staff
A
Very Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Accura Healthcare of Creston receives an overall staffing grade of A (Very Good). With 4.4659 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.57 HPRD above the national average.

Weekend staffing drops significantly — dropping 25.06% compared to weekdays. The facility uses a moderate level of agency staff (13.32% of hours), suggesting some reliance on temporary workers.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

⚠️Weekend staffing drops 25.06% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.
📊Staffing levels are highly variable day to day (consistency score: 0.841). This means the care experience can be very different depending on the day.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
4.4659hrs/resident/day▲ 0.57
CMS benchmark: 3.48
RN HPRD
0.9797hrs/resident/day▲ 0.30
Recommended: 0.75
Weekend Drop-off
25.06%
4.8063 weekday → 3.6018 weekend
⚠ Significant weekend reduction
Agency Staff
13.32%
20.59% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.461hrs/resident/day
Direct care aides
LPN HPRD
0.7926hrs/resident/day
Licensed practical nurses
Consistency
0.841std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Union County Average+0.68 HPRD
3.78
04.47 HPRD
vs. Iowa State Average+0.65 HPRD
3.82
04.47 HPRD
vs. National Average+0.57 HPRD
3.90
04.47 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Accura Healthcare of Creston ★
Creston · This facility
—
A
4.46590.9797★★☆☆☆
Creston Specialty Care
Creston
1.9 mi
C
3.1020.5455★★★☆☆
Lenox Care Center
Lenox
16.2 mi
C
3.28321.1692★★☆☆☆
Greenfield Rehabilitation & Health Care Center
Greenfield
17.5 mi
C
3.0780.6194★★★☆☆
Corning Specialty Care
Corning
20.3 mi
C
3.08380.6823★★★☆☆
Clearview Home
Mount Ayr
24.4 mi
C
3.23870.5952★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
33
Total Deficiencies
$16,801
Fines Assessed
Oct 30, 2025Health
2 deficiencies cited
▼
Jul 11, 2024Health
25 deficiencies cited· Includes actual harm
▼
May 16, 2024Health
1 deficiency cited
▼
Mar 21, 2024Health
1 deficiency cited
▼
Feb 1, 2024Health
4 deficiencies cited· Includes actual harm
▼

Penalty History

Jul 11, 2024Fine
$16,801
Jan 31, 2024Payment Denial
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.