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C
Below Standard

Creston Specialty Care

1001 Cottonwood Drive · Creston, IA 50801

6417828511 · For profit - Corporation

74 beds49.8 residents84 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Creston Specialty Care receives an overall staffing grade of C (Below Standard). With 3.102 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5455 HPRD, below the recommended 0.75. It is 0.79 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 10.73% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.102 HPRD — needs 0.38 more hours per resident per day.
⚠️RN staffing (0.5455 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.102hrs/resident/day▼ 0.79
CMS benchmark: 3.48
RN HPRD
0.5455hrs/resident/day▼ 0.14
Recommended: 0.75
Weekend Drop-off
10.73%
3.199 weekday → 2.8557 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.5367hrs/resident/day
Direct care aides
LPN HPRD
0.8755hrs/resident/day
Licensed practical nurses
Consistency
0.318std 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
03.10 HPRD
vs. Iowa State Average-0.71 HPRD
3.82
03.10 HPRD
vs. National Average-0.79 HPRD
3.90
03.10 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
Creston Specialty Care ★
Creston · This facility
—
C
3.1020.5455★★★☆☆
Accura Healthcare of Creston
Creston
1.9 mi
A
4.46590.9797★★☆☆☆
Lenox Care Center
Lenox
15.5 mi
C
3.28321.1692★★☆☆☆
Greenfield Rehabilitation & Health Care Center
Greenfield
16.5 mi
C
3.0780.6194★★★☆☆
Corning Specialty Care
Corning
18.6 mi
C
3.08380.6823★★★☆☆
Clearview Home
Mount Ayr
25.3 mi
C
3.23870.5952★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

6
Inspections
17
Total Deficiencies
$19,663
Fines Assessed
Oct 9, 2025Health
2 deficiencies cited
▼
May 8, 2025Health
3 deficiencies cited
▼
Dec 31, 2024Health
1 deficiency cited
▼
Jun 20, 2024Health
6 deficiencies cited· Includes actual harm
▼
Jan 4, 2024Health
1 deficiency cited· Includes actual harm
▼
Jul 20, 2023Health
4 deficiencies cited
▼

Penalty History

Jun 20, 2024Fine
$12,048
Jan 4, 2024Fine
$7,615
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.