Creston Specialty Care

CCN 165199 · CARE INITIATIVES · Non profit - Corporation · CARE INITIATIVES chain · 74 certified beds · Union · IA


Creston Specialty Care is a 74-bed nursing home in Creston, Iowa. CMS has certified it for Medicare and Medicaid since 1994-03-01. It averages 51.6 residents a day.

What harm was found in the violations cited at Creston Specialty Care?

CMS lists 19 health-inspection deficiencies for Creston Specialty Care, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-07-01.

Survey dateTagDeficiencySeverity
2026-07-01F0761, F0803, F0804, F0812Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2026-07-01F0658, F0689Ensure services provided by the nursing facility meet professional standards of quality. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2025-10-09F0658, F0725Ensure services provided by the nursing facility meet professional standards of quality. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.D
2025-05-08F0637Assess the resident when there is a significant change in conditionE
2025-05-08F0561, F0887Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.D
2024-12-31F0658Ensure services provided by the nursing facility meet professional standards of quality.D
2024-06-20F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G
2024-06-20F0812, F0842, F0880Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program.E
2024-06-20F0550, F0759Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure medication error rates are not 5 percent or greater.D
2024-01-04F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G

Why was Creston Specialty Care fined 2 times?

DateTypeAmount
2024-06-20Fine$12,048
2024-01-04Fine$7,615

How is Creston Specialty Care staffed relative to the IA average?

MeasureThis facilityIA average
Total nurse staffing hours per resident per day3.258923.81506
Total nursing staff turnover (%)48.144.0
Average number of residents per day51.652.4

Who owns Creston Specialty Care, and what chain is it in?

Creston Specialty Care is registered with CMS as Non profit - Corporation, operates under the legal business name CARE INITIATIVES and belongs to the CARE INITIATIVES chain.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTCARE INITIATIVESsince 11/12/2010
5% OR GREATER MORTGAGE INTERESTCOMPUTERSHARE CORPORATE TRUST COMPANY, NAsince 02/01/2025
CORPORATE DIRECTORBEAL, MICHAEL, BOWEN, LANE, CAROTHERS, MARY JANE, CHILDS, KEVIN, CORLESS, PETER, KREIN, KEITH, RUST, ELIZABETH, STURM, DENISE, UPMEYER, LINDAsince 01/01/2021
CORPORATE OFFICERBEAL, MICHAEL, DIXON, DAVID, DRAKE, EMILY, GILYARD, TANYA, KUHN, JERAMY, MCDYER, JESSICA, VOLM, JOHANNAsince 01/01/2021
OPERATIONAL/MANAGERIAL CONTROLBOEVE, DESTINY, GIJIMA, DESIRE, HARVEY, LORIsince 01/01/2024
ADP OF THE SNFCOMPUTERSHARE CORPORATE TRUST COMPANY, NA, GIJIMA, DESIRE, HARVEY, LORIsince 04/10/2025

Were you or a family member harmed at Creston Specialty Care?