01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-07-01 | 8 | 2026-07-01 | 1 |
| Cycle 2 | 2025-05-08 | 4 | 2025-05-08 | 5 |
| Cycle 3 | 2024-06-20 | 7 | 2024-06-20 | 6 |
CMS CCN 1651992026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Creston Specialty Care
1001 Cottonwood Drive · Creston, IA 50801 · Union County
Certified beds74CMS provider file
Recent citation rows31current CMS citation release
Penalty rows2current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
31 rows in the current release
2 rows carry G–L scope/severity codes; 0 carry J–L. 4 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-07-01 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2026-07-02 · complaint2026-07-01 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-07-022026-07-01 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure 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.
Correction field: Deficient, Provider has date of correction · 2026-07-022026-07-01 · HEALTHF0803Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2026-07-02 · complaint2026-07-01 · HEALTHF0804Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2026-07-022026-07-01 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2026-07-022026-07-01 · FIREK0511Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2026-07-062025-10-09 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-10-10 · complaint2025-10-09 · HEALTHF0725Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Correction field: Deficient, Provider has date of correction · 2025-10-10 · complaint2025-05-08 · HEALTHF0561Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Correction field: Deficient, Provider has date of correction · 2025-05-09 · complaint2025-05-08 · HEALTHF0637Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Correction field: Deficient, Provider has date of correction · 2025-05-092025-05-08 · HEALTHF0887Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-05-092025-05-08 · FIREK0222Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has date of correction · 2025-05-122025-05-08 · FIREK0281Severity F · widespread; potential for more than minimal harm
Egress Deficiencies
Install proper backup exit lighting.
Correction field: Deficient, Provider has date of correction · 2025-05-122025-05-08 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-05-092025-05-08 · FIREK0754Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
Provide properly sized and located linen or trash receptacles.
Correction field: Deficient, Provider has date of correction · 2025-05-082025-05-08 · FIREK0923Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2025-05-092024-12-31 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2025-01-01 · complaint2024-06-20 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2024-07-112024-06-20 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-07-012024-06-20 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2024-07-112024-06-20 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-07-112024-06-20 · HEALTHF0842Severity E · pattern; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2024-07-112024-06-20 · HEALTHF0880Severity E · pattern; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-07-1103 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-06-20 | Fine | $12,048 | 0 |
| 2024-01-04 | Fine | $7,615 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- CARE INITIATIVESOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 11/12/2010
- COMPUTERSHARE CORPORATE TRUST COMPANY, NAOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 02/01/2025
- BEAL, MICHAELIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/01/2020
- BOWEN, LANEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- CAROTHERS, MARY JANEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- CHILDS, KEVINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2023
- CORLESS, PETERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2025
- KREIN, KEITHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/29/2022
- RUST, ELIZABETHIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2023
- STURM, DENISEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2021
- UPMEYER, LINDAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 06/29/2022
- BEAL, MICHAELIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/01/2020
- DIXON, DAVIDIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/01/2016
- DRAKE, EMILYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/04/2023
- GILYARD, TANYAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 05/23/2025
- KUHN, JERAMYIndividual · CORPORATE OFFICERNOT APPLICABLE · since 06/25/2008
- MCDYER, JESSICAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 02/22/2023
- VOLM, JOHANNAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 01/01/2021
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.26per resident day
RN hours0.60per resident day
Weekend nurse hours2.81per resident day
Staff turnover48.1%CMS reported field
06 / LOCAL RECORDS
Open the Creston ledger →