Creston Specialty Care
1001 Cottonwood Drive, Creston, IA 50801
Based on 2026 CMS Data
Official Government Ratings
Health Inspections
Frequency & severity of deficiencies
Staffing Levels
Nurse hours per resident per day
Quality Measures
Clinical outcomes & care quality
Resident Council Active
Active councils indicate resident empowerment and facility transparency.
Vetting This Facility? Get Answers They Don't Volunteer
Free guide: the exact questions to ask Creston Specialty Care, how to pull the public records (ownership, inspections, penalties), and how to request the info that isn't online — like the medical director.
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Care Quality Indicators
Lower is better
Lower is better
Lower is better
Lower is better
How Creston Specialty Care Compares
Creston Specialty Care is a 74-bed nonprofit nursing facility in Creston, Iowa. It holds an overall CMS rating of 2 out of 5 stars, below the Iowa average of 3.1 stars. Its lowest sub-rating is health inspections at 2 stars. Its rate of short-stay residents returning to the hospital (32.3%) is above the Iowa average of 20.8% — a measure worth asking the staff about. With 74 certified beds, it maintains moderate occupancy at roughly 70% occupied.
Among the 2 nursing facilities ElderVoice tracks in Creston, the local average is 2.0 stars.
By the numbers vs. Iowa average
- Long-stay antipsychotic medication use: 10.5% — better than the Iowa average of 19.5% (46% lower).
- Falls with major injury: 2.8% — better than the Iowa average of 3.8% (26% lower).
- High-risk pressure ulcers: 2.5% — better than the Iowa average of 4.2% (39% lower).
- Short-stay rehospitalization: 32.3% — worse than the Iowa average of 20.8% (55% higher).
Comparisons use CMS Care Compare data (updated September 9, 2026) measured against Iowa averages across 387 facilities tracked by ElderVoice.
Questions to Ask Creston Specialty Care
Use these facility-specific questions when calling admissions, touring the building, or comparing Creston Specialty Care with other nursing homes in Creston.
How is Creston Specialty Care addressing its health inspections rating?
CMS currently rates this category 2 out of 5 stars, so ask what specific improvements are underway and when the next survey update is expected.
What practices help Creston Specialty Care keep long-stay antipsychotic medication use below the state average?
Long-stay antipsychotic medication use is 10.5% here versus 19.5% across Iowa. Lower is generally better for this CMS measure.
What practices help Creston Specialty Care keep falls with major injury below the state average?
Falls with major injury is 2.8% here versus 3.8% across Iowa. Lower is generally better for this CMS measure.
How can a new family connect with existing councils at Creston Specialty Care?
Active resident or family councils can provide useful context about daily life, responsiveness, and recurring concerns.
What would the first 30 days look like for a new resident at Creston Specialty Care?
Ask who builds the care plan, how medication changes are communicated, how often families receive updates, and who to call after hours.
The Senior Community Around Creston
Creston sits in Union County, where adults 65 and older make up about 20.3% of the population — a higher share of seniors than Iowa as a whole (17.1% statewide). The area's median household income is lower than the state average, reflecting a more affordable area.
- Residents 65+
- 2,496 (20.3%)
- Median age
- 40.6 years
- Median household income
- $50,375
- Median home value
- $109,600
Demographics for Union County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Creston.
Facility Details
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