CMS data shows Creston Specialty Care earning a D grade with a score of 49/100, placing it below most facilities in Iowa. Prospective residents and families should carefully review the specific areas of concern detailed below.
Staffing levels are a potential concern at Creston Specialty Care, with 3.10 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent inspections identified 17 deficiencies at Creston Specialty Care. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.10 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.55 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.87 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.68 | 2.4 | Below Average |
| Weekend Total Nursing | 2.85 | 3.8 | Below Average |
| Weekend RN Hours | 0.28 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0658 Severity DEnsure services provided by the nursing facility meet professional standards of quality.Oct 8, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0725 Severity DProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Oct 8, 2025 · Nursing and Physician Services Deficiencies
- Tag 0637 Severity EAssess the resident when there is a significant change in conditionMay 7, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0887 Severity DEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly documentMay 7, 2025 · Infection Control Deficiencies
- Tag 0561 Severity DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.May 7, 2025 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.5% | 4.5% | Average |
| Falls with major injury | 3.4% | 3.0% | Worse |
| On antipsychotic medication | 10.6% | 14.5% | Better |
| Urinary tract infections | 1.1% | 2.5% | Better |
| ADL decline (daily activities) | 18.3% | 14.0% | Worse |
| Excessive weight loss | 3.8% | 7.5% | Better |
| New/worsened incontinence | 37.6% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $19,663
How This Grade Was Calculated
This facility's grade of D is based on a score of 49 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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