Creston Nursing & Rehab Center
Nursing Home Facility
1001 Cottonwood Drive, Creston, IA 50801
Creston Nursing & Rehab Center is a senior care community located in Creston, IA. It provides nursing home care and senior living for older adults in the Creston area. To learn more or schedule a tour, call (641) 782-8511.
Operated by Care Initiatives, which runs 43 communities in our directory.
With 74 beds, Creston Nursing & Rehab Center is one of the larger communities in the area, senior care communities in Creston average about 53 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 70% of its licensed beds.
Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in July 2026 and recorded 8 deficiencies.
Residents receive about 3.3 hours of nursing care per day on average, including 0.6 hours from a registered nurse. Nursing staff turnover over the past year was about 48%.
The community is located in Union County, IA.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 19 problems at Creston Nursing & Rehab Center. 2 findings involved harm to a resident. 7 came from investigating complaints by residents or families.
In the last three years Medicare fined this home twice, a total of $19,663.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, a pattern
Pharmacy Service
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.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
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.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
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Could cause more than minimal harm, one or a few residents
Nursing and Physician Services
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Creston Nursing & Rehab Center offers nursing home care and senior living.
Facility details
- Organization type Non profit - Corporation
- Beds / units 74
- Occupancy 70%
- Nursing hours per resident/day 3.3
- Annual staff turnover 48%
- Last health inspection July 2026
Resident & family reviews
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