Accura HealthCare of Creston

    1000 E Howard St, Creston, IA 50801
    • Assisted Living
    • Memory Care
    • Skilled Nursing
    3.0ยท6 reviews

    Attentive staff, strong leadership, welcoming

    I'm very pleased with the attentive care staff, strong leadership, and genuinely welcoming atmosphere - a well-run community I'd recommend.

    Current/former resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.00ยท(6)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.3
    • Staff

      2.0
    • Meals

      3.0
    • Amenities

      3.0
    • Value

      3.0

    Pros

    • respectful staff interactions
    • supportive kitchen management
    • engaging activities program
    • welcoming facility atmosphere
    • examples of attentive caregiving
    • visible leadership presence

    Cons

    • inconsistent staffing levels
    • delayed response to personal-care needs
    • inconsistent hygiene and bathing routines
    • insufficient resident monitoring and checks
    • weak family and power-of-attorney communication processes
    • inadequate discharge-safety assessment and coordination
    • personal-belongings security gaps
    • variability in staff professionalism and conduct

    Summary of reviews

    Overall impression: Reviews reflect a mixed picture of care at the facility. Several accounts describe strong, positive interactions with individual staff members and leadership, a supportive kitchen manager, and an active activities program that contribute to a welcoming atmosphere. At the same time, other accounts identify operational and clinical gaps that have affected family confidence and perceived resident safety.

    Care quality: Many comments point to inconsistent day-to-day care performance. Positive notes reference attentive caregiving in some instances, but contrasting accounts highlight substantial delays in attending to personal-care needs and inconsistencies in bathing and hygiene routines. There are specific concerns about incontinence-care practices and examples where monitoring and timely assistance appear insufficient โ€” these suggest gaps in routine check schedules and task prioritization rather than a uniformly poor clinical model.

    Staff and professionalism: Reviewers describe variability in staff conduct. Some staff are characterized as respectful and competent, and leadership presence is noted as a positive. At the same time, there are recurring concerns about staff professionalism, argumentative interactions, and unprofessional behavior from admissions and certain shift personnel. Night-shift coverage and staffing adequacy were mentioned as particular stress points, implying uneven coverage across shifts.

    Dining and activities: The dining/kitchen function received favorable comments, with the kitchen manager singled out positively. The activities program and its manager were also praised for engagement and programming. These operational areas appear to be relative strengths compared with clinical and communication domains.

    Facilities, belongings and safety: Several reviews raise practical safety and property-control concerns. Families reported missing personal items and questioned transfer and discharge processes. Combined with reported lapses in monitoring and delayed assistance, these items indicate weaknesses in transfer communication, personal-item safeguards, and discharge-safety assessment procedures rather than isolated facility-condition problems.

    Management and communication: Communication with families and designated decision-makers (POAs) is a prominent theme. Positive leadership presence coexists with criticisms of poor communication, lack of advance notice for transfers, and disagreements over discharge readiness. Admissions interactions were described by some as confrontational, which has contributed to distrust for certain families. The pattern suggests the need for clearer protocols for family notification, discharge planning, and escalation pathways when clinical or safety concerns arise.

    Notable patterns and takeaway: Strengths include engaged dining and activities teams and examples of compassionate direct-care staff and leadership. Weaknesses center on inconsistent staffing and monitoring, delayed personal-care responses, variable staff conduct, and gaps in communication and property controls. Prospective residents and families should weigh the facility's positive program elements against reported operational gaps; if considering placement, they may wish to ask about staffing ratios by shift, resident-check schedules, property-inventory practices, and specific discharge/transfer communication protocols.

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    Medicare Ratings

    2ยท/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Accura HealthCare of Creston

    Accura HealthCare of Creston is located at 1000 E Howard St, Creston, IA, 50801.

    About Accura HealthCare of Creston

    Accura HealthCare of Creston sits in a community-based setting where people can get help with daily life if they need it, and over the years, many folks have come to depend on the place for short-stay rehab, skilled nursing, and long-term care, which covers a lot of needs as people age, and they do aim to make care plans fit each person, so no one gets a one-size-fits-all approach because everyone's situation is a little different. They've got staff around the clock for nursing care, and that includes help with things like medical support, therapy, psychological services, good meals, and even spiritual support for those who want it-those sorts of services are there for both short- and long-term stays, with therapists helping people get back on their feet if they're rehabbing from an illness or injury, or just needing to keep strong into their later years, offering physical, occupational, and speech therapy as well as balance exercises, mobility training, posture correction, and other things that help people feel steady and safe. They also deal with home evaluations and safety awareness, so if someone might want to go back home but isn't sure if it's safe, staff can help with that, too. For those reaching the end of life or facing serious, long-term illness, there's hospice care aimed at comfort and pain relief, along with emotional support. There's also respite care so caregivers can get a break while their loved one is in good hands, with stays as short as just a few days up to a couple of weeks. The activities there aren't fancy but do keep people social and moving, with daily routines and formal programs that encourage folks to take part and stay engaged with others, which seems to help with both mental sharpness and physical health over time. People can get involved with the community in other ways too, since Accura HealthCare of Creston connects with bigger groups like the Iowa Health Care Association and the Iowa Center for Assisted Living, so there are some chances to participate in programs, councils, and even advocacy if that's of interest, and all these connections often bring in resources and updates that might benefit residents and their families. The facility uses various accessibility tools to make moving around easier and provides help for different needs, though there isn't much specific information about the building itself or the exact amenities available. Overall, the focus rests on individualized help, solid nursing care, and keeping people as strong and comfortable as possible in a homelike place, especially as their needs change with age.

    People often ask...

    Accura HealthCare of Creston offers assisted living, memory care, and skilled nursing.

    There are 1 photos of Accura HealthCare of Creston on Mirador.

    The full address for this community is 1000 E Howard St, Creston, IA 50801.

    No, Accura HealthCare of Creston does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Accura HealthCare of Creston. The information above has not been verified or approved by the owner or operator. For exact information, please contact Accura HealthCare of Creston directly. There is no cost for this service. We are compensated by the community you select.

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