CRESTON NURSING & REHAB CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Creston Nursing & Rehab Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

CRESTON NURSING & REHAB CENTER
1001 COTTONWOOD DRIVE
CRESTON, IA 50801
(641) 782-8511

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

70%

Number of Residents and Certified Beds

  • Residents: 52
  • Certified Beds: 74

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Afton | Lenox | Greenfield

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Creston Nursing & Rehab Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-167.9%
Total Percent:7.9%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1642.7%
ADL Index Range: 0-535.4%
Total Percent:78.1%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-1014.0%
Total Percent:14.0%
 

Rating Details For Creston Nursing & Rehab Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours36 Minutes53 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours43 Minutes35 Minutes
Certified Nursing Assistant (CNA) Hours1 Hour and 56 Minutes2 Hours and 19 Minutes
Total Licensed Nurse Hours1 Hour and 19 Minutes1 Hour and 27 Minutes
Total Nurse Hours3 Hours and 15 Minutes3 Hours and 47 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Iowa are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityIowa Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%94%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%93%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Are More Depressed or Anxious13%16%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder56%44%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased8%13%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder9%6%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-2%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Who Were Physically Restrained-4%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores5%8%
Percent of Long-Stay Residents Who Lose Too Much Weight6%6%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%4%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection6%9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse5%10%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%91%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%91%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain13%23%
Percent of Short-Stay Residents Who Have Delirium-5%
Percent of Short-Stay Residents Who Have Pressure Sores10%11%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 09/23/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Get Proof That a Nurse Aide Has the Training and Skills That the State Requires.
  • Inspection Date: 08/14/2008
  • Correction Date: 09/05/2008
Follow All Laws and Professional Standards.
  • Inspection Date: 08/13/2009
  • Correction Date: 09/13/2009

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 08/14/2008
  • Correction Date: 09/05/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 08/13/2009
  • Correction Date: 09/13/2009

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 08/13/2009
  • Correction Date: 09/13/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 08/13/2009
  • Correction Date: 09/13/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 08/14/2008
  • Correction Date: 09/05/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 08/14/2008
  • Correction Date: 09/05/2008
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 08/14/2008
  • Correction Date: 09/05/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 08/13/2009
  • Correction Date: 09/13/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 08/13/2009
  • Correction Date: 09/13/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 08/13/2009
  • Correction Date: 09/13/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 09/23/2010
  • Correction Date: 10/13/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 09/23/2010
  • Correction Date: 10/13/2010

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 08/14/2008
  • Correction Date: 09/05/2008

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Creston Nursing & Rehab Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 09/29/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 09/29/2010
  • Correction Date: 10/15/2010

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 08/21/2008
  • Correction Date: 09/21/2008

Building Service Equipment

Heating and Ventilation Systems That Have Been Properly Installed According to the Manufacturer's Instructions.
  • Inspection Date: 09/02/2009
  • Correction Date: 10/02/2009
Properly Protected Cooking Facilities.
  • Inspection Date: 09/02/2009
  • Correction Date: 10/02/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 08/21/2008
  • Correction Date: 09/21/2008
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 09/02/2009
  • Correction Date: 10/02/2009

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 08/21/2008
  • Correction Date: 09/21/2008

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 09/02/2009
  • Correction Date: 10/02/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 09/29/2010
  • Correction Date: 10/11/2010

Furnishings and Decorations

Properly Sized and Located Linen or Trash Receptacles.
  • Inspection Date: 09/02/2009
  • Correction Date: 10/02/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 09/29/2010
  • Correction Date: 10/13/2010

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 08/21/2008
  • Correction Date: 09/21/2008

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 08/21/2008
  • Correction Date: 09/21/2008

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 08/21/2008
  • Correction Date: 09/21/2008
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 08/21/2008
  • Correction Date: 09/21/2008
Source: Medicare Nursing Home Compare; Department of Inspections and Appeals of Iowa - Health Facilities Division - Retrieved 2011