Nursing homes in Union County, Iowa
There are 2 certified nursing homes in Union County, Iowa, with 105 beds between them.
100% of them are rated 1 or 2 stars overall, a larger share than the state (38%). Inspectors recorded 57 health deficiencies over three cycles, 54.3 per 100 beds against 31.7 statewide.
Fines in the period covered total $36K across 3 fines.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026.
| Measure | Union County | Iowa | US |
|---|---|---|---|
| Facilities | 2 | 387 | 14690 |
| Rated 1–2 stars overall | 100% | 38% | 41% |
| Median overall rating | 2 | 3 | 3 |
| Citations per 100 beds (3 cycles) | 54.3 | 31.7 | 26.8 |
| Median nurse hours per resident day | 3.8 | 3.7 | 3.7 |
| Fines listed | $36K | $7.5M | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Accura Healthcare of Creston | Creston | 31 | 2 | 2 | 3 | 38 | 122.6 | $17K | 25 Jun 2026 |
| Creston Specialty Care | Creston | 74 | 2 | 2 | 3 | 19 | 25.7 | $20K | 1 Jul 2026 |
Sorted by overall rating. "Citations" are health deficiencies over three survey cycles; "per 100 beds" divides by certified beds.
Most-cited tags in the county
| Tag | Requirement | Citations |
|---|---|---|
| F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | 5 |
| F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | 3 |
| F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 3 |
| F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 3 |
| F0641 | Ensure each resident receives an accurate assessment. | 2 |
Ownership
| Type | Facilities |
|---|---|
| For profit | 1 |
| Non profit | 1 |
Chains present: Accura Healthcare (1), Care Initiatives (1).
Questions and answers
How many nursing homes are in Union County, Iowa?
2 Medicare-certified nursing homes with 105 certified beds.
Which nursing homes in Union County have the highest CMS ratings?
Accura Healthcare of Creston (2 stars), Creston Specialty Care (2 stars)
How do Union County nursing homes compare with Iowa?
100% are rated 1–2 stars overall against 38% statewide; citations run at 54.3 per 100 beds against 31.7 statewide.