Nursing Homes, Home Health & Hospice in Union County

Union County, Iowa has 3 Medicare-certified care providers across 2 cities. Compare CMS ratings, inspections, staffing, and ownership by care type below.

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Afton, IA 1 facilities Creston, IA 7 facilitiesAvg CMS rating 2.7

Nursing Homes in Union County

2 providers in Union County: Creston

Nursing Home · For profit - Limited Liability company Accura Healthcare of Creston Creston, IA 50801 CMS rating 2.0 / 531 beds Nursing Home · For profit - Corporation Creston Specialty Care Creston, IA 50801 CMS rating 3.0 / 574 beds

Home Health Agencies in Union County

1 provider in Union County: Creston

Home Health Agency · NON-PROFIT EVERYSTEP Creston, IA 50801 CMS rating 3.0 / 5

Assisted Living Facilities in Union County

1 provider in Union County: Creston

Assisted Living Facility HOMESTEAD OF CRESTON OPERATIONS LLC Creston, IA 50801 Not CMS-rated

Home Care Agencies in Union County

2 providers in Union County: Creston

Home Care Agency CIRCLE OF LIFE THERAPY SERVICES LLC Creston, IA 50801 Not CMS-rated Home Care Agency CREATIVE MINDS Creston, IA 50801 Not CMS-rated

Senior Housing in Union County

2 providers in Union County: Afton, Creston

Senior Housing · Public Housing Fairview Afton, IA 50830 Not CMS-rated30 beds Senior Housing · Project-Based Section 8 Hunt Associates Limited Partnership Creston, IA 50801 Not CMS-rated20 beds

How to choose care in Union County

Start by comparing CMS Five-Star ratings, which summarize health inspections, staffing, and quality measures. A high overall rating is a useful signal, but read the underlying inspection findings and staffing figures too - they show what is behind the score.

Visit candidates in Union County when possible, ask how care plans are set and reviewed, and confirm costs, coverage, and availability in writing. Staffing consistency and clear family communication matter as much as any published score.

Frequently asked questions

How many Medicare-certified care providers are in Union County?
The current CMS snapshot lists 3 certified providers in Union County, Iowa: 2 nursing homes, 1 home health agencies, and 0 hospice programs.
Which cities in Union County have care facilities?
Afton, Creston have care providers listed according to the current snapshot. Open a city page for local listings.

Data sources

Source: CMS Provider Data Catalog, the CMS NPI registry, and HUD open data. Data processing date: 2026-10-06.

Important disclosures

Informational only, not medical advice. This directory publishes public data and general information. It does not provide medical advice, diagnosis, or treatment recommendations, and it is not a substitute for consulting a qualified health care professional or Medicare.

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Verify before you act. Facility information is derived from public federal datasets and may lag or contain errors. Always confirm current ratings, services, availability, and coverage directly with the provider and at Medicare.gov.

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