** UPDATE ** After touring the area, Governor Branstad confirmed one fatality due to the storm, however, later he said was referring to the accident in Des Moines when he confirmed a storm-related fatality.
The damage in Creston localized to a few block radius. But within that area, the roof of the hospital was peeled back, cars were rolled over and the windows have been blown out.
One home is completely missing. It was ripped from the foundation. A neighbor says the couple who lives in the home was taken to the hospital.