Iowa › Plymouth County › Kingsley
Kingsley Specialty Care
305 West Third, Kingsley, IA 51028
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. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Kingsley Specialty Care, in Kingsley, Iowa, is certified for 43 beds under non-profit, corporation ownership and belongs to the Care Initiatives chain.
CMS gives it 1 of 5 stars overall, below the Iowa median of 3; the health inspection rating is 1, staffing 4 and quality measures 4.
Inspectors recorded 38 health deficiencies across the three most recent survey cycles (17, 15, 6 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 88.4 per 100 beds, more than the state median of 27.5.
CMS lists 1 penalty in the period covered: fines totalling $27K.
Reported nurse staffing is 3.6 hours per resident per day (0.9 RN), close to the Iowa median of 3.7; nursing staff turnover is 42.4%.
Compared with county, state and nation
| Measure | This facility | Plymouth Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 38 | 6 | 16 | 28.7 |
| Citations per 100 beds | 88.4 | 13.3 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.6 | 3.7 | 3.9 |
| RN hours per resident day | 0.9 | 0.8 | 0.7 | 0.7 |
| Nursing staff turnover | 42.4% | 42.4% | 41.9% | 45.8% |
| Fines listed | $27,378 | $0 | $0 | — |
County and state figures are medians across facilities (5 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 7 Aug 2025, 13 Sep 2024.
Severity mix: J ×1 D ×26 E ×8 F ×3
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 21 May 2026 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J | Complaint investigation | 22 May 2026 |
| 21 May 2026 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 13 Jun 2026 |
| 21 May 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 13 Jun 2026 |
| 21 May 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 13 Jun 2026 |
| 21 May 2026 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Complaint investigation | 13 Jun 2026 |
| 21 May 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 13 Jun 2026 |
| 21 May 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 13 Jun 2026 |
| 7 Aug 2025 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Complaint investigation | 6 Sep 2025 |
| 7 Aug 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 6 Sep 2025 |
| 7 Aug 2025 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 6 Sep 2025 |
| 7 Aug 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 6 Sep 2025 |
| 7 Aug 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 6 Sep 2025 |
| 7 Aug 2025 | F0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Standard survey | 6 Sep 2025 |
| 7 Aug 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 6 Sep 2025 |
| 7 Aug 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 6 Sep 2025 |
| 7 Aug 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 6 Sep 2025 |
| 7 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 6 Sep 2025 |
| 9 Jan 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 15 Jan 2025 |
| 9 Jan 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 15 Jan 2025 |
| 13 Sep 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Complaint investigation | 11 Oct 2024 |
| 13 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 11 Oct 2024 |
| 13 Sep 2024 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | Standard survey | 11 Oct 2024 |
| 13 Sep 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 11 Oct 2024 |
| 13 Sep 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 11 Oct 2024 |
| 13 Sep 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 11 Oct 2024 |
| 13 Sep 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 11 Oct 2024 |
| 13 Sep 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 11 Oct 2024 |
| 13 Sep 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 11 Oct 2024 |
| 13 Sep 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 11 Oct 2024 |
| 13 Sep 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 11 Oct 2024 |
| 13 Sep 2024 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 11 Oct 2024 |
| 13 Sep 2024 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 11 Oct 2024 |
| 29 Jun 2023 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | E | Standard survey | 17 Jul 2023 |
| 29 Jun 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 17 Jul 2023 |
| 29 Jun 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 17 Jul 2023 |
| 29 Jun 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 17 Jul 2023 |
| 29 Jun 2023 | F0679 | Provide activities to meet all resident's needs. | D | Standard survey | 17 Jul 2023 |
| 29 Jun 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 17 Jul 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 21 May 2026 | Fine | $27,378 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 42.4%, RNs 45.5%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 16.5% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.9% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 21.7% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.8% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 41.8% | 18.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Care Initiatives. Chain: Care Initiatives (43 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Care Initiatives | 5% or greater direct ownership interest | 100% | 11/12/2010 |
| Computershare Corporate Trust Company, Na | 5% or greater mortgage interest | NOT APPLICABLE | 02/01/2025 |
| Computershare Corporate Trust Company, Na | Adp of the snf | NOT APPLICABLE | 04/09/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Plymouth County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Accura Healthcare of Le Mars | Le Mars | 46 | 4 | 3 | 5 | 17 | 37.0 | — | 29 May 2025 |
| Akron Care Center, Inc | Akron | 45 | 4 | 4 | 4 | 6 | 13.3 | — | 18 Jun 2026 |
| Good Samaritan - Lemars | Le Mars | 64 | 4 | 4 | 3 | 6 | 9.4 | — | 17 Apr 2025 |
| Happy Siesta Health Care Center | Remsen | 62 | 4 | 4 | 4 | 5 | 8.1 | — | 12 Jun 2025 |
All 5 facilities in Plymouth County
Questions and answers
How many deficiencies has Kingsley Specialty Care been cited for?
38 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Kingsley Specialty Care been fined?
Yes. CMS lists fines totalling $27K in the period covered.
How does staffing at Kingsley Specialty Care compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Kingsley Specialty Care?
It is part of the Care Initiatives chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Care Initiatives. Individual owners and managers are not listed on this site.
When was Kingsley Specialty Care last inspected?
The most recent survey or investigation in the CMS record is dated 21 May 2026; the most recent standard health survey was 7 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.