Kingsley Specialty Care
305 West Third, Kingsley, IA 51028 · Plymouth County · (712) 378-2400
43 certified beds, about 33 residents a day · Non profit - Corporation · Medicare and Medicaid since 1997
Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
4 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165329 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 7, 2025, inspectors cited 10 health deficiencies (the Iowa average is 6.5, the national average 9.2).
Of 38 health citations since June 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $27,378 in the last three years; the largest was $27,378, and the latest is dated May 21, 2026.
Nurses and nurse aides worked 3.63 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.90 of those hours.
42.4% of nursing staff left within the year CMS measured (Iowa average 44.0%).
CMS links it to Care Initiatives, an affiliated group of 43 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
606/23
1309/24
201/25
1008/25
705/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 38 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
26D
8E
3F
Potential for minimal harm
0A
0B
0C
May 21, 2026Complaint inspection · 7 citations
- J Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Inspectors wroteBased on observation, record review, and staff interview, the facility failed to provide adequate Cardiopulmonary Resuscitation (CPR), to a resident requiring CPR prior to the arrival of Emergency Medical Services (EMS) personnel for 1 resident (Resident #1). Resident #1 had requested CPR and was not breathing and had no pulse. Staff performed some compressions, but failed to perform airway resuscitation, and failed to continue the compressions until EMS took over. The facility had a crash cart and back board to perform CPR, but staff failed to utilize the available resources. EMS started CPR when they arrived and transported the resident to the hospital. This failure resulted in Immediate Jeopardy to the health, safety, and security of the resident. The State Agency informed the facility of the Immediate Jeopardy (IJ) that began as of [DATE] on [DATE] at 2:35 PM. [...]
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on record review and interviews the facility failed to notify physician of blood sugars not within parameters and when medication not given as ordered for 1 of 4 residents reviewed, (Resident#1). The facility reported a census of 37 residents.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on record review, staff interview, and facility policy review, the facility failed to report misappropriation of medication for 1 resident (Resident #6) to the Department of Inspections, Appeals and Licensing (DIAL) (the state survey and licensing agency). The facility reported a census of 37 residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record review and staff interview, the facility failed to follow the physician's orders for medication administration and blood sugars falling outside the identified parameters for 1 of 4 residents reviewed for medications (Resident #1). The facility reported a census of 37 residents.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure a resident on dialysis had needed equipment to facilitate treatment for 1 resident (Resident #1). The facility reported a census of 37 residents.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on record review, staff interview, and policy review, the facility failed to ensure an accurate account of controlled medications for 1 of 3 residents reviewed (Resident #3). The facility reported a census of 37 residents.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review, staff interview, the facility failed to ensure accurate and complete record of 1 resident missing dialysis for 1 resident reviewed (Resident #1). The facility reported a census of 37 residents.
August 7, 2025Standard inspection, Complaint inspection · 10 citations
- F Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on the Center for Medicare and Medicaid Services (CMS) Payroll Based Journal (PBJ) Staffing Data Report from Fiscal Quarter 2, 2025 (January 1 through March 31) review, facility staffing review, and staff interviews, the facility failed to meet staffing requirements in all three metrics. The facility reported a census of 31 residents.
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, resident interview, staff interview and policy review the facility failed to provide food at an appetizing temperature to 4 of 20 residents reviewed (Resident #3, #5, #8 and #25). The facility reported a census of 31 residents.
- E Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Inspectors wroteBased on Electronic Health Records (EHR) review, observation, document review, and staff interviews the facility failed to prepare food in a form designed to meet individual needs by sending incorrect consistency for modified diet ordered for 6 of 6 residents reviewed (Resident #7, #9, #10, #11, #13 and #22). The facility reported a census of 31 residents.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview, and policy review the facility failed to store food in accordance with professional standards by not dating open food items and not disposing of expired food items. The facility reported a census of 31 residents.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, Electronic Health Record (EHR) review, policy review, resident interviews and staff interviews the facility failed to provide dignity and respect to 1 of 8 residents reviewed (Resident #7). The facility reported a census of 31 residents.
- D Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Inspectors wroteBased on clinical record review, facility policy and interviews the facility failed to permit a resident to return to the facility after hospitalization for 1 of 1 residents reviewed (Resident #39). The facility reported a census of 31 residents.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on Medication Administration Record (MAR) - Treatment Administration record (TAR), Electronic Health Records (EHR) review, resident interviews and staff interviews the facility failed to represent an accurate assessment of the resident's status during the observation period of the MDS by not accurately assessing the use of insulin for 1 of 10 residents reviewed (Resident #7). The facility reported a census of 31 residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, Electronic Health Record (EHR) review, staff interview, policy, and Medication Administration Records - Treatment Administration Records (MAR-TAR) review the facility failed to provide needed services in accordance with professional standards by administering a medication that should have been held related to parameters for 1 of 3 residents (Resident #8). The facility reported a census of 31 residents.
- D Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, record review, policy review and staff interviews the facility failed to provide 2 of 37 medications as ordered resulting in a medication error rate of 5.41. The facility reported a census of 31 residents.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observations, record review, staff interviews and policy reviews, the facility failed to provide proper hand hygiene after resident care for 2 of 2 residents reviewed (Resident #8 and #26). The facility reported a census of 31 residents.
January 9, 2025Complaint inspection · 2 citations
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on clinical record review, policy review and staff interview the facility failed to revise and update care plans to include appropriate interventions for residents to prevent repeated fall and injuries for 3 out of 3 residents reviewed (Resident #1, #2 and #3). The facility reported a census of 34 residents.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on clinical record review, observation, staff interviews, and facility record review, the facility failed to provide adequate fall interventions and communicate inventions via the care plan to prevent falls that resulted in injury for 1 of 3 residents reviewed (Residents #1). The facility reported a total census of 34 residents.
September 13, 2024Standard inspection, Complaint inspection · 13 citations
- F Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteBased on the Center for Medicare and Medicaid Services (CMS) Payroll Based Journal (PBJ) Staffing Data Report from Fiscal Quarter 3, 2024 (April 1- June 30) review, facility staffing review, and staff interviews, the facility failed to meet staffing requirements in three metrics. The facility reported a census of 33 residents.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, infection control policy and staff interview, the facility failed to initiate a legionella water program for the facility. The facility reported a total census of 33 residents.
- E 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.
Inspectors wroteBased on clinical record review, interviews, and facility policy, the facility failed to ensure bed hold notice was signed by residents and or the resident's responsible person when residents transferred out of the facility for 4 of 4 residents reviewed (Residents #7, #18, #32 and #36). The facility reported a census of 33 residents.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, staff interviews, and facility policy reviews the facility failed to ensure food was stored and prepared under sanitary conditions. The facility identified a census of residents.
- E Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observations, staff interviews and facility policy review the facility failed to maintain a clean, orderly and homelike environment for the residents and public by having boxes stacked around the nurses station and having 2 wheelchairs parked in the hallway blocking an emergency door. The facility identified a census of 33.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, resident interviews, and staff interviews the facility failed to respect each resident's dignity throughout all care and services provided (Resident #32). The facility reported a census of 33 residents.
- D Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on clinical record review, family interviews and facility policy review the facility failed to notify the resident's representative of hospitalization of 1 of 3 residents reviewed (Resident #7). The facility reported a census of 33.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on clinical record review and staff interview the facility failed to develop care plans to address usage of high risk medications and side effects to watch for 2 out of 5 sampled residents reviewed for comprehensive care plans (Resident #4 and #35). The facility reported a census of 33 residents.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record review and staff interviews the facility failed to provide professional standards of care by not initiating physical therapy as ordered for 1 of 12 residents reviewed (Resident #9). The facility reported a census of 33 residents.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on clinical record review, resident interview, staff interview and facility policy review the facility failed to provide bathing assistance twice weekly for 3 of 3 residents reviewed for bathing (Resident #4, #23 and #35). The facility reported a census of 33 residents.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on clinical record review, staff interviews, and policy the facility failed to complete assessment and interventions for the necessary care and services. Clinical record review revealed the nursing staff failed to complete all required skilled assessments for 1 out 12 residents reviewed (Resident #37). The facility reported a census of 33 residents.
- D 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.
Inspectors wroteBased on interviews and record review, the facility failed to provide a restorative program to a resident with mobility concerns for 1 of 1 resident reviewed (Resident #4). The facility reported a census of 33 residents.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on clinical record review, staff interviews, and policy the facility failed to complete assessment and interventions for the necessary care and services related to dialysis. Clinical record review revealed the nursing staff failed to complete all required dialysis evaluations for 1 out 2 residents reviewed (Resident #37). The facility reported a census of 33 residents.
June 29, 2023Standard inspection · 6 citations
- E 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.
Inspectors wroteBased on document review, staff interviews, and policy review the facility failed to employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service by not having a qualified professional serve as the dietary manager. The facility reported a census of 40 residents.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, policy review, and staff interviews the facility failed to store food in accordance with professional standards. The facility reported a census of 40 residents.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on record review and staff interview the facility failed to properly complete the Centers of Medicare & Medicaid form #10055 for 2 of 3 sampled residents, (Residents #34 and #38). The facility reported a census of 40 residents. Findings Include: 1. The ABN form #10055 dated 2/27/23 for Resident #34 revealed the form lacked the reason Medicare may not pay and the estimated cost of services. 2. The ABN form #10055 dated 3/4/23 for Resident #38 revealed the form lacked the estimated cost of skilled nursing care. [...]
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on document review, staff interviews, and policy review the facility failed to correctly code the Minimum Data Set (MDS) by not accurately recording resident assessments for 2 of 15 residents reviewed, (Resident #2 and #42). The facility reported a census of 40.
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, record review, and staff interview, the facility failed to assure the activity preferences of each resident were provided for 3 of 4 residents reviewed, (Resident #23, #22, and #42). The facility reported a census of 42 residents.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on record review and staff interviews the facility failed to maintain accurate medical records for 1 out of 15 residents reviewed (Resident #98). The facility reported a census of 40 residents.
Fire safety inspections
12 fire safety citations on file: 1 on August 7, 2025, 8 on September 13, 2024, 3 on June 29, 2023.
Every fire safety citation12 citations
- F Have simulated fire drills held at unexpected times.
- F Conduct testing and exercise requirements.
- F Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- F Have properly sized and located compartments to protect residents from smoke.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Install corridor and hallway doors that block smoke.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Ensure proper usage of power strips and extension cords.
- D Meet requirements for the use and maintenance of medical gas equipment.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| May 21, 2026 | Fine | $27,378 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.63 | 3.82 | 3.86 |
| Registered nurses | 0.90 | 0.74 | 0.69 |
| All nursing staff on weekends | 3.02 | 3.37 | 3.42 |
| Nurse aides | 2.28 | ||
| Licensed practical nurses | 0.45 | ||
| Nursing staff turnover (share who left in a year) | 42.4% | 44.0% | 45.8% |
| Registered nurse turnover | 45.5% | 42.1% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.32 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.87 on weekdays and 3.02 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.07 in April to June 2025 to 3.63 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.63 | 0.90 | 3.87 | 3.02 | 0.0% | 0 of 90 | 33 |
| Oct to Dec 2025 | 3.06 | 0.85 | 3.26 | 2.55 | 0.0% | 0 of 92 | 34 |
| Jul to Sep 2025 | 3.08 | 1.12 | 3.28 | 2.55 | 0.0% | 0 of 92 | 32 |
| Apr to Jun 2025 | 3.07 | 1.14 | 3.24 | 2.67 | 0.0% | 0 of 91 | 33 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 16.5 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 4.0 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 21.7 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.8 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 41.8 | 19.4 | 15.4 |
Owners and operators
Legal business name: CARE INITIATIVES. CMS links this home to Care Initiatives, a group of 43 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Care Initiatives | 5% or greater direct ownership interest | Organization | 100% | 11/12/2010 |
| Computershare Corporate Trust Company, Na | 5% or greater mortgage interest | Organization | 02/01/2025 | |
| Beal, Michael | Corporate director | Individual | 06/01/2020 | |
| Bowen, Lane | Corporate director | Individual | 01/01/2021 | |
| Carothers, Mary Jane | Corporate director | Individual | 01/01/2023 | |
| Childs, Kevin | Corporate director | Individual | 04/01/2023 | |
| Corless, Peter | Corporate director | Individual | 01/01/2025 | |
| Krein, Keith | Corporate director | Individual | 06/29/2022 | |
| Rust, Elizabeth | Corporate director | Individual | 01/01/2023 | |
| Sturm, Denise | Corporate director | Individual | 01/01/2021 | |
| Upmeyer, Linda | Corporate director | Individual | 06/29/2022 | |
| Beal, Michael | Corporate officer | Individual | 06/01/2020 | |
| Dixon, David | Corporate officer | Individual | 06/01/2016 | |
| Drake, Emily | Corporate officer | Individual | 02/01/2024 | |
| Gilyard, Tanya | Corporate officer | Individual | 05/23/2025 | |
| Kuhn, Jeramy | Corporate officer | Individual | 06/25/2008 | |
| McDyer, Jessica | Corporate officer | Individual | 02/22/2023 | |
| Boeve, Destiny | Operational/managerial control | Individual | 01/01/2024 | |
| Wiltfang, Patricia | Operational/managerial control | Individual | 06/20/2025 | |
| Computershare Corporate Trust Company, Na | Adp of the SNF | Organization | 04/09/2025 | |
| Corless, Peter | Adp of the SNF | Individual | 01/01/2025 | |
| Jurgens, Michael | Adp of the SNF | Individual | 01/01/2024 | |
| Wiltfang, Patricia | Adp of the SNF | Individual | 07/15/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- When is the care plan meeting, and can family attend it?Inspectors cited 9 problems in this area, most recently on May 21, 2026: "Ensure services provided by the nursing facility meet professional standards of quality."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 8 problems in this area, most recently on May 21, 2026: "Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 7 problems in this area, most recently on May 21, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 6 problems in this area, most recently on August 7, 2025: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.02 hours per resident per day, below the Iowa average of 3.37.
- How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.
Other nursing homes nearby
- Correctionville Specialty Care Correctionville, 12.5 mi · 1 of 5 stars · 36 citations
- Happy Siesta Health Care Center Remsen, 15.1 mi · 4 of 5 stars · 5 citations
- Accura Healthcare of Le Mars Le Mars, 16.2 mi · 3 of 5 stars · 22 citations
- Good Samaritan - Lemars Le Mars, 17.1 mi · 4 of 5 stars · 6 citations
- Heartland Care Center Marcus, 18 mi · 5 of 5 stars · 18 citations
- Sunrise Retirement Community Sioux City, 20.2 mi · 5 of 5 stars · 11 citations
- Accura Healthcare of Sioux City, LLC Sioux City, 20.8 mi · 4 of 5 stars · 21 citations
- Good Samaritan - Holstein Holstein, 22.6 mi · 3 of 5 stars · 24 citations
Iowa contacts for a concern about a nursing home
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.
Common questions
- What is Kingsley Specialty Care's Medicare star rating?
- CMS rates Kingsley Specialty Care 1 out of 5 stars overall, with 1 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Kingsley Specialty Care get at its last inspection?
- 10 health deficiencies at the standard inspection on August 7, 2025. The Iowa average is 6.5.
- Has Kingsley Specialty Care been fined?
- Yes. CMS lists 1 fine totaling $27,378 in the last three years.
- Does Kingsley Specialty Care accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Kingsley Specialty Care?
- CMS lists 23 owners and managers, and links the home to Care Initiatives. Legal business name: CARE INITIATIVES.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.