Kingsley, IA

Kingsley Specialty Care

2-star overall rating with 2-star inspections with 10 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

305 West Third Box 10, Kingsley, IA

(712) 378-2400

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

43

Certified beds

Average residents

32

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Care Initiatives

Operator or chain grouping

Approved since

1997-09-08

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.12

Registered nurse staffing

LPN hours / resident day

0.18

Licensed practical nurse staffing

Aide hours / resident day

1.78

Nurse aide staffing

Weekend hours

2.55

Weekend nurse staffing

RN turnover

50%

Annual RN turnover

Total nurse turnover

63%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
94.0%
6 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.8%
95.2%
1.6 pts better
95.5%
1.3 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 2.8%
3.7%
0.9 pts better
3.3%
0.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 21.6%
4.0%
17.6 pts worse
11.4%
10.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 6.0%
4.9%
1.1 pts worse
5.4%
0.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 21.4%
20.6%
0.8 pts worse
19.6%
1.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 34.3%
19.8%
14.5 pts worse
16.7%
17.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.9%
0.2%
0.7 pts worse
0.1%
0.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 29.2%
18.5%
10.7 pts worse
16.3%
12.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 24.1%
18.3%
5.8 pts worse
14.9%
9.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.9%
1.7%
0.8 pts better
1.0%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.0%
2.5%
2.5 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 37.7%
26.0%
11.7 pts worse
19.8%
17.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 6.6%
4.3%
2.3 pts worse
5.1%
1.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.2%
84.3%
12.9 pts better
81.7%
15.5 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 7.3%
13.1%
5.8 pts better
12.0%
4.7 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 8.9%
1.9%
7 pts worse
1.6%
7.3 pts worse
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 95.6%
73.3%
22.3 pts better
79.7%
15.9 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 17.4%
21.3%
3.9 pts better
23.9%
6.5 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-07 · Fire 2025-08-07

10 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

1 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 2 Health 2024-09-13 · Fire 2024-09-13

15 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 3 Health 2023-06-29 · Fire 2023-06-29

6 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-07

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-08-13

F · Potential for more than minimal harm 2024-09-13

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-10-18

F · Potential for more than minimal harm 2024-09-13

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2024-09-18

F · Potential for more than minimal harm 2024-09-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-10-18

F · Potential for more than minimal harm 2024-09-13

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2024-09-18

F · Potential for more than minimal harm 2024-09-13

K371 · Smoke Deficiencies

Fire Safety

Have properly sized and located compartments to protect residents from smoke.

Corrected 2024-09-23

F · Potential for more than minimal harm 2024-09-13

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-09-18

F · Potential for more than minimal harm 2024-09-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-10-18

E · Potential for more than minimal harm 2024-09-13

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-09-23

D · Potential for more than minimal harm 2023-06-29

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-07-10

D · Potential for more than minimal harm 2023-06-29

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-07-10

D · Potential for more than minimal harm 2023-06-29

K922 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use and maintenance of medical gas equipment.

Corrected 2023-07-06

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-08-07

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2025-09-06

E · Potential for more than minimal harm 2025-08-07

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-09-06

E · Potential for more than minimal harm 2025-08-07

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2025-09-06

E · Potential for more than minimal harm 2025-08-07

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-09-06

D · Potential for more than minimal harm 2025-08-07

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-09-06

D · Potential for more than minimal harm 2025-08-07

F627 · Resident Rights Deficiencies

Health

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Corrected 2025-09-06

D · Potential for more than minimal harm 2025-08-07

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-09-06

D · Potential for more than minimal harm 2025-08-07

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-09-06

D · Potential for more than minimal harm 2025-08-07

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-09-06

D · Potential for more than minimal harm 2025-08-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-09-06

D · Potential for more than minimal harm 2025-01-09

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-01-15

D · Potential for more than minimal harm 2025-01-09

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-01-15

F · Potential for more than minimal harm 2024-09-13

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2024-10-11

F · Potential for more than minimal harm 2024-09-13

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-11

E · Potential for more than minimal harm 2024-09-13

F625 · Resident Rights Deficiencies

Health

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.

Corrected 2024-10-11

E · Potential for more than minimal harm 2024-09-13

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-10-11

E · Potential for more than minimal harm 2024-09-13

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-10-11

D · Potential for more than minimal harm 2024-09-13

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-10-11

D · Potential for more than minimal harm 2024-09-13

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2024-10-11

D · Potential for more than minimal harm 2024-09-13

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-10-11

D · Potential for more than minimal harm 2024-09-13

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-10-11

D · Potential for more than minimal harm 2024-09-13

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-10-11

D · Potential for more than minimal harm 2024-09-13

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-10-11

D · Potential for more than minimal harm 2024-09-13

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2024-10-11

D · Potential for more than minimal harm 2024-09-13

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-10-11

E · Potential for more than minimal harm 2023-06-29

F801 · Nutrition and Dietary Deficiencies

Health

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.

Corrected 2023-07-17

E · Potential for more than minimal harm 2023-06-29

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-07-17

D · Potential for more than minimal harm 2023-06-29

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2023-07-17

D · Potential for more than minimal harm 2023-06-29

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-07-17

D · Potential for more than minimal harm 2023-06-29

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2023-07-17

D · Potential for more than minimal harm 2023-06-29

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-07-17

Penalties and ownership

What sits behind the stars

Ownership

Care Initiatives

5% Or Greater Direct Ownership Interest · Organization

100% 43 facilities 2010-11-12
Beal, Michael

Corporate Director · Individual

0% 43 facilities 2020-06-01
Beal, Michael

Corporate Officer · Individual

0% 43 facilities 2020-06-01
Boeve, Destiny

Operational/Managerial Control · Individual

0% 16 facilities 2024-01-01
Bowen, Lane

Corporate Director · Individual

0% 44 facilities 2021-01-01
Carothers, Mary Jane

Corporate Director · Individual

0% 43 facilities 2023-01-01
Childs, Kevin

Corporate Director · Individual

0% 43 facilities 2023-04-01
Computershare Corporate Trust

5% Or Greater Mortgage Interest · Organization

0% 41 facilities 2025-02-01
Corless, Peter

Corporate Director · Individual

0% 40 facilities 2025-01-01
Dixon, David

Corporate Officer · Individual

0% 44 facilities 2016-06-01
Drake, Emily

Corporate Officer · Individual

0% 43 facilities 2024-02-01
Gilyard, Tanya

Corporate Officer · Individual

0% 40 facilities 2025-05-23
Krein, Keith

Corporate Director · Individual

0% 43 facilities 2022-06-29
Kuhn, Jeramy

Corporate Officer · Individual

0% 43 facilities 2008-06-25
Mcdyer, Jessica

Corporate Officer · Individual

0% 43 facilities 2023-02-22
Rust, Elizabeth

Corporate Director · Individual

0% 43 facilities 2023-01-01
Sturm, Denise

Corporate Director · Individual

0% 43 facilities 2021-01-01
Upmeyer, Linda

Corporate Director · Individual

0% 43 facilities 2022-06-29
Wiltfang, Patricia

Operational/Managerial Control · Individual

0% 1 facilities 2025-06-20

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