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Nursing home report card · Kingsley, IA

Kingsley Specialty Care

305 West Third, Kingsley, IA 51028

Call this home: (712) 378-2400

View this home on Medicare.gov ↗

Infection-control problems noted

Quick summary

Below-average Medicare rating

Overall rating is 1 of 5 stars. Its health-inspection rating is 1 of 5. Read the dated inspection findings and separate staffing and care ratings below.

Our summary of public Medicare records. It does not establish that this home harmed a particular resident. About this summary.

How recent is this information?
Medicare file prepared
Aug 1, 2026
Our record last updated
Oct 15, 2026
Last routine health inspection
Aug 7, 2025

These dates mean different things. A new file can include older inspections and staffing figures. Read about the dates.

Medicare ratings

One star is the lowest rating. Five stars is the highest. Ratings are a starting point—read the inspection findings too.

Overall rating
1out of 5

Combines inspection, staffing, and care measures.

Among the lowest Medicare ratings

Health inspections
1out of 5

Based on problems found during health inspections.

Among the lowest Medicare ratings

Nursing staff
4out of 5

Based on staffing levels and related measures.

Above average

Health and care results
4out of 5

Based on reported health and care results.

Above average

What do the ratings and warnings mean?
Medicare ratings
One star is the lowest rating. Five stars is the highest. These are government ratings, not family reviews.
Inspection problems
Inspectors found that a home did not meet a care or safety rule. The official term is “deficiency.”
Abuse warning
Medicare has flagged the home because of abuse-related inspection findings. Read the findings and dates.
Nursing staff time
Average staff hours for each resident per day. This does not mean each resident gets that much one-to-one care.

Learn about the records and their limits →

At a glance

These numbers come from the records we have. Inspection problems are rules the home did not meet. The dates covered can differ.

Care and safety problems
38

Care, safety, and resident-rights issues on recent inspections

Fire-safety problems
0

Building, alarms, exits, and related safety citations

Reported fines
$27,378

Total fine amounts in the imported penalty records

Medicare file prepared
Aug 1, 2026

Medicare home ID: 165329

Inspection findings to read first

Start with these past findings. We show the most serious first, then the most recent. They do not describe the home’s condition today.

  • Immediate danger to residents · isolated case

    May 21, 2026 · Inspection rule 0678

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

  • Could have caused harm · isolated case

    May 21, 2026 · Inspection rule 0658

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

  • Could have caused harm · isolated case

    May 21, 2026 · Inspection rule 0842

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

Read the inspection history →

Nursing staff time

These are average staff hours for each resident per day. They are not one-to-one bedside care. The file does not give the reporting period for each figure.

Registered nurses (RNs)
0.90hours per resident per day

about 54 minutes per resident per day

All nursing staff
3.63hours per resident per day

about 3 hr 38 min per resident per day

Registered nurse time on weekends
0.62hours per resident per day

about 37 minutes per resident per day

Latest inspection summary

A summary of the most recent routine inspections. You can open the dated findings below.

We do not have a routine inspection summary for this home. Check the dated findings below and the Medicare.gov record.

How this home compares

Compared with state and national averages. The numbers may cover different periods.

  • Overall CMS rating: 1 stars
  • Health inspection rating: 1 stars
  • Staffing rating: 4 stars
  • Registered nurse time per resident: 0.9 hours/day
  • Total nurse time per resident: 3.63 hours/day
See the dates used for these averages

Medicare file dates: this home Aug 1, 2026; Iowa averages Unavailable; U.S. averages Oct 1, 2026.

Other concerns in the records

These points may be worth asking about. They do not establish what happened to a particular resident. See our Terms of Use.

  • Overall star rating is 2 or lower
  • Health inspection rating is 2 stars or lower
  • Recent citations include infection-control problems
  • Inspectors have listed an unusually high number of problems
  • CMS has fined this home in the recent reporting period

How serious were the problems?

Inspectors rate each problem by how much harm it caused or could cause. We group the CMS letter codes into plain language.

  • Immediate danger to residents1 citation
  • Could have caused harm37 citations

Why inspectors showed up

Routine checks happen on a schedule. Complaint visits happen when someone reports a concern.

Complaints
0
Routine
38
Fire safety
0
Other
0

Who owns it

Names CMS lists as owners or managers · reported as Non profit - Corporation.

  • We do not have individual owner names for this home.

Other homes in this group: All Care Initiatives nursing homes

Inspection history

Open a date to read what inspectors found. The harm labels explain how serious the problem was at the time.

May 21, 20267 findings
  • Quality of Life and Care problems
    Immediate danger to residents · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0678 · code 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.

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0580 · code D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  • Freedom from Abuse, Neglect, and Exploitation problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0609 · code D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0658 · code D

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

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0698 · code D

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

  • Pharmacy Service problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0755 · code D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0842 · code D

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

August 7, 202510 findings
  • Administration problems
    Could have caused harm · widespread case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0851 · code F

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

  • Nutrition and Dietary problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0804 · code E

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

  • Nutrition and Dietary problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0805 · code E

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

  • Nutrition and Dietary problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0812 · code E

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

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0550 · code D

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

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0627 · code D

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

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0641 · code D

    Ensure each resident receives an accurate assessment.

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0658 · code D

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

  • Pharmacy Service problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0759 · code D

    Ensure medication error rates are not 5 percent or greater.

  • Infection Control problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0880 · code D

    Provide and implement an infection prevention and control program.

January 9, 20252 findings
  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0657 · code D

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

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0689 · code D

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

September 13, 202413 findings
  • Administration problems
    Could have caused harm · widespread case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0851 · code F

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

  • Infection Control problems
    Could have caused harm · widespread case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0880 · code F

    Provide and implement an infection prevention and control program.

  • Resident Rights problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0625 · code 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.

  • Nutrition and Dietary problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0812 · code E

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

  • Environmental problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0921 · code E

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

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0550 · code D

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

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0552 · code D

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

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0656 · code D

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

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0658 · code D

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

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0677 · code D

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

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0684 · code D

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

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0688 · code 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.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0698 · code D

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

June 29, 20236 findings
  • Nutrition and Dietary problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0801 · code 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.

  • Nutrition and Dietary problems
    Could have caused harm · pattern case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0812 · code E

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

  • Resident Rights problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0582 · code D

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

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0641 · code D

    Ensure each resident receives an accurate assessment.

  • Quality of Life and Care problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0679 · code D

    Provide activities to meet all resident's needs.

  • Resident Assessment and Care Planning problems
    Could have caused harm · isolated case
    Inspection type and official rule codes

    Routine health inspection · CMS tag 0842 · code D

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

Fines & penalties

These fines appear in Medicare’s records. A listed amount does not tell us whether it has been paid.

  • Fine · May 21, 2026$27,378

Other homes in this chain

Care Initiatives · other locations in Iowa

Related topics

Questions about Kingsley Specialty Care

What is Kingsley Specialty Care's Medicare star rating?
As of August 1, 2026, Kingsley Specialty Care in Kingsley, Iowa has an overall CMS rating of 1 out of 5 stars. Other CMS scores: health inspection 1 of 5, staffing 4 of 5, quality measures 4 of 5. These are CMS ratings based on inspection, staffing, and quality information, not consumer reviews.
Has Kingsley Specialty Care been fined?
As of August 1, 2026, the imported penalty records list $27,378 in reported fines for Kingsley Specialty Care. The individual penalty dates can differ from the Medicare file date; a listed fine does not establish that it was paid.
Does Kingsley Specialty Care have a Medicare abuse warning?
No. The current CMS Care Compare extract does not show an abuse warning icon for Kingsley Specialty Care in Kingsley, Iowa.
How does Kingsley Specialty Care compare with other nursing homes in Iowa?
Its overall CMS rating is 1 out of 5. A rating comparison is withheld because a matching source date or a usable rating is missing. Use the Iowa report card and dated inspection history for context; inspection totals alone are not a like-for-like performance comparison.

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