Kingsley Specialty Care
305 West Third · Kingsley, IA · 51028 · 7123782400
43 certified beds Non profit - Corporation Chain: Care Initiatives
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The composite number cleared 74 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.06 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.85 | 0.55–0.75 |
| Weekend hours / resident-day | 2.55 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (31 in the current record)
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Potential for harm · D August 7, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 6, 2025 · Resident Rights
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Potential for harm · D August 7, 2025
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected September 6, 2025 · Resident Rights
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Potential for harm · D August 7, 2025
Ensure each resident receives an accurate assessment.
Corrected September 6, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 7, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 6, 2025 · Resident Assessment and Care Planning
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Potential for harm · D August 7, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected September 6, 2025 · Pharmacy Service
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Potential for harm · E August 7, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected September 6, 2025 · Nutrition and Dietary
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Potential for harm · E August 7, 2025
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected September 6, 2025 · Nutrition and Dietary
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Potential for harm · E August 7, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 6, 2025 · Nutrition and Dietary
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Potential for harm · D August 7, 2025
Provide and implement an infection prevention and control program.
Corrected September 6, 2025 · Infection Control
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Potential for harm · F August 7, 2025 · found via complaint
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected September 6, 2025 · Administration
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Potential for harm · D January 9, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 15, 2025 · Resident Assessment and Care Planning
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Potential for harm · D January 9, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 15, 2025 · Quality of Life and Care
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Potential for harm · D September 13, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected October 11, 2024 · Resident Rights
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Potential for harm · E September 13, 2024
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 October 11, 2024 · Resident Rights
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Potential for harm · D September 13, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 13, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · D September 13, 2024
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 October 11, 2024 · Quality of Life and Care
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Potential for harm · D September 13, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected October 11, 2024 · Quality of Life and Care
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Potential for harm · E September 13, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 11, 2024 · Nutrition and Dietary
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Potential for harm · F September 13, 2024
Provide and implement an infection prevention and control program.
Corrected October 11, 2024 · Infection Control
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Potential for harm · E September 13, 2024
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected October 11, 2024 · Environmental
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Potential for harm · D September 13, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 11, 2024 · Resident Rights
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Potential for harm · D September 13, 2024 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 11, 2024 · Quality of Life and Care
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Potential for harm · D September 13, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 11, 2024 · Quality of Life and Care
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Potential for harm · F September 13, 2024 · found via complaint
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected October 11, 2024 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165329 · certified since September 8, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.