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Nursing home report

Kingsley Specialty Care

Kingsley, IA · Medicare-certified · 43 beds

Needs attention
Non-profitChain member
Data as of July 1, 2026
1 of 5 overall

Kingsley Specialty Care in Kingsley, IA has an overall 1-star rating, with a 1-star health inspection rating despite 4-star staffing and quality measures. It has a recent federal penalty, $27,378 in fines over the last 24 months, and reported nurse staffing of 3.63 hours per resident per day, below the 4.1-hour federal benchmark.

Facility ratings

Health inspections

Staffing

3.6275 hrs/resident/day

Quality measures

Last inspection: May 21, 2026Penalties, last 24 months: $27,378recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6275.

Staffing detail

Registered nurses
0.90
Licensed practical nurses
0.45
Nurse aides
2.28
Weekend nursing
3.02

Hours per resident per day.

Total staff turnover: 42%
Registered nurse turnover: 46%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

41.8%

Residents with a fall causing major injury

0%0%No change

Residents with pressure ulcers (bedsores)

3.7%0%Improving

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

0%4.5%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

16.7%12.5%Improving

Residents whose ability to walk got worse

21.7%

Long-stay residents on antianxiety or sleep medication

33.3%45.8%Worsening

Short-stay residents newly given an antipsychotic

9.1%

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

26.8%10.7%Improving

Residents with depressive symptoms

25%26.1%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

96.8%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

95.6%

Short-stay residents given the pneumonia vaccine

94.8%86.7%Worsening

What the inspectors found

The home failed to ensure staff provided basic life support, including CPR, before emergency medical personnel arrived. Cited May 2026 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 678 — 42 CFR §483.24(a)(3) — S/S: J

The home failed to submit complete and accurate staffing information based on verifiable records. Cited August 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 851 — 42 CFR §483.70 — S/S: F

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited September 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: F

The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited August 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 804 — 42 CFR §483.60 — S/S: E

The home failed to ensure residents received food prepared in a form that met their individual needs. Cited August 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 805 — 42 CFR §483.60 — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. PENALTY

    A federal fine of $27,378 was recorded.

  3. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found
  4. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  5. INSPECTION

    Health inspection found 10 health deficiencies.

    See what inspectors found
  6. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  7. INSPECTION

    Health inspection found 13 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $27,378 in total fines.

  • Federal fine

    May 21, 2026

    $27,378

Operator & ownership

Ownership
Non profit - Corporation
Chain
Part of CARE INITIATIVES · 43 homes · 3 stars avg
Occupancy
32.9 residents on an average day (77% of 43 beds)
Resident voice
Resident council
Medicare history
Certified for 28 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.