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Nursing HomeMedicaid Investigative

Kingsley Specialty Care

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

305 West Third Box 10, Kingsley, IA 5102843 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.9/5

based on 11 Google reviews

5
4
3
2
1

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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • Above-median deficiencies (10 vs median 5)
  • High staff turnover (63%)

Below average in IA · Meets national RN staffing standard · Below chain average · No penalties on record

Source: Medicare data

What this means for your family

Families should be encouraged by the specific praise for the nursing staff and leadership, which suggests a core of dedicated care. However, because there are significant, albeit vague, warnings from some reviewers, we recommend scheduling an in-person tour to observe staff-to-resident interactions firsthand.

Google Reviews

Google Reviews

11 reviews on Google
Kingsley Specialty Care receives polarized feedback, with several family members praising the staff's dedication and kindness toward residents. However, the facility also faces severe, albeit brief, criticism regarding trust and quality of care, alongside a high volume of reviews that lack descriptive text.

Quality Themes

Tap a score for details
FoodN/AStaff8.0Clean9.0ActivitiesN/AMedsN/AMemoryN/ACommsN/AValue2.0

Strengths

  • Dedicated and kind nursing staff
  • Professional leadership
  • Well-maintained facility environment

Concerns

  • Lack of trust and perceived poor quality of care (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.02019(2)5.02022(4)3.02023(2)5.02024(2)1.02025(1)

Distribution · 11 analyzed

5
8
4
0
3
0
2
0
1
3

How They Respond to Reviews

18%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1We've heard wonderful things about the kindness of your nursing staff; how do you ensure that this level of compassion is maintained across all shifts?
  • 2With the recent state inspections, what specific steps has the leadership team taken to address and resolve the noted deficiencies?
  • 3How does the facility manage staffing levels during the night or weekend hours to ensure consistent medical oversight?
  • 4What is your protocol for handling a sudden medical emergency or a change in a resident's condition during the middle of the night?
  • 5We'd love to hear more about the daily schedule—what kind of social activities or outings are available to keep residents engaged?
  • 6How does the administration work with families to build trust and ensure we are always updated on the quality of care being provided?

Personalized based on this facility's data


Key Review Excerpts

Staff were caring and took great care of my grandpa. Forever grateful for the kind staff!

Long-term resident's family · 2024★★★★★

The staff at Kingsley Specialty Care are so kind and dedicated to the residents. The DON is a Rockstar, she is professional, Intelligent and a dedicated leader.

Visitor/Observer · 2022★★★★★

its a good nursery home, they are taking good care of my my uncle who is dying, and shame on you people for thinking this place is bad, they do a good job keeping my uncle from dying.

Family member · 2022★★★★★
Source: 11 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.85hrs
OK
Registered nurses for medical care
Total Nursing
3.06hrs
75%
All nurses + aides combined
Staff Turnover
53%
Lower is better (< 30% = good)
RN Turnover
44%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

8

measures

Worse Than Avg

7

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility38.3%
Worse than Avg
Here
38.3%
US
15.5%
IA
19.4%
Plymouth
20.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility18.4%
Worse than Avg
Here
18.4%
US
12.1%
IA
4.1%
Plymouth
12.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility31.1%
Worse than Avg
Here
31.1%
US
19.4%
IA
25.9%
Plymouth
21.4%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility29.5%
Worse than Avg
Here
29.5%
US
19.5%
IA
20.7%
Plymouth
20.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.2%
Better than Avg
Here
98.2%
US
93.4%
IA
93.9%
Plymouth
95.5%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility2.3%
Better than Avg
Here
2.3%
US
5.3%
IA
4.9%
Plymouth
4.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility95.6%
Better than Avg
Here
95.6%
US
79.8%
IA
73.3%
Plymouth
82.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility93.3%
Better than Avg
Here
93.3%
US
81.8%
IA
84.1%
Plymouth
87.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility7.7%
Worse than Avg
Here
7.7%
US
1.6%
IA
2.0%
Plymouth
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

10deficiencies
Well above state avg (6.2)
11 complaint-triggered

Families have filed multiple reports triggering complaints across this facility's four recent surveys, with 11 complaint-related deficiencies identified. Recurring issues include food safety and meal preparation, care planning and resident assessments, and fire safety systems. Problems with medication management, infection control, and resident dignity also appear repeatedly across surveys, though all deficiencies have been corrected according to the provider.

Aug 7, 2025Routine
10
0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0805Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0627Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Aug 7, 2025Complaint
1
0851Potential for harm · WidespreadCorrected

Administration Deficiencies

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

Jan 9, 2025Complaint
2
0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Sep 13, 2024Routine
17
0880Potential for harm · WidespreadCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0039Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

0346Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0354Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0371Potential for harm · WidespreadCorrected

Smoke Deficiencies

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

0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

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

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

0625Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0921Potential for harm · PatternCorrected

Environmental Deficiencies

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

0363Potential for harm · PatternCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0688Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

0698Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Sep 13, 2024Complaint
4
0851Potential for harm · WidespreadCorrected

Administration Deficiencies

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

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

Jun 29, 2023Routine
5
0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0679Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

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

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

0922Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

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

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total
34deficiencies
May 21, 2026Complaint
Clean

Fed violations: 7, State violations: 2

Nov 13, 2025Other
Clean

Fed violations: 0, State violations: 0

Sep 8, 2025Inspection
Clean

Fed violations: 0, State violations: 0

Aug 7, 2025Inspection
Clean

Fed violations: 10, State violations: 0

Jan 15, 2025Complaint
Clean

Fed violations: 0, State violations: 0

Jan 9, 2025Complaint
Clean

Fed violations: 2, State violations: 0

Oct 11, 2024Inspection
Clean

Fed violations: 0, State violations: 0

Sep 13, 2024Inspection
Clean

Fed violations: 13, State violations: 0

Ownership & Operations

Who Operates This Facility

Owner / Operator

Kingsley Specialty Care

Organization Type

nonprofit

Chain Affiliation

Chain Name

Care Initiatives

Chain Size

43 facilities nationwide

Chain avg rating: 3.0/5 · Rank 28 of 43

Ownership & Management

Owners

Care Initiatives

Owner · Organization

100%

Key personnel

Computershare Corporate Trust Company, Na5% or Greater Mortgage InterestBeal, MichaelOfficer / DirectorBowen, LaneOfficer / DirectorCarothers, Mary JaneOfficer / DirectorChilds, KevinOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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