Kingsley Specialty Care
Kingsley, Iowa · CCN 165329
24 surveys since 2010. The first finding at harm level was recorded in 2014.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 105
- Surveys
- 24
- Harm or worse
- 6
- Immediate jeopardy
- 2
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 43
- Ownership
- Non profit - Corporation
- Chain
- CARE INITIATIVES
- County
- Plymouth · rural
- Medicare-certified since
- 1997
CMS ratings
- Overall
- 1
- Health inspection
- 1
- Staffing
- 4
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 102 not-for-profit facilities with fewer than 66 beds in Iowa.
Last survey on record
May 21, 2026
172 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.63 | 3.76 |
| Registered-nurse hours per resident day | 0.90 | — |
| Annual nurse turnover | 42.4% | 40.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $27,378 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J12.6% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D2668.4% | E821.1% | F37.9% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6583×
Ensure services provided by the nursing facility meet professional standards of quality.
- F8123×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F5502×
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F6412×
Ensure each resident receives an accurate assessment.
- F6982×
Provide safe, appropriate dialysis care/services for a resident who requires such services.
In the surveyor’s words
From the most serious findings on record at Kingsley Specialty Care, in the surveyor’s own words.
- Immediate jeopardy, isolatedF678May 21, 2026
Based on observation, record review, and staff interview, the facility failed to provide adequate Cardiopulmonary Resuscitation (CPR), to a resident requiring CPR prior to the arrival of Emergency Medical Services (EMS) personnel for 1 resident (Resident #1). Resident #1 had requested CPR and was not breathing and had no pulse. Staff performed some compressions, but failed to perform airway resuscitation, and failed to continue the compressions until EMS took over. The facility had a crash cart and back board to perform CPR, but staff failed to utilize the available resources. EMS started CPR when they arrived and transported the resident to the hospital. This failure resulted in Immediate Jeopardy to the health, safety, and security of the resident. […]
- Immediate jeopardy, isolatedF695Aug 30, 2021
Based on interviews and record review the facility failed to provide tracheal suctioning for 1 out of 1 resident with a [CONDITION(S)] reviewed (Resident #25) which resulted in immediate jeopardy to resident health and safety. Resident #25 was admitted to the facility on [DATE] and had a capped [CONDITION(S)] in place. The resident was non-verbal and unable to make her needs known. The resident came to the facility with [CONDITION(S)] care orders for twice a day and to have [CONDITION(S)] suctioning as needed along with oropharyngeal suctioning as needed. The facility did not provide any [CONDITION(S)] suctioning from 5/6/21 to 8/18/21. […]
- No harm, potential for more than minimal, widespreadF851Aug 7, 2025
Based on the Center for Medicare and Medicaid Services (CMS) Payroll Based Journal (PBJ) Staffing Data Report from Fiscal Quarter 2, 2025 (January 1 through March 31) review, facility staffing review, and staff interviews, the facility failed to meet staffing requirements in all three metrics. The facility reported a census of 31 residents.Findings include:The PBJ Staffing Data Report with a run date of 7/29/25 triggered submitted weekend staffing data excessively low within the quarter.Review of staffing for Nurses and Certified Nursing Assistants (CNAs) scheduled similarly for weekdays and weekends. In an interview on 8/7/25 at 3:34 PM, the Administrator reported recently being hired and not aware of how incorrect data was reported to CMS. […]
- No harm, potential for more than minimal, widespreadF851Sep 13, 2024
Based on the Center for Medicare and Medicaid Services (CMS) Payroll Based Journal (PBJ) Staffing Data Report from Fiscal Quarter 3, 2024 (April 1- June 30) review, facility staffing review, and staff interviews, the facility failed to meet staffing requirements in three metrics. The facility reported a census of 33 residents. Findings include: The PBJ Staffing Data Report with a run date of 9/4/24 triggered no data submitted for the quarter, excessively low weekend staffing, and failed to have licensed nursing coverage 24 hours a day for four or more days within the quarter and less than 24 hours per day licensed nursing coverage. Review of staffing for nurses and Certified Nursing Assistants (CNAs) scheduled similarly for weekdays and weekends. […]
- No harm, potential for more than minimal, widespreadF880Sep 13, 2024
Based on observation, infection control policy and staff interview, the facility failed to initiate a legionella water program for the facility. The facility reported a total census of 33 residents. Findings include: 1. Interview on 9/12/24 at 10:24 a.m., with Staff A, Maintenance Director revealed Staff B, Administrator was in charge of the Legionella water program. He did not do any testing or monitoring of the program. Interview on 9/12/24 at 10:26 a.m., with Staff C, Registered Nurse, Infection Preventionist revealed she did not know who was in charge of the Legionella water program for the facility. Interview on 9/12/24 at 10:38 a.m., with Staff B, Administrator revealed Staff B and Staff A were in charge of the Legionella water program for the facility. […]
Read 25 findings in full →The most serious and the most recent: 25 of 105 on record.
Every survey on record
FindingsAt actual harm or above
- May 21, 2026Complaint7 findings · 1 harm
- Aug 7, 2025Standard and complaint10 findings
- Jan 9, 2025Complaint2 findings
- Sep 13, 2024Standard and complaint13 findings
- Jun 29, 2023Standard and complaint6 findings
- Jun 9, 2022Standard3 findings
- Aug 30, 2021Standard and complaint13 findings · 1 harm
- Jun 19, 2020Infection control1 finding
Show the 16 earlier surveys
- Jan 16, 2020Standard7 findings · 1 harm
- Nov 20, 2018Standard4 findings
- Sep 6, 2018Complaint4 findings
- Sep 12, 2017Complaint1 finding · 1 harm
- Aug 24, 2017Standard4 findings
- Aug 11, 2016Standard3 findings
- Sep 17, 2015Standard3 findings
- Jun 12, 2015Complaint4 findings · 1 harm
- Oct 10, 2014Complaint3 findings
- Jul 24, 2014Standard4 findings · 1 harm
- May 23, 2013—1 finding
- May 10, 2012—2 findings
- Mar 15, 2012—2 findings
- Apr 29, 2011—4 findings
- Mar 14, 2011—2 findings
- Dec 29, 2010—2 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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