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305 West Third Kingsley, IA 51028 · Plymouth County
CMS certification number 165329 · See this home on Medicare Care Compare
Is Kingsley Specialty Care a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Kingsley Specialty Care as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Iowa average of 3.1.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.71 hours per resident per day at Kingsley Specialty Care, about the same as the Iowa median of 3.76 (US median: 3.72). About 1.14 of those hours are from registered nurses. On weekends it falls to 3.16 hours, 15% below its all-week average. 51.7% of nursing staff left within a year (Iowa median 41.7%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 2 administrators left in the past year.
About this nursing home
Paying for care at Kingsley Specialty Care: Medicare and Medicaid
Kingsley Specialty Care is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Iowa's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on August 7, 2025 and found 9 deficiencies, plus 8 from complaint inspections in the same period. In total, inspectors issued 38 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 38 citations at Kingsley Specialty Care across 5 inspection dates, 14 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on May 21, 2026 (complaint inspection). The most common areas cited were resident assessment and care planning (9) and quality of life and care (8). The most serious was cited under the CMS rule to "provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives" (tag F0678, level J, May 21, 2026). 1 citation was under CMS's abuse, neglect and exploitation rules.
May 21, 2026 · 7 citations · includes complaint inspection
JProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
August 7, 2025 · 10 citations · includes complaint inspection
FElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
DEnsure each resident receives an accurate assessment.
DEnsure services provided by the nursing facility meet professional standards of quality.
DEnsure medication error rates are not 5 percent or greater.
DProvide and implement an infection prevention and control program.
January 9, 2025 · 2 citations · includes complaint inspection
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
September 13, 2024 · 13 citations · includes complaint inspection
FElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
FProvide and implement an infection prevention and control program.
ENotify 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DEnsure that residents are fully informed and understand their health status, care and treatments.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DProvide 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.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
June 29, 2023 · 6 citations
EEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
DEnsure each resident receives an accurate assessment.
DProvide activities to meet all resident's needs.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Questions to ask on a tour of Kingsley Specialty Care
- Inspectors cited the home at the immediate-jeopardy level on May 21, 2026 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on May 21, 2026. How are staff trained, and how are concerns reported?
- Nursing staff turnover was 51.7% a year. How many of the staff come from agencies?
- Several administrators left in the past year. What has changed for residents since then?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $27,378 in fines.
| Date | Type | Amount or length |
|---|---|---|
| May 21, 2026 | Fine | $27,378 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 1/5 | 4/5 | 5/5 |
| August 2026 | 1/5 | 1/5 | 4/5 | 4/5 |
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Location
Hospitals near Kingsley Specialty Care
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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17.0 mi
Floyd Valley Hospital Le MarsEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 2h 49m for patients treated and sent home
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22.6 mi
St Lukes Regional Medical Center Sioux CityEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 54m for patients treated and sent home
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22.8 mi
Mercyone Siouxland Medical Center Sioux CityEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 3h 19m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
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Affiliation comes from CMS's affiliated-entity data, October 2026. All 43 Care Initiatives nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.