Nursing homeActive
Kingsley Specialty Care
305 West Third, Kingsley, IA 51028712378240043 certified beds · 33 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2023
Deficiencies
38
● 0● 37● 1
Penalties · 3 yrs
$27,378
1 fine
Last survey
2026-05-21
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 4
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Iowa Department of Inspections, Appeals & Licensing · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-21 | Complaint | 061 | CMS-2567 (Care Compare) | — |
| 2025-08-07 | Standard | 0100 | CMS-2567 (Care Compare) | — |
| 2025-01-09 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-09-13 | Standard | 0130 | CMS-2567 (Care Compare) | — |
| 2023-06-29 | Standard | 060 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Iowa Department of Inspections, Appeals & Licensing publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2026-05-22Record 165329-20260521-F678
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-13Record 165329-20260521-F580
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-13Record 165329-20260521-F609
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-13Record 165329-20260521-F658
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-13Record 165329-20260521-F698
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-13Record 165329-20260521-F755
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-13Record 165329-20260521-F842
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-06Record 165329-20250807-F550
F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-06Record 165329-20250807-F627
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-06Record 165329-20250807-F641
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-06Record 165329-20250807-F658
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-06Record 165329-20250807-F759
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-06Record 165329-20250807-F804
F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-06Record 165329-20250807-F805
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-09-06Record 165329-20250807-F812
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-09-06Record 165329-20250807-F851
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-06Record 165329-20250807-F880
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-15Record 165329-20250109-F657
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-01-15Record 165329-20250109-F689
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 165329-20240913-F550
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 165329-20240913-F552
F625Notify 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 165329-20240913-F625
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 165329-20240913-F656
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 165329-20240913-F658
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 165329-20240913-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 165329-20240913-F684
F688Provide 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 165329-20240913-F688
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 165329-20240913-F698
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 165329-20240913-F812
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 165329-20240913-F851
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 165329-20240913-F880
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-10-11Record 165329-20240913-F921
F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-17Record 165329-20230629-F582
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-17Record 165329-20230629-F641
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-17Record 165329-20230629-F679
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-17Record 165329-20230629-F801
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-17Record 165329-20230629-F812
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-17Record 165329-20230629-F842
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-05-21 | Civil money penalty | $27,378 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.90
Facility
Iowa
National
Iowa 0.74 · National 0.69
Total nurse hours per resident day3.63
Facility
Iowa
National
Iowa 3.82 · National 3.86
Weekend total nurse hours3.02
Facility
Iowa
National
Iowa 3.37 · National 3.42
Total nursing staff turnover42%
Facility
Iowa
National
Iowa 44% · National 46%
Registered nurse turnover46%
Facility
Iowa
National
Iowa 42% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Iowa | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 0.8% | 4.2% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 0.0% | 3.8% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 41.8% | 19.5% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 16.5% | 17.1% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.2% | 4.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 38.5% | 20.8% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Care Initiatives Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Boeve, Destiny Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Wiltfang, Patricia Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Beal, Michael Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Beal, Michael Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Bowen, Lane Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Carothers, Mary Jane Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Childs, Kevin Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Computershare Corporate Trust Company, Na Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Computershare Corporate Trust Company, Na Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Corless, Peter Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Corless, Peter Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Dixon, David Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Drake, Emily Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Gilyard, Tanya Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Jurgens, Michael Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Krein, Keith Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kuhn, Jeramy Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Mcdyer, Jessica Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Rust, Elizabeth Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Sturm, Denise Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Upmeyer, Linda Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Wiltfang, Patricia Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Care Initiatives — 43 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Iowa.
No county cost figures on file for Plymouth.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Happy Siesta Health Care Center Remsen | 15.1 mi | 2025-06-12 | 041 |
| Correctionville Specialty Care Correctionville | 12.5 mi | 2026-05-07 | 0306 |
| Accura Healthcare of Le Mars Le Mars | 16.2 mi | 2025-05-29 | 0132 |
| Good Samaritan - Lemars Le Mars | 17.1 mi | 2026-05-14 | 060 |
| Heartland Care Center Marcus | 18.0 mi | 2026-05-07 | 0180 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |