Kingsley Specialty Care

305 West Third Box 10
Kingsley, IA, 51028
7123782400
CCN: 165329
2
Overall
2
Health
2
Staffing
2
Quality
ChainCARE INITIATIVES
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
CARE INITIATIVES5% OR GREATER DIRECT OWNERSHIP INTEREST100%
COMPUTERSHARE CORPORATE TRUST5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
UPMEYER, LINDACORPORATE DIRECTORNOT APPLICABLE
BEAL, MICHAELCORPORATE DIRECTORNOT APPLICABLE
BOWEN, LANECORPORATE DIRECTORNOT APPLICABLE
CAROTHERS, MARY JANECORPORATE DIRECTORNOT APPLICABLE
CHILDS, KEVINCORPORATE DIRECTORNOT APPLICABLE
CORLESS, PETERCORPORATE DIRECTORNOT APPLICABLE
KREIN, KEITHCORPORATE DIRECTORNOT APPLICABLE
RUST, ELIZABETHCORPORATE DIRECTORNOT APPLICABLE
STURM, DENISECORPORATE DIRECTORNOT APPLICABLE
KUHN, JERAMYCORPORATE OFFICERNOT APPLICABLE
BEAL, MICHAELCORPORATE OFFICERNOT APPLICABLE
DIXON, DAVIDCORPORATE OFFICERNOT APPLICABLE
DRAKE, EMILYCORPORATE OFFICERNOT APPLICABLE
GILYARD, TANYACORPORATE OFFICERNOT APPLICABLE
MCDYER, JESSICACORPORATE OFFICERNOT APPLICABLE
BOEVE, DESTINYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WILTFANG, PATRICIAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (31)
2025-08-07 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F851 · Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F805 · Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
E
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
D
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F627 · Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2025-01-09 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F657 · 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.
2024-09-13 · Health
E
F921 · Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F851 · Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F698 · Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
D
F688 · 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.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
D
F656 · 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.
E
F625 · 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.
D
F552 · Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2023-06-29 · Health
D
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F801 · Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
D
F679 · Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
D
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
D
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.08
3.68
RN Hrs/Resident/Day
1.12
0.54
LPN Hrs/Resident/Day
0.18
0.81
CNA Hrs/Resident/Day
1.78
2.33
PT Hrs/Resident/Day
0.04
0.12
Data as of 2026-03-01