Kingsley Specialty Care
305 West Third Box 10
Kingsley, IA, 51028
7123782400
CCN: 165329
2
Overall2
Health2
Staffing2
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| CARE INITIATIVES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| COMPUTERSHARE CORPORATE TRUST | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| UPMEYER, LINDA | CORPORATE DIRECTOR | NOT APPLICABLE |
| BEAL, MICHAEL | CORPORATE DIRECTOR | NOT APPLICABLE |
| BOWEN, LANE | CORPORATE DIRECTOR | NOT APPLICABLE |
| CAROTHERS, MARY JANE | CORPORATE DIRECTOR | NOT APPLICABLE |
| CHILDS, KEVIN | CORPORATE DIRECTOR | NOT APPLICABLE |
| CORLESS, PETER | CORPORATE DIRECTOR | NOT APPLICABLE |
| KREIN, KEITH | CORPORATE DIRECTOR | NOT APPLICABLE |
| RUST, ELIZABETH | CORPORATE DIRECTOR | NOT APPLICABLE |
| STURM, DENISE | CORPORATE DIRECTOR | NOT APPLICABLE |
| KUHN, JERAMY | CORPORATE OFFICER | NOT APPLICABLE |
| BEAL, MICHAEL | CORPORATE OFFICER | NOT APPLICABLE |
| DIXON, DAVID | CORPORATE OFFICER | NOT APPLICABLE |
| DRAKE, EMILY | CORPORATE OFFICER | NOT APPLICABLE |
| GILYARD, TANYA | CORPORATE OFFICER | NOT APPLICABLE |
| MCDYER, JESSICA | CORPORATE OFFICER | NOT APPLICABLE |
| BOEVE, DESTINY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WILTFANG, PATRICIA | OPERATIONAL/MANAGERIAL CONTROL | NOT 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/Day3.68
3.08
RN Hrs/Resident/Day0.54
1.12
LPN Hrs/Resident/Day0.81
0.18
CNA Hrs/Resident/Day2.33
1.78
PT Hrs/Resident/Day0.12
0.04
Data as of 2026-03-01