Kingsley Specialty Care: Staffing, Turnover, and Inspection Record
Kingsley Specialty Care is a 43-bed nonprofit nursing home in Kingsley, Iowa, part of Care Initiatives. In the CMS August 2026 release it reported 2.28 nurse aide hours per resident per day, 9% below the Iowa average of 2.51, and 42.4% nursing staff turnover (Iowa average 44.0%).
Kingsley Specialty Care
305 West ThirdKingsley, IA 51028
Plymouth County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Kingsley Specialty Care, nurse aides logged 2.28 hours per resident per day, 9% below the Iowa average. With about 33 residents a day, that works out to roughly 75 aide hours a day, or about 9 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 17% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.28 | 2.51 | 2.32 |
| Licensed practical nurses | 0.45 | 0.56 | 0.86 |
| Registered nurses | 0.90 | 0.74 | 0.69 |
| All nursing staff | 3.63 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.02 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
42.4% of nursing staff at Kingsley Specialty Care left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 45.5%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 7, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 17 health deficiencies (Iowa average 6.5). CMS lists 1 fine totaling $27,378 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| May 21, 2026 | Fine | $27,378 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Kingsley Specialty Care holds 1 of 5 overall; the Iowa average is 3.1.
About Kingsley Specialty Care
- Ownership: Non profit - Corporation
- Chain: Care Initiatives, 43 homes
- Legal name: Care Initiatives
- Medicare and Medicaid certified since: Sep 8, 1997
- Councils: resident council
- Area: rural
Nursing homes near Kingsley Specialty Care
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Correctionville Specialty Care Correctionville | 12.5 | 39 | 2.12 | 3.31 | 51.6% | 1 | $60,316 |
| Happy Siesta Health Care Center Remsen | 15.1 | 62 | 2.22 | 3.30 | 52.5% | 4 | None |
| Accura Healthcare of Le Mars Le Mars | 16.2 | 46 | 3.08 | 4.51 | 26.1% | 4 | None |
| Good Samaritan - Lemars Le Mars | 17.1 | 64 | 2.08 | 3.17 | 47.4% | 4 | None |
| Heartland Care Center Marcus | 18.0 | 38 | 1.92 | 4.45 | 35.5% | 5 | None |
| Sunrise Retirement Community Sioux City | 20.2 | 74 | 3.19 | 5.09 | 37.8% | 5 | None |
| Accura Healthcare of Sioux City, LLC Sioux City | 20.8 | 46 | 2.57 | 3.74 | 37.0% | 4 | None |
| Good Samaritan - Holstein Holstein | 22.6 | 60 | 2.02 | 3.35 | 33.3% | 3 | $99,103 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.