Occupancy rate
72%
In line with Iowa averagePrimarily short stays
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
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Independent Living Home
Kingsley Specialty Care
Welcome to Kingsley Specialty Care, a reputable assisted living community nestled in Sioux City, Iowa. With a capacity of 43 beds, Kingsley Specialty Care’s skilled nursing facility offers a comprehensive range of services, including rehabilitation, skilled nursing care, long-term care, and hospice care. As a proud member of Care Initiatives, Iowa’s largest not-for-profit skilled nursing and long-term care provider, Kingsley Specialty Care is dedicated to delivering compassionate and personalized care tailored to each resident’s unique needs. The facility’s unwavering commitment to dignity and empathy ensures that residents receive the utmost attention and support they deserve.
At Kingsley Specialty Care, the team extends caring services to Iowans from all walks of life, focusing on their transitional health care requirements and overall well-being. As a testament to their dedication, the facility accepts both Medicare and Medicaid, and proudly serves as a contracted provider for the Veterans Affairs Community Nursing Home Program. When residents or their loved ones choose Kingsley Specialty Care, they can trust that they will be in capable and compassionate hands, receiving the highest standard of care in a warm and welcoming environment.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
43
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
72.1%
Residents per day (avg)
33
Occupancy rate
72.1%
Residents per day (avg)
33
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Post-acute recovery
Temporary care
Transitional stays
Breakdown by payment type
Medicare
28% of new residents, usually for short-term rehab.
Typical stay
2 - 3 months
Private pay
61% of new residents, often for short stays.
Typical stay
7 - 8 months
Medicaid
11% of new residents, often for long-term daily care.
Typical stay
3 - 4 years
Finances and operations
Voluntary non-profit community
Home revenue
$5.9M
Operating deficit
-$83.6K
Voluntary non-profit community
Home revenue
$5,854,864.00
Operating deficit
$-83,642.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.9M
43-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
1 year in operation
A newer community that may feature more recent facilities and programs.
Walk Score: 21 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.
About this community
Occupancy
In line with Iowa averageOccupied beds
31 / 43
Average residents
51 per day
License details
Issuance
January 8, 2025
Expiration
January 8, 2026
County:
Plymouth
Additional licensing details
License number:
750184
CMS Certification Number:
165329
Ownership & operating entity
Kingsley Specialty Care is administrated by Evangelina Klein.
Contact Information
Email:
[email protected]
Fax:
7123782400
Types of Care at Kingsley Specialty Care
Independent Living
Assisted Living
Skilled Nursing
Respite Care
Inspection History
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
20 visits/inspections
3 visits/inspections triggered by complaints
Breakdown by inspection type
- 12 renewal/recertification inspections
- 3 complaint investigations
- 3 incident investigations
- 2 follow-up inspections
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date:November 13, 2025
Inspection history
11/13/2025
Incident
09/08/2025
Recertification Revisit, Complaint Revisit
Yes
08/07/2025
Recertification, Complaint
01/15/2025
Complaint Revisit
Yes
01/09/2025
Complaint
10/11/2024
Recertification Revisit, Complaint Revisit, Incident Revisit
Yes
09/13/2024
Recertification, Complaint, Incident
07/20/2024
Complaint
05/14/2024
Complaint
07/17/2023
Recertification Revisit, Complaint Revisit, Incident Revisit
Yes
06/29/2023
Recertification, Complaint, Incident
06/28/2022
Recertification Revisit, Complaint Revisit
Yes
06/09/2022
Recertification, Complaint
11/10/2021
Recertification Revisit, Complaint Revisit, Incident Revisit
Yes
08/30/2021
Recertification, Complaint, Incident
08/31/2020
FIC
07/15/2020
FIC Revisit
Yes
06/19/2020
FIC
02/19/2020
Recertification Revisit
Yes
01/16/2020
Recertification
55 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Inspection Report Summary for Kingsley Specialty Care
The most recent inspection on November 13, 2025, found the facility to be in substantial compliance with no deficiencies cited. Earlier inspections showed a pattern of multiple deficiencies related primarily to resident care, including care planning, medication administration, infection control, food safety, and staffing. Several complaint investigations were substantiated, particularly those involving fall prevention and resident rights, while others were found unsubstantiated. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s record shows some improvement over time, with the most recent inspections indicating compliance following earlier citations.
Health Inspection History
Inspections
Total health inspections
4
Iowa average 4.9
Last Health inspection on Aug 2025
Total health citations
31
Iowa average 21.7
Citations per inspection
7.75
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
20 of 31 citations resulted from standard inspections; 2 of 31 resulted from complaint investigations; and 9 of 31 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
0
0
100% better than Iowa averageIowa average: 0.9
0 critical citations
0 serious citations
31 moderate citations
0 minor citations
Citations history (last 3 years)
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Aug 07, 2025
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Aug 07, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Aug 07, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Aug 07, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 07, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 07, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 07, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 07, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Independent Living around Sioux City The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Azalea Estates of Shreveport
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Shreveport (Ellerbe Woods)
60
Yes
26
-
Charter Senior Living of Northpark Place
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
Sioux City
60
No
59
-
Floyd Senior Living
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Sergeant Bluff
47
Yes
60
Studio / 1 Bed
Kingsley Specialty Care
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Kingsley
43
No
21
-
Four Seasons Apartments
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
Sioux City
-
No
3
1 Bed / 2 Bed
Places of interest near Kingsley Specialty Care
0.3 miles from city center — 16.97 miles to nearest hospital (Floyd Valley Healthcare)
305 W 3rd St, Kingsley, IA 51028
Calculate Travel Distance to Kingsley Specialty Care
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
69
Employees
53
Contractors
16
Staff to resident ratio
2.23:1
12% better than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
17
Average shift
7.2 hours
0% compared with Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
11,090
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
10
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
4
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.1 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
22
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
7%
775 contractor hours this quarter
Physical Therapy Assistant: 6
Speech Language Pathologist: 4
Physical Therapy Aide: 3
Respiratory Therapy Technician: 1
Qualified Social Worker: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 22 | 0 | 22 | 4,733 | 91 | 100% | 7.4 |
| Registered Nurse | 10 | 0 | 10 | 2,889 | 91 | 100% | 8.6 |
| Medication Aide/Technician | 2 | 0 | 2 | 936 | 88 | 97% | 8.7 |
| Nurse Practitioner | 3 | 0 | 3 | 485 | 66 | 73% | 7.1 |
| Other Dietary Services Staff | 2 | 0 | 2 | 445 | 64 | 70% | 5 |
| Administrator | 3 | 0 | 3 | 443 | 54 | 59% | 8 |
| Speech Language Pathologist | 0 | 4 | 4 | 349 | 64 | 70% | 4 |
| Dental Services Staff | 2 | 0 | 2 | 244 | 32 | 35% | 7.4 |
| Physical Therapy Assistant | 0 | 6 | 6 | 144 | 47 | 52% | 3 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 143 | 40 | 44% | 3.6 |
| Physical Therapy Aide | 0 | 3 | 3 | 80 | 20 | 22% | 3.8 |
| Licensed Practical Nurse | 4 | 0 | 4 | 73 | 12 | 13% | 6.1 |
| Medical Director | 0 | 1 | 1 | 42 | 3 | 3% | 14 |
| Dietitian | 1 | 0 | 1 | 30 | 4 | 4% | 7.5 |
| Mental Health Service Worker | 1 | 0 | 1 | 22 | 3 | 3% | 7.3 |
| Qualified Social Worker | 0 | 1 | 1 | 17 | 18 | 20% | 1 |
| RN Director of Nursing | 1 | 0 | 1 | 9 | 1 | 1% | 9 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 4 | 1 | 1% | 4 |
| Occupational Therapy Aide | 1 | 0 | 1 | 3 | 1 | 1% | 3.3 |
22 Certified Nursing Assistant
% of Days
100%
10 Registered Nurse
% of Days
100%
2 Medication Aide/Technician
% of Days
97%
3 Nurse Practitioner
% of Days
73%
2 Other Dietary Services Staff
% of Days
70%
3 Administrator
% of Days
59%
4 Speech Language Pathologist
% of Days
70%
2 Dental Services Staff
% of Days
35%
6 Physical Therapy Assistant
% of Days
52%
1 Respiratory Therapy Technician
% of Days
44%
3 Physical Therapy Aide
% of Days
22%
4 Licensed Practical Nurse
% of Days
13%
1 Medical Director
% of Days
3%
1 Dietitian
% of Days
4%
1 Mental Health Service Worker
% of Days
3%
1 Qualified Social Worker
% of Days
20%
1 RN Director of Nursing
% of Days
1%
1 Clinical Nurse Specialist
% of Days
1%
1 Occupational Therapy Aide
% of Days
1%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
31 residents
Residents by payment source
Medicare
2 residents (6.5%)
Medicaid
14 residents (45.2%)
Private pay or other
15 residents (48.4%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
16.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
16.5
61% worse than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
30.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
30.6
42% worse than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
24.1%
Percent of long-stay residents whose need for help with daily activities has increased
24.1%
28% worse than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
34.4%
Percent of long-stay residents whose ability to move independently worsened
34.4%
75% worse than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.3%
27% worse than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.8%
Percent of long-stay residents experiencing one or more falls with major injury
4.8%
32% worse than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
8.4%
Percent of long-stay high risk residents with pressure ulcers
8.4%
92% worse than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
10.8%
Percent of long-stay residents who lose too much weight
10.8%
117% worse than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
17.2%
Percent of long-stay residents who have depressive symptoms
17.2%
343% worse than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
34.3%
Percent of long-stay residents who received an antipsychotic medication
34.3%
80% worse than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.8%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.8%
In line with Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.3%
16% better than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
10.5%
Percent of short-stay residents who newly received an antipsychotic medication
10.5%
472% worse than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.6%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.6%
30% better than Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Kingsley Specialty Care based on CMS SNF Cost Reports.
Occupancy Rate
86.1%
↑ 0.1pp vs 2022
Net Income
-$83,642
↓ ~$234K vs 2022
Total Payroll
$2,303,515
↑ ~$181K vs 2022
Profit Margin
-1.5%
↓ 4.6pp vs 2022
Loading trend charts...
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