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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 228th out of 241 homes in Iowa. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 7m per day | ▲ 52% State avg: 44m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 11m per day | ▼ 68% State avg: 34m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 47m per day | ▼ 30% State avg: 2h 32m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 40m per day | ▼ 20% State avg: 3h 21m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 2m per day | ■ Avg State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 52m per day | ▲ 73% State avg: 30m per day · National avg: 28m per day |
Similar to the Iowa average: 75.4%Kingsley Specialty Care is administrated by Evangelina Klein.
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.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 94 | 27 | This facility has 248% more total deficiencies than a typical Iowa nursing home (94 vs. IA avg 27).↑ 248% worse |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 15.7 | 4.5 | This facility has 249% more deficiencies per year than a typical Iowa nursing home (15.7 vs. IA avg 4.5).↑ 249% worse |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 4.7 | 1.8 | This facility has 161% more deficiencies per inspection than a typical Iowa nursing home (4.7 vs. IA avg 1.8).↑ 161% worse |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 20 | 15 | This facility has 33% more total inspections than a typical Iowa nursing home (20 vs. IA avg 15).↑ 33% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
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.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsIowa average 4.9
Last Health inspection on Aug 2025
Iowa average 21.7
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).
100% better than Iowa averageIowa average: 0.6
100% better than Iowa averageIowa average: 0.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
21% better than Iowa average
0% compared with Iowa average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.7 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
634 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 25 | 0 | 25 | 3,507 | 92 | 100% | 6.7 |
| Medication Aide/Technician | 7 | 0 | 7 | 2,341 | 92 | 100% | 9.7 |
| Registered Nurse | 15 | 0 | 15 | 1,833 | 89 | 97% | 8.3 |
| Licensed Practical Nurse | 5 | 0 | 5 | 918 | 67 | 73% | 8.5 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 478 | 52 | 57% | 6.9 |
| Administrator | 1 | 0 | 1 | 449 | 56 | 61% | 8 |
| Dietitian | 1 | 0 | 1 | 412 | 64 | 70% | 6.4 |
| Dental Services Staff | 1 | 0 | 1 | 369 | 58 | 63% | 6.4 |
| Nurse Practitioner | 3 | 0 | 3 | 325 | 41 | 45% | 7.8 |
| Speech Language Pathologist | 0 | 4 | 4 | 227 | 62 | 67% | 3.4 |
| Physical Therapy Aide | 0 | 1 | 1 | 142 | 43 | 47% | 3.3 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 123 | 36 | 39% | 3.4 |
| Physical Therapy Assistant | 0 | 2 | 2 | 88 | 29 | 32% | 3 |
| RN Director of Nursing | 1 | 0 | 1 | 69 | 9 | 10% | 7.6 |
| Medical Director | 0 | 1 | 1 | 45 | 3 | 3% | 15 |
| Qualified Social Worker | 0 | 1 | 1 | 10 | 18 | 20% | 0.6 |
| Other Dietary Services Staff | 1 | 0 | 1 | 3 | 1 | 1% | 2.5 |
| Occupational Therapy Aide | 1 | 0 | 1 | 1 | 1 | 1% | 1 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
24.1%
28% worse than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
34.4%
75% worse than Iowa averageIowa average: 19.7%
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%
Percent of long-stay residents experiencing one or more falls with major injury
4.8%
32% worse than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
8.4%
92% worse than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
10.8%
117% worse than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
17.2%
343% worse than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
34.3%
80% worse than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.8%
In line with Iowa averageIowa average: 95.3%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.3%
16% better than Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
10.5%
472% worse than Iowa averageIowa average: 1.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.6%
30% better than Iowa averageIowa average: 73.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
17.4%
18% better than Iowa averageIowa average: 21.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
7.3%
44% better than Iowa averageIowa average: 13.1%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Iowa averageIowa average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
33.3%
38% worse than Iowa averageIowa average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
49.2%
In line with Iowa averageIowa average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
28% of new residents, usually for short-term rehab.
61% of new residents, often for short stays.
11% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
31Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
Historical financial and operational data for Kingsley Specialty Care based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #205 / 242Payroll — State benchmarkedThis home is ranked 205th out of 242 homes in Iowa. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
0.3 miles from city center
Estimated distance in miles from Kingsley's city center to Kingsley Specialty Care's address, calculated via Google Maps.
— 16.97 miles to nearest hospital (Floyd Valley Healthcare)
Add your location
Kingsley Specialty Care is located in Kingsley, Iowa.
Here are the financial assistance programs available to residents in Iowa.
Kingsley Specialty Care is in the West 3rd Street neighborhood of Kingsley.
Kingsley Specialty Care has a walk score of 21. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to IA state health department records, Kingsley Specialty Care's license number is 750184.
According to IA state health department records, Kingsley Specialty Care's license expires on August 1, 2026.
Kingsley Specialty Care's occupancy is 72%.
The team at Kingsley Specialty Care can be reached at [email protected].
Evangelina Klein is the administrator of Kingsley Specialty Care.
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