nursing home in Mechanicsville, IA

Mechanicsville Specialty Care

104 East Fourth Street, Mechanicsville, IA 52306 · (563) 346-0982

★★★★★5
Much above average
CMS overall star rating
  • Health inspections★★★★★4
  • Staffing★★★★★4
  • Quality measures★★★★★5
  • CMS high performer

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Mechanicsville Specialty Care at a glance

Mechanicsville Specialty Care is a 39-bed non-profit nursing home in Mechanicsville, Iowa (Cedar County).

CMS gives it 5 out of 5 stars on its overall star rating, better than the Iowa average of 3.1.

Residents receive about 3.1 hours of nursing care per day (0.6 of them from registered nurses), worse than the state average of 3.8 hours.

Its most recent standard health inspection (September 4, 2025) found 2 health citations. The Iowa average is 6.5.

It has not received a federal fine in the past three years.

Nursing staff turnover is 38.2% per year (state average 44%).

Facility details

Type
Nursing home
Ownership
Non Profit - Corporation
Beds
39
Certified for
Medicare and Medicaid
Chain / affiliated entity
Care Initiatives
Medicare-certified since
December 4, 1995
Resident/family council
None
County
Cedar County
CMS Certification Number
165263

Ratings

MeasureThis facilityIowa avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)5 / 53.1 / 53 / 5Better
Health inspection rating ⓘ (higher is better)4 / 52.8 / 52.8 / 5Better
Staffing rating ⓘ (higher is better)4 / 53.7 / 52.9 / 5Better
Quality measures rating ⓘ (higher is better)5 / 53.3 / 53.6 / 5Better
Long-stay quality rating (higher is better)5 / 53.3 / 53.8 / 5Better

Staffing

This facility3.07 hrsIowa average3.82 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Iowa and U.S. averages
MeasureThis facilityIowa avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.07 hrs3.82 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.60 hrs0.74 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.06 hrs2.52 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)2.98 hrs3.37 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)38.2%44%45.8%Better
Registered nurse turnover (yearly) (lower is better)33.3%42.1%42.9%Better
Administrators who left in the past year (lower is better)001Better

Inspections

This facility2Iowa average6U.S. average9
Health citations in the most recent inspection: this facility vs. Iowa and U.S. averages
MeasureThis facilityIowa avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)269Better
Citations from complaint investigations (latest cycle) (lower is better)033Better
Weighted health inspection score ⓘ (lower is better)1454.580.6Better

Penalties

This facility0Iowa average1U.S. average1
Fines in the past 3 years: this facility vs. Iowa and U.S. averages
MeasureThis facilityIowa avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)011Better
Total fines in the past 3 years (lower is better)$0$19,286$30,972Better
All federal penalties in the past 3 years (lower is better)011Better

Size

MeasureThis facilityIowa avg.U.S. avg.vs. U.S.
Certified beds3965107
Average residents per day375286
Occupancy95.9%81.5%80.9%

Long-stay residents

This facility0%Iowa average3.8%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Iowa and U.S. averages
MeasureThis facilityIowa avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)0%3.8%3.2%Better
Long-stay residents with pressure ulcers (lower is better)5%4.2%4.6%Worse
Long-stay residents given antipsychotic medication (lower is better)4.4%19.5%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)1.7%2.4%1.6%Worse
Long-stay residents with a catheter left in the bladder (lower is better)1.7%1.5%0.8%Worse
Long-stay residents needing more help with daily activities (lower is better)15.3%17.1%13.9%Worse
Long-stay residents whose walking worsened (lower is better)15.8%16.6%14.1%Worse
Long-stay residents who lose too much weight (lower is better)1.9%4.6%5.2%Better
Long-stay residents with depressive symptoms (lower is better)1.8%4.2%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0.2%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)11.1%20.8%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)27.8%25.6%19%Worse
Long-stay residents given a flu vaccine (higher is better)96.6%95.3%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)100%94%93.6%Better

Short-stay residents

This facility0%Iowa average2.1%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Iowa and U.S. averages
MeasureThis facilityIowa avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)0%2.1%1.6%Better
Short-stay residents given a flu vaccine (higher is better)82.1%73.3%79.8%Average
Short-stay residents given a pneumonia vaccine (higher is better)100%84%82%Better

Inspection citations

State inspectors cited this home for 12 health deficiencies and 7 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.

DateCitationSeverityStatus
September 4, 2025
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected September 5, 2025
September 4, 2025
Fire safety
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies · Tag K0291
F
Potential harm, widespread
Corrected September 5, 2025
September 4, 2025
Standard
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected September 25, 2025
September 4, 2025
Standard
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care Deficiencies · Tag F0693
D
Potential harm, isolated
Corrected September 25, 2025
August 8, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected August 13, 2024
August 8, 2024
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected August 31, 2024
August 8, 2024
Complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected August 31, 2024
September 28, 2023
Fire safety
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies · Tag K0291
F
Potential harm, widespread
Corrected October 10, 2023
September 28, 2023
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected October 5, 2023
September 28, 2023
Fire safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914
F
Potential harm, widespread
Corrected October 31, 2023
September 28, 2023
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected October 10, 2023
September 28, 2023
Standard
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
E
Potential harm, pattern
Corrected October 19, 2023
September 28, 2023
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected October 19, 2023
September 28, 2023
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected October 19, 2023
September 28, 2023
Complaint
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.
Resident Rights Deficiencies · Tag F0625
D
Potential harm, isolated
Corrected October 19, 2023
September 28, 2023
Complaint
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights Deficiencies · Tag F0568
D
Potential harm, isolated
Corrected October 19, 2023
September 28, 2023
Complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected October 19, 2023
September 28, 2023
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected October 19, 2023
September 28, 2023
Standard
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Tag F0582
B
No harm, pattern
Corrected October 19, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports no federal fines or payment denials in the past three years.

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
CARE INITIATIVES
Organization
5% or greater direct ownership interest100%08/01/1989
COMPUTERSHARE CORPORATE TRUST COMPANY, NA
Organization
5% or greater mortgage interestNOT APPLICABLE02/01/2025
COMPUTERSHARE CORPORATE TRUST COMPANY, NA
Organization
adp of the snfNOT APPLICABLE04/14/2025
NGUYEN, THAI
Individual
adp of the snfNOT APPLICABLE08/01/2025
WENDT, TINA
Individual
adp of the snfNOT APPLICABLE04/14/2025
BEAL, MICHAEL
Individual
corporate directorNOT APPLICABLE06/01/2020
BOWEN, LANE
Individual
corporate directorNOT APPLICABLE01/01/2021
CAROTHERS, MARY JANE
Individual
corporate directorNOT APPLICABLE01/01/2023
CHILDS, KEVIN
Individual
corporate directorNOT APPLICABLE04/01/2023
CORLESS, PETER
Individual
corporate directorNOT APPLICABLE01/01/2025
KREIN, KEITH
Individual
corporate directorNOT APPLICABLE06/29/2022
RUST, ELIZABETH
Individual
corporate directorNOT APPLICABLE01/01/2023
STURM, DENISE
Individual
corporate directorNOT APPLICABLE01/01/2021
UPMEYER, LINDA
Individual
corporate directorNOT APPLICABLE06/29/2022
BEAL, MICHAEL
Individual
corporate officerNOT APPLICABLE06/01/2020
DIXON, DAVID
Individual
corporate officerNOT APPLICABLE06/01/2016
DRAKE, EMILY
Individual
corporate officerNOT APPLICABLE01/04/2023
GILYARD, TANYA
Individual
corporate officerNOT APPLICABLE05/23/2025
KUHN, JERAMY
Individual
corporate officerNOT APPLICABLE06/25/2008
MCDYER, JESSICA
Individual
corporate officerNOT APPLICABLE02/22/2023
VOLM, JOHANNA
Individual
corporate officerNOT APPLICABLE01/01/2021
BAEDKE, CHARISSA
Individual
operational/managerial controlNOT APPLICABLE01/01/2024
NGUYEN, THAI
Individual
operational/managerial controlNOT APPLICABLE01/01/2024
WENDT, TINA
Individual
operational/managerial controlNOT APPLICABLE08/01/2013

Other nursing homes near Mechanicsville Specialty Care

  1. Rehabilitation Center of Lisbon

    905 West Main Street, Lisbon, IA 52253 · 7.2 mi

    For-profit · 64 beds · Part of Legacy Healthcare

    ★★★★★4Above average
  2. Hallmark Care Center

    215 Highway 30 SW, Mount Vernon, IA 52314 · 8.8 mi

    For-profit · 55 beds · Part of Legacy Healthcare

    ★★★★★2Below average
  3. Clarence Nursing Home

    402 2nd Avenue, Clarence, IA 52216 · 9.9 mi

    For-profit · 46 beds

    • CMS high performer
    ★★★★★5Much above average
  4. Cedar Manor Nursing Home

    1200 Mulberry Street, Tipton, IA 52772 · 11.2 mi

    Non-profit · 54 beds

    ★★★★★3Average
  5. Anamosa Care Center

    1209 East Third Street, Anamosa, IA 52205 · 13.6 mi

    For-profit · 64 beds

    • CMS high performer
    ★★★★★5Much above average
  6. Solon Nursing Care Center

    523 E Fifth Street, Solon, IA 52333 · 14.3 mi

    For-profit · 96 beds

    • CMS high performer
    ★★★★★5Much above average

All nursing homes in Mechanicsville, IA · Compare side by side

Frequently asked questions

What is Mechanicsville Specialty Care's rating?

Mechanicsville Specialty Care has 5 out of 5 stars on the CMS overall star rating. The average for Iowa nursing homes is 3.1 stars.

How many inspection citations did Mechanicsville Specialty Care receive?

Its most recent standard health inspection found 2 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.

Does Mechanicsville Specialty Care accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Mechanicsville Specialty Care?

It is non profit - corporation and part of Care Initiatives. The ownership section on this page lists the owners and managers reported to CMS.

Where is Mechanicsville Specialty Care and how do I contact it?

Mechanicsville Specialty Care is at 104 East Fourth Street, Mechanicsville, IA 52306. Phone: (563) 346-0982.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.