Mechanicsville Specialty Care
104 East Fourth Street, Mechanicsville, IA 52306 · Cedar County · (563) 346-0982
39 certified beds, about 37 residents a day · Non profit - Corporation · Medicare and Medicaid since 1995
CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 165263 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on September 4, 2025, inspectors cited 2 health deficiencies (the Iowa average is 6.5, the national average 9.2).
None of its 12 health citations since September 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.07 hours per resident per day, against 3.82 across Iowa and 3.86 nationally. Registered nurses accounted for 0.60 of those hours.
38.2% of nursing staff left within the year CMS measured (Iowa average 44.0%).
CMS links it to Care Initiatives, an affiliated group of 43 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
809/23
208/24
209/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 12 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
2E
1F
Potential for minimal harm
0A
1B
0C
September 4, 2025Standard inspection · 2 citations
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observations, clinical record review, staff interviews, and facility policy review the facility failed to provide dignity with cares for 1 out of 3 residents reviewed (Resident #2). The facility reported a census of 29 residents.
- D 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.
Inspectors wroteBased on observation, clinical record review, staff interview and facility policy review the facility failed to administer the correct amount of water flush before the administration of the tube feeding for 1 of 1 resident reviewed (Resident #2). The facility reported a census of 29 residents.
August 8, 2024Standard inspection, Complaint inspection · 2 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, staff interviews and facility policy review, the facility failed to prevent exposure for cross contamination during meal service and failed to follow safe food handling practices. The facility identified a census of 33 residents.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observations, clinical record review, resident, and staff interviews, the facility failed to treat a resident with respect and dignity for one reported interaction with a nurse for one out of one residents reviewed (Resident#7). The facility reported a census of 34 residents.
September 28, 2023Standard inspection, Complaint inspection · 8 citations
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observations, test tray, resident and staff interviews, the facility failed to provide food at an appropriate temperature to ensure the food was safe and appetizing. The facility also failed to serve pureed food that was attractive in appearance. The facility reported a census of 37 residents. Findings Include: On 9/26/23 at 9:45 AM, Resident #10 reported the food on his room trays were cold most of the time. Resident #10 stated he doubted the facility would do anything about the food being cold. On 9/26/26 at 1:00 PM, Staff C, Dietary Manager served two pureed meals that consisted of fish, wax beans, and potatoes. The pureed food items were white in color, appeared bland and served together on the same plate, with the pureed food items blending into each other on the plate. [...]
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observations, staff and resident interviews and facility policy review, the facility failed to ensure food was discarded after product expiration date, that leftovers were discarded after 3 days, prevent cross contamination during meal service and serve the meal on time. The facility identified a census of 37 residents.
- D Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Inspectors wroteBased on clinical record review, document review, resident and staff interviews, the facility failed to set up resident funds over $50 in an interest bearing account and failed to provide the resident or their legal representative with quarterly balance statement for 1 of 4 residents sampled (Resident #25). The facility documented a census of 37 residents. Findings Include: The Minimum Data Set (MDS) assessment dated [DATE] showed a Brief Interview for Mental Status (BIMS) score of 14 out of 15, indicating intact cognition. On 9/25/23 at 1:50 p.m., Resident #25 reported he had money locked up in the front business office that he could access whenever he wanted. Resident #25 didn't recall getting any quarterly statements detailing his balance of funds at the facility. [...]
- D 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.
Inspectors wroteBased on clinical record review, staff interviews and facility policy review, the facility failed to provide a notice of bed hold for 2 of 2 residents reviewed (Resident #32 and #139) for discharge to the hospital. The facility reported a census of 37 residents.
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on clinical record review, electronic census record, document review, Long-Term Care (LTC) Facility Resident Assessment Instrument (RAI) 3.0 User's Manual, and staff interviews, the facility failed to accurately code the Minimum Data Set (MDS) Assessment across multiple MDS assessments for 1 of 2 residents reviewed for Hospice services (Resident #15). The facility identified a census of 37 residents. Findings Include: A Order Review History Report signed by the Provider on 9/01/23 documented a physician order for Hospice care services for pancreatic cancer effective 2/21/22. A Medicare Hospice Election form detailed Resident #15 signed himself into hospice care on 2/21/22. A review of the Electronic Census Record on 9/26/23 revealed Resident #15 resided on Hospice care at the facility since 2/21/22. [...]
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observations, clinical record review, staff interview and facility policy review, the facility failed to develop a Care Plan to address pressure reduction interventions for a chronic left heel pressure ulcer for 1 out of 13 residents (Resident #36) reviewed for Comprehensive Care Plans. The facility reported a census of 37 residents. Findings Include: Resident #36's Minimum Data Set (MDS) assessment dated [DATE] identified a Brief Interview for Mental Status (BIMS) score of 15 out of 15, indicating intact cognition. The MDS identified Resident #36 required extensive assistance of two persons with bed mobility, transfer and toilet use. The MDS documented Resident #36 did not walk during the assessment period. The MDS identified Resident #36 at risk for developing pressure ulcer and indicated that he had an unhealed pressure ulcer during the seven day lookback period. [...]
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, clinical record review and staff interview, the facility failed to have physician insulin orders that matched insulin administration and failed to follow the manufacturer's directions regarding safety for product use for administration for 1 of 2 residents observed for insulin administration (Resident #15). The facility identified a census of 37 residents. Findings Include: Resident #15 Minimum Data Set (MDS) assessment dated [DATE] showed a Brief Interview for Mental Status (BIMS) score of 15 out of 15, indicating no cognitive loss. The MDS listed a diagnosis of diabetes mellitus, hyperlipidemia and detailed Resident #15 received insulin injections seven days a week. [...]
- B Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on clinical record review, document review and staff interview the facility failed to correctly fill out and serve the resident or the legal representative a beneficiary notice of the ending of Medicare skilled services for 3 of 3 resident reviewed (Resident #39, #40, and #90). The facility identified a census of 37 residents.
Fire safety inspections
7 fire safety citations on file: 2 on September 4, 2025, 1 on August 8, 2024, 4 on September 28, 2023.
Every fire safety citation7 citations
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Iowa | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.07 | 3.82 | 3.86 |
| Registered nurses | 0.60 | 0.74 | 0.69 |
| All nursing staff on weekends | 2.98 | 3.37 | 3.42 |
| Nurse aides | 2.06 | ||
| Licensed practical nurses | 0.41 | ||
| Nursing staff turnover (share who left in a year) | 38.2% | 44.0% | 45.8% |
| Registered nurse turnover | 33.3% | 42.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.17 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.11 on weekdays and 2.98 on weekends, 4% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.38 in April to June 2025 to 3.07 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.07 | 0.60 | 3.11 | 2.98 | 0.0% | 0 of 90 | 37 |
| Oct to Dec 2025 | 3.35 | 0.57 | 3.42 | 3.19 | 0.0% | 0 of 92 | 31 |
| Jul to Sep 2025 | 3.50 | 0.56 | 3.54 | 3.40 | 0.0% | 0 of 92 | 31 |
| Apr to Jun 2025 | 3.38 | 0.56 | 3.43 | 3.25 | 0.0% | 0 of 91 | 32 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Iowa, Jan to Mar 2026 | 3.80 | 0.71 | 3.98 | 3.36 | 4.7% | 0.3% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Iowa | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 15.3 | 17.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.8 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.7 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.8 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.1 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.8 | 16.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.0 | 4.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 4.4 | 19.4 | 15.4 |
Owners and operators
Legal business name: CARE INITIATIVES. CMS links this home to Care Initiatives, a group of 43 nursing homes averaging 2.9 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Care Initiatives | 5% or greater direct ownership interest | Organization | 100% | 08/01/1989 |
| Computershare Corporate Trust Company, Na | 5% or greater mortgage interest | Organization | 02/01/2025 | |
| Beal, Michael | Corporate director | Individual | 06/01/2020 | |
| Bowen, Lane | Corporate director | Individual | 01/01/2021 | |
| Carothers, Mary Jane | Corporate director | Individual | 01/01/2023 | |
| Childs, Kevin | Corporate director | Individual | 04/01/2023 | |
| Corless, Peter | Corporate director | Individual | 01/01/2025 | |
| Krein, Keith | Corporate director | Individual | 06/29/2022 | |
| Rust, Elizabeth | Corporate director | Individual | 01/01/2023 | |
| Sturm, Denise | Corporate director | Individual | 01/01/2021 | |
| Upmeyer, Linda | Corporate director | Individual | 06/29/2022 | |
| Beal, Michael | Corporate officer | Individual | 06/01/2020 | |
| Dixon, David | Corporate officer | Individual | 06/01/2016 | |
| Drake, Emily | Corporate officer | Individual | 01/04/2023 | |
| Gilyard, Tanya | Corporate officer | Individual | 05/23/2025 | |
| Kuhn, Jeramy | Corporate officer | Individual | 06/25/2008 | |
| McDyer, Jessica | Corporate officer | Individual | 02/22/2023 | |
| Volm, Johanna | Corporate officer | Individual | 01/01/2021 | |
| Baedke, Charissa | Operational/managerial control | Individual | 01/01/2024 | |
| Nguyen, Thai | Operational/managerial control | Individual | 01/01/2024 | |
| Wendt, Tina | Operational/managerial control | Individual | 08/01/2013 | |
| Computershare Corporate Trust Company, Na | Adp of the SNF | Organization | 04/14/2025 | |
| Nguyen, Thai | Adp of the SNF | Individual | 08/01/2025 | |
| Wendt, Tina | Adp of the SNF | Individual | 04/14/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on September 4, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on August 8, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on September 28, 2023: "Ensure each resident receives an accurate assessment."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on September 4, 2025: "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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.98 hours per resident per day, below the Iowa average of 3.37.
Other nursing homes nearby
- Rehabilitation Center of Lisbon Lisbon, 7.2 mi · 4 of 5 stars · 3 citations
- Hallmark Care Center Mount Vernon, 8.8 mi · 2 of 5 stars · 18 citations
- Clarence Nursing Home Clarence, 9.9 mi · 5 of 5 stars · 7 citations
- Cedar Manor Nursing Home Tipton, 11.2 mi · 3 of 5 stars · 15 citations
- Anamosa Care Center Anamosa, 13.6 mi · 5 of 5 stars · 8 citations
- Solon Nursing Care Center Solon, 14.3 mi · 5 of 5 stars · 9 citations
- Crestview Specialty Care West Branch, 16.9 mi · 1 of 5 stars · 28 citations
- Silver Oak Nursing and Rehabilitation Center LLC Marion, 18.7 mi · 1 of 5 stars · 60 citations
Iowa contacts for a concern about a nursing home
These are the official offices in Iowa. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Iowa Department of Inspections, Appeals, and Licensing, Health Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Iowa Office of the State Long-Term Care Ombudsman, 866-236-1430. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Iowa Health Facility Database, Entity Search, where Iowa publishes its own records on licensed homes.
Common questions
- What is Mechanicsville Specialty Care's Medicare star rating?
- CMS rates Mechanicsville Specialty Care 5 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Mechanicsville Specialty Care get at its last inspection?
- 2 health deficiencies at the standard inspection on September 4, 2025. The Iowa average is 6.5.
- Has Mechanicsville Specialty Care been fined?
- CMS lists no fines in the last three years.
- Does Mechanicsville Specialty Care accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Mechanicsville Specialty Care?
- CMS lists 24 owners and managers, and links the home to Care Initiatives. Legal business name: CARE INITIATIVES.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.