Iowa › Cedar County › Mechanicsville
Mechanicsville Specialty Care
104 East Fourth Street, Mechanicsville, IA 52306
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Mechanicsville Specialty Care is a Non-profit, corporation nursing home in Mechanicsville, Iowa, certified for 39 beds and caring for about 37 residents a day.
CMS gives it 5 of 5 stars overall, above the Iowa median of 3; the health inspection rating is 4, staffing 4 and quality measures 5.
Inspectors recorded 12 health deficiencies across the three most recent survey cycles (2, 2, 8 by cycle, most recent first), none at the actual-harm level. That is 30.8 per 100 beds, about the same as the state median of 27.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.1 hours per resident per day (0.6 RN), close to the Iowa median of 3.7; nursing staff turnover is 38.2%.
Compared with county, state and nation
| Measure | This facility | Cedar Co. median | Iowa median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 12 | 15 | 16 | 28.7 |
| Citations per 100 beds | 30.8 | 30.8 | 27.5 | 26.8 |
| Total nurse hours per resident day | 3.1 | 3.7 | 3.7 | 3.9 |
| RN hours per resident day | 0.6 | 0.7 | 0.7 | 0.7 |
| Nursing staff turnover | 38.2% | 43.6% | 41.9% | 45.8% |
| Fines listed | $0 | $32,289 | $0 | — |
County and state figures are medians across facilities (4 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 4 Sep 2025, 8 Aug 2024.
Severity mix: D ×8 E ×2 F ×1 B ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 4 Sep 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 25 Sep 2025 |
| 4 Sep 2025 | F0693 | 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. | D | Standard survey | 25 Sep 2025 |
| 8 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 31 Aug 2024 |
| 8 Aug 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 31 Aug 2024 |
| 28 Sep 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 19 Oct 2023 |
| 28 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 19 Oct 2023 |
| 28 Sep 2023 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | D | Complaint investigation | 19 Oct 2023 |
| 28 Sep 2023 | F0625 | 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. | D | Complaint investigation | 19 Oct 2023 |
| 28 Sep 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 19 Oct 2023 |
| 28 Sep 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 19 Oct 2023 |
| 28 Sep 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 19 Oct 2023 |
| 28 Sep 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | Standard survey | 19 Oct 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 38.2%, RNs 33.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Iowa median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 15.3% | 16.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.7% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.7% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 3.4% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.0% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.8% | 15.9% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.0% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 4.4% | 18.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Care Initiatives. Chain: Care Initiatives (43 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Care Initiatives | 5% or greater direct ownership interest | 100% | 08/01/1989 |
| Computershare Corporate Trust Company, Na | 5% or greater mortgage interest | NOT APPLICABLE | 02/01/2025 |
| Computershare Corporate Trust Company, Na | Adp of the snf | NOT APPLICABLE | 04/14/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Cedar County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Clarence Nursing Home | Clarence | 46 | 5 | 4 | 5 | 7 | 15.2 | — | 9 Jul 2025 |
| Cedar Manor Nursing Home | Tipton | 54 | 3 | 3 | 4 | 15 | 27.8 | $32K | 20 Nov 2025 |
| Crestview Specialty Care | West Branch | 65 | 1 | 1 | 3 | 28 | 43.1 | $216K | 3 Dec 2025 |
All 4 facilities in Cedar County
Questions and answers
How many deficiencies has Mechanicsville Specialty Care been cited for?
12 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.
Has Mechanicsville Specialty Care been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Mechanicsville Specialty Care compare?
Reported total nurse staffing is 3.1 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.
Who operates Mechanicsville Specialty Care?
It is part of the Care Initiatives chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Care Initiatives. Individual owners and managers are not listed on this site.
When was Mechanicsville Specialty Care last inspected?
The most recent survey or investigation in the CMS record is dated 4 Sep 2025; the most recent standard health survey was 4 Sep 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.