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Mechanicsville Specialty Care

All states › Iowa › Mechanicsville › Mechanicsville Specialty Care

104 East Fourth Street Mechanicsville, IA 52306 · Cedar County

(563) 346-0982

Accepts Medicare Accepts Medicaid 39 certified beds Non profit

CMS certification number 165263 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Mechanicsville Specialty Care a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Mechanicsville Specialty Care as of October 2026.

CMS rates it 5 out of 5 stars overall, above the Iowa average of 3.1. Inspectors issued 12 citations in the last three years. CMS reports no fines or payment denials in that time.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 3.24 hours per resident per day at Mechanicsville Specialty Care, below the Iowa median of 3.76 (US median: 3.72). About 0.53 of those hours are from registered nurses. On weekends it falls to 3.04 hours, 6% below its all-week average. 42.4% of nursing staff left within a year (Iowa median 41.7%).

Nursing care per resident per day 3.24 hours
Below the Iowa median of 3.76 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.53 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.04 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 42.4% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 20% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds39
Residents per day 37 About 94% of beds filled, on average
OwnershipNon profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceDecember 1995
Part of a chainCare Initiatives
Legal business nameCARE INITIATIVES

Paying for care at Mechanicsville Specialty Care: Medicare and Medicaid

Mechanicsville Specialty Care is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Iowa's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on September 4, 2025 and found 2 deficiencies. In total, inspectors issued 12 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: 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.

What the inspections found

Over the last three years, inspectors issued 12 citations at Mechanicsville Specialty Care across 3 inspection dates, 1 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 11 were "potential for more than minimal harm" (D–F) and 1 was minimal (A–C). The most common areas cited were resident rights (5) and nutrition and dietary (3). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level F, August 8, 2024).

September 4, 2025 · 2 citations

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Sep 25, 2025)

DEnsure 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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0693 · Deficient, Provider has date of correction (Sep 25, 2025)

August 8, 2024 · 2 citations · includes complaint inspection

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Aug 31, 2024)

DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Complaint inspection · Deficient, Provider has date of correction (Aug 31, 2024)

September 28, 2023 · 8 citations

EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Deficient, Provider has date of correction (Oct 19, 2023)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Oct 19, 2023)

DProperly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0568 · Deficient, Provider has date of correction (Oct 19, 2023)

DNotify 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0625 · Deficient, Provider has date of correction (Oct 19, 2023)

DEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Oct 19, 2023)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Oct 19, 2023)

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Oct 19, 2023)

BGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Potential for minimal harm · Resident Rights Deficiencies · Tag F0582 · Deficient, Provider has date of correction (Oct 19, 2023)

Questions to ask on a tour of Mechanicsville Specialty Care

  1. What do families most often ask you about before moving in?
  2. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  3. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 5/5 4/5 4/5 5/5
August 2026 5/5 4/5 4/5 5/5
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Location

Hospitals near Mechanicsville Specialty Care

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 13.6 mi
    Jones Regional Medical Center Anamosa
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 1h 56m for patients treated and sent home
  • 21.2 mi
    Mercy Medical Center - Cedar Rapids Cedar Rapids
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 28m for patients treated and sent home
  • 21.6 mi
    St Lukes Hospital Cedar Rapids
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 46m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Rehabilitation Center of Lisbon Lisbon · 7.2 mi away ★★★★☆ Inspection 4/5 · Staffing 3/5 64 beds · Medicaid
Hallmark Care Center Mount Vernon · 8.8 mi away ★★☆☆☆ Inspection 2/5 · Staffing 3/5 55 beds · Medicaid
Clarence Nursing Home Clarence · 9.9 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 46 beds · Medicaid
Cedar Manor Nursing Home Tipton · 11.2 mi away ★★★☆☆ Inspection 3/5 · Staffing 4/5 54 beds · Medicaid
Anamosa Care Center Anamosa · 13.6 mi away ★★★★☆ Inspection 3/5 · Staffing 2/5 64 beds · Medicaid

More nursing homes near Mechanicsville Specialty Care ›   All nursing homes in Mechanicsville ›

Compare Mechanicsville Specialty Care with the 3 closest homes side by side ›

Other Care Initiatives nursing homes in Iowa

Affiliation comes from CMS's affiliated-entity data, October 2026. All 43 Care Initiatives nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/iowa/mechanicsville/mechanicsville-specialty-care/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.