Nursing HomeInspections

Mechanicsville Specialty Care

Nursing home in Mechanicsville, IA

Medicare & Medicaid certified5★ overall (CMS)

Call (563) 346-0982Send a messageMap ↗

Public-record details

Address
104 East Fourth Street, Mechanicsville, IA 52306
Phone
(563) 346-0982
Listed under
Nonprofit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
165263
Overall star rating
5 of 5 ★★★★★
Health inspection rating
4 of 5
Staffing rating
4 of 5
Quality measures rating
5 of 5
Certified beds
39
Average residents per day
37
Ownership
Nonprofit, corporation
Legal business name
Care Initiatives
Chain
Care Initiatives (43 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 4, 1995
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Sprinklers in all required areas
Yes

CMS certification number 165263. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Sep 4, 2025. CMS lists 12 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 28, 2023 to Sep 4, 2025): 4 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Sep 4, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Sep 4, 2025Ensure 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		D
Potential for more than minimal harm, isolated
Aug 8, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 8, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Sep 28, 2023Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights		B
Potential for minimal harm, pattern
Sep 28, 2023Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 28, 2023Notify 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 28, 2023Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Sep 28, 2023Develop 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		D
Potential for more than minimal harm, isolated
Sep 28, 2023Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 28, 2023Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Sep 28, 2023Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.07 hours
Registered nurse (RN) time per resident per day
0.60 hours
Nurse aide time per resident per day
2.06 hours
Total nurse staffing on weekends
2.98 hours
Nursing staff turnover (yearly)
38%
RN turnover (yearly)
33%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.