Mechanicsville Specialty Care

104 East Fourth Street · Mechanicsville, IA · 52306 · 5634327235

39 certified beds Non profit - Corporation Chain: Care Initiatives

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 79
Serious harm & abuse 20% 100
Staffing 20% 67
Federal penalties 15% 100
Trend 10% 87
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.353.48 min · 4.1 strong
RN hours / resident-day0.570.55–0.75
Weekend hours / resident-day3.19≈ weekday level
Nursing turnover / year34%median 45%
Fines (3-yr window)none

Inspection citations (12 in the current record)

  • Potential for harm · D September 4, 2025

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

    Corrected September 25, 2025 · Resident Rights

  • Potential for harm · D 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.

    Corrected September 25, 2025 · Quality of Life and Care

  • Potential for harm · F August 8, 2024

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

    Corrected August 31, 2024 · Nutrition and Dietary

  • Potential for harm · D August 8, 2024 · found via complaint

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

    Corrected August 31, 2024 · Resident Rights

  • Potential for harm · D September 28, 2023

    Ensure each resident receives an accurate assessment.

    Corrected October 19, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D September 28, 2023

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

    Corrected October 19, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E September 28, 2023

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

    Corrected October 19, 2023 · Nutrition and Dietary

  • Potential for harm · E September 28, 2023

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

    Corrected October 19, 2023 · Nutrition and Dietary

  • Potential for harm · D September 28, 2023 · found via complaint

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

    Corrected October 19, 2023 · Resident Rights

  • Potential for harm · D September 28, 2023 · found via 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.

    Corrected October 19, 2023 · Resident Rights

  • Potential for harm · D September 28, 2023 · found via complaint

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

    Corrected October 19, 2023 · Resident Assessment and Care Planning

  • No harm found · B September 28, 2023

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

    Corrected October 19, 2023 · Resident Rights

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 165263 · certified since December 4, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.