Iowa ›Mechanicsville

Mechanicsville Specialty Care

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104 East Fourth Street, Mechanicsville, IA 52306 (opens Google Maps) · Cedar County · (563) 346-0982· 39 certified beds · avg 37 residents/day · certified since Dec 4, 1995 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: CARE INITIATIVES (43 facilities, chain avg rating 2.9★)

4/5
Health inspection rating (on-site)
inspected Sep 4, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.72
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 12 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. F-0550

  2. D · Potential for more than minimal harm, isolated

    The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. F-0693

  3. F · Potential for more than minimal harm, widespread

    The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. F-0812

View all 12 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Sep 4, 2025D · Potential for more than minimal harm, isolatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
Sep 4, 2025D · Potential for more than minimal harm, isolatedThe facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · F-0693
Aug 8, 2024F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Aug 8, 2024D · Potential for more than minimal harm, isolatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint · F-0550
Sep 28, 2023E · Potential for more than minimal harm, patternThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804
Sep 28, 2023E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Sep 28, 2023D · Potential for more than minimal harm, isolatedThe facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. · from a complaint · F-0568
Sep 28, 2023D · Potential for more than minimal harm, isolatedThe facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · from a complaint · F-0625
Sep 28, 2023D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Sep 28, 2023D · Potential for more than minimal harm, isolatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Sep 28, 2023D · Potential for more than minimal harm, isolatedThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint · F-0658
Sep 28, 2023B · Potential for minimal harm, patternThe facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · F-0582

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 8
Serious citations (G–L): 0
2024
All citations: 2
Serious citations (G–L): 0
2025
All citations: 2
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202380E
202420F
202520D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityIowa averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.72
Iowa average: 4.37
U.S. average: 3.95
Registered Nurse hours
This facility: 0.73
Iowa average: 0.85
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.61
Iowa average: 3.86
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityIowa avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.724.373.95bottom 19% in Iowa; bottom 48% in the U.S.
Registered Nurse hours0.730.850.69bottom 40% in Iowa; top 34% in the U.S.
Weekend total nurse staffing3.613.863.50bottom 42% in Iowa; top 37% in the U.S.
Weekend RN hours (not acuity-adjusted)0.550.510.48top 32% in Iowa; top 27% in the U.S.
Total nursing staff turnover (%)38.244.045.8top 39% in Iowa; top 32% in the U.S.
RN turnover (%)33.342.142.9top 38% in Iowa; top 33% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.07, RN 0.60, weekend 2.98.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.07 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Mechanicsville Specialty Care. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

Non profit - Corporation

Owner / managerTypeRoleStakeSince
Care InitiativesOrganization5% or Greater Direct Ownership Interest100%08/01/1989
Baedke, CharissaIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2024
Beal, MichaelIndividualCorporate DirectorNOT APPLICABLE06/01/2020
Beal, MichaelIndividualCorporate OfficerNOT APPLICABLE06/01/2020
Bowen, LaneIndividualCorporate DirectorNOT APPLICABLE01/01/2021
Carothers, Mary JaneIndividualCorporate DirectorNOT APPLICABLE01/01/2023
Childs, KevinIndividualCorporate DirectorNOT APPLICABLE04/01/2023
Computershare Corporate Trust Company, NaOrganization5% or Greater Mortgage InterestNOT APPLICABLE02/01/2025
Computershare Corporate Trust Company, NaOrganizationADP of the SNFNOT APPLICABLE04/14/2025
Corless, PeterIndividualCorporate DirectorNOT APPLICABLE01/01/2025
Dixon, DavidIndividualCorporate OfficerNOT APPLICABLE06/01/2016
Drake, EmilyIndividualCorporate OfficerNOT APPLICABLE01/04/2023
Gilyard, TanyaIndividualCorporate OfficerNOT APPLICABLE05/23/2025
Krein, KeithIndividualCorporate DirectorNOT APPLICABLE06/29/2022
Kuhn, JeramyIndividualCorporate OfficerNOT APPLICABLE06/25/2008
McDyer, JessicaIndividualCorporate OfficerNOT APPLICABLE02/22/2023
Nguyen, ThaiIndividualOperational/Managerial ControlNOT APPLICABLE01/01/2024
Nguyen, ThaiIndividualADP of the SNFNOT APPLICABLE08/01/2025
Rust, ElizabethIndividualCorporate DirectorNOT APPLICABLE01/01/2023
Sturm, DeniseIndividualCorporate DirectorNOT APPLICABLE01/01/2021

Showing 20 of 24 parties CMS has on file for this facility; 4 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Care Initiatives — 43 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 42 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
  • "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
  • "Could I join residents for a meal to see the food quality and temperature for myself?"
  • "How do you manage residents' personal funds, and how often do families receive an accounting?"
  • "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
  • "Who completes resident assessments here, and how do you check them for accuracy?"
  • "Can you show me an example care plan, and how are families included when it's created and updated?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Iowa midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 38% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 24 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Rehabilitation Center of Lisbon7.2 miLisbon, IA★★★★☆4/5
Hallmark Care Center8.8 miMount Vernon, IA★★☆☆☆2/5
Clarence Nursing Home9.9 miClarence, IA★★★★★4/5
Cedar Manor Nursing Home11.2 miTipton, IA★★★☆☆3/5
Anamosa Care Center13.6 miAnamosa, IA★★★★★4/5
Solon Nursing Care Center14.3 miSolon, IA★★★★★5/5
Crestview Specialty Care16.9 miWest Branch, IA★☆☆☆☆1/5
Silver Oak Nursing and Rehabilitation Center LLC18.7 miMarion, IA★☆☆☆☆1/5
Linn Manor Care Center19.5 miMarion, IA★★☆☆☆2/5
Oakview Nursing & Rehablitation - Marion19.8 miMarion, IA★★★★☆4/5
Winslow House Care Center20.0 miMarion, IA★★☆☆☆2/5

Compare this facility with the 3 closest →

All facilities in Mechanicsville →

Facility data as of CMS processing date 2026-08-01. CCN 165263.

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