Nursing Homes · Medicare certified
Mechanicsville Specialty Care
104 East Fourth Street · Mechanicsville, IA 52306 · 39 certified beds
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About Mechanicsville Specialty Care
Mechanicsville Specialty Care is a nursing home in Mechanicsville, Iowa. Its capacity is 39 beds, below the Iowa median of 58 for nursing homes. It is run by a nonprofit operator and is part of Care Initiatives. It is Medicare certified. Its public inspection record shows 12 citations, the most recent on September 4, 2025. Enforcement records show no fine or payment denial against it. Nurse staffing averages 3.24 hours per resident per day. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
5.0Staffing
4.0Quality measures
5.0CMS Care Compare, October 2026.
Inspection history (12)
Records from September 2023 to September 2025.
September 4, 2025
Tag F0693Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 25, 2025.
September 4, 2025
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 25, 2025.
August 8, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected August 31, 2024.
August 8, 2024
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 31, 2024.
September 28, 2023
Tag F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity B: pattern, no actual harm, potential for minimal harm. Corrected October 19, 2023.
September 28, 2023
Tag F0641Ensure each resident receives an accurate assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 19, 2023.
September 28, 2023
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 19, 2023.
September 28, 2023
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 19, 2023.
September 28, 2023
Tag F0658Ensure services provided by the nursing facility meet professional standards of quality.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 19, 2023.
September 28, 2023
Tag F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected October 19, 2023.
September 28, 2023
Tag F0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 19, 2023.
September 28, 2023
Tag F0625Notify 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected October 19, 2023.
Penalties
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing
3.24 nurse hours per resident per day in Q2 2026, down from 3.35 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
Non profit
Part of Care Initiatives, a chain of 43 nursing homes.
Average CMS star ratings across the chain: 3.0 overall, 2.7 for health inspections, 3.9 for staffing, 3.7 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Iowa.
What Medicaid pays nursing homes
This is what Iowa Medicaid pays a nursing home for each resident per day. It is not what a family pays privately, but it shows what the state treats as the cost of a day of care.
Median facility daily rate
$307.06per day
About $9,335 a month.
Median we calculated from the state's own facility rate file, January 1, 2026. Based on 381 facilities.
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