Nursing home · Top rated by CMS
Mechanicsville Specialty Care
104 East Fourth Street, Mechanicsville, IA 52306 · Map
Non profit - Corporation · Part of Care Initiatives (43 facilities) · 39 certified beds
Mechanicsville Specialty Care is a Medicare-certified nursing home in Mechanicsville, Iowa. CMS rates it 5 out of 5 stars overall (4/5 for staffing, 4/5 for health inspections). Nurse staffing is 3.50 hours per resident per day, below the Iowa average of 3.83. Its most recent inspection on Sep 4, 2025 cited 2 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Mechanicsville Specialty Care compares
This facility vs. the Iowa and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Iowa avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.50 | 3.83 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.56 | 0.73 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.42 | 2.53 | 2.34 | below avg |
| Nursing staff turnover | 28.1% | 43.9% | 46.4% | below avg |
| Deficiencies cited, last inspection | 2.0 | 6.2 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the September 4, 2025 inspection was corrected by September 25, 2025
What inspectors found at Mechanicsville Specialty Care
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
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.
Quality of Life and Care Deficiencies · Sep 4, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Sep 4, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Aug 8, 2024 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Aug 8, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Sep 28, 2023
Show all 12 deficiencies
- Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Sep 28, 2023 - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Sep 28, 2023 - Potential for harm
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.
Resident Rights Deficiencies · Sep 28, 2023 - Potential for harm
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights Deficiencies · Sep 28, 2023 - Potential for harm
Develop 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 Deficiencies · Sep 28, 2023 - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Sep 28, 2023 - Minimal
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · Sep 28, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 104 East Fourth Street
Mechanicsville, IA 52306 - CMS certification #
- 165263
- Ownership
- Non profit - Corporation
- Certified beds
- 39
- Avg residents/day
- 31.1
- Provider type
- Medicare and Medicaid
- First certified
- 1995-12-04
- Chain
- Care Initiatives (43 facilities)
- Setting
- Rural
Part of Care Initiatives
Care Initiatives operates 43 nursing facilities across the United States. View all Care Initiatives facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Mechanicsville Specialty Care using Google Maps.
Other public records
- Website says Works with hospice
Full public records, with dates and sources
Care and services
From the community’s website
What Mechanicsville Specialty Care says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers hospice care on site or works with hospice providers.
Care Initiatives is Iowa’s largest nonprofit provider of high-quality skilled nursing care, hospice care, assisted living, independent living, memory care and more.
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
DOL also concluded 1 case here with no violations found, most recently for a period ending Dec 17, 2004.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Jones Regional Medical Center, Anamosa. 13.5 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- Rehabilitation Center of Lisbon, Lisbon. 7.2 miles away, straight line.
- Nearest home health agency office
- Cedar County Public Health Nursing Services, Tipton. 11.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Mt. Vernon Pharmacy. 8.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 52306 as rural (rural area).
- Hospice
- 8 Medicare hospices tell CMS they serve ZIP code 52306.
Hospice Compassus - Northeast Iowa, office in Cedar Rapids, 20.8 miles away, straight line (CMS family survey rating 4 of 5 stars)
Unitypoint Hospice, office in Cedar Rapids, 21.4 miles away, straight line (CMS family survey rating 3 of 5 stars)
Iowa City Hospice, office in Iowa City, 22.6 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Progressive Rehabilitation Associates LLC, Iowa City. 21.5 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire relatively low, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Mechanicsville Specialty Care a good nursing home?
CMS gives Mechanicsville Specialty Care an overall rating of 5 out of 5 stars, including 4/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Mechanicsville Specialty Care staffed?
Mechanicsville Specialty Care reports 3.50 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has Mechanicsville Specialty Care had inspection problems?
Its most recent CMS inspection cited 2 deficiencies.
How many beds does Mechanicsville Specialty Care have?
Mechanicsville Specialty Care is certified for 39 beds.