Mechanicsville, IA

Mechanicsville Specialty Care

5-star overall rating with 4-star inspections with 2 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

104 East Fourth Street, Mechanicsville, IA

(563) 432-7235

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

39

Certified beds

Average residents

31

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

Care Initiatives

Operator or chain grouping

Approved since

1995-12-04

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.56

Registered nurse staffing

LPN hours / resident day

0.51

Licensed practical nurse staffing

Aide hours / resident day

2.42

Nurse aide staffing

Weekend hours

3.40

Weekend nurse staffing

RN turnover

67%

Annual RN turnover

Total nurse turnover

28%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
94.0%
6 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.6%
95.2%
1.4 pts better
95.5%
1.1 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 0.0%
3.7%
3.7 pts better
3.3%
3.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 2.0%
4.0%
2 pts better
11.4%
9.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 1.0%
4.9%
3.9 pts better
5.4%
4.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 14.6%
20.6%
6 pts better
19.6%
5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 7.1%
19.8%
12.7 pts better
16.7%
9.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.2%
0.2 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 6.2%
18.5%
12.3 pts better
16.3%
10.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 12.8%
18.3%
5.5 pts better
14.9%
2.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 2.7%
1.7%
1 pts worse
1.0%
1.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 2.7%
2.5%
0.2 pts worse
1.7%
1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 23.3%
26.0%
2.7 pts better
19.8%
3.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 4.6%
4.3%
0.3 pts worse
5.1%
0.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
84.3%
15.7 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.9%
1.9 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 82.1%
73.3%
8.8 pts better
79.7%
2.4 pts better
Short Stay · 2024Q3-2025Q2

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-09-04 · Fire 2025-09-04

2 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2024-08-08 · Fire 2024-08-08

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 3 Health 2023-09-28 · Fire 2023-09-28

8 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-09-04

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-09-05

F · Potential for more than minimal harm 2025-09-04

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-09-05

F · Potential for more than minimal harm 2024-08-08

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-08-13

F · Potential for more than minimal harm 2023-09-28

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-10-10

F · Potential for more than minimal harm 2023-09-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-10-05

F · Potential for more than minimal harm 2023-09-28

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-10-31

F · Potential for more than minimal harm 2023-09-28

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-10-10

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-04

F550 · Resident Rights Deficiencies

Health

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

Corrected 2025-09-25

D · Potential for more than minimal harm 2025-09-04

F693 · Quality of Life and Care Deficiencies

Health

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 2025-09-25

F · Potential for more than minimal harm 2024-08-08

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-08-31

D · Potential for more than minimal harm 2024-08-08

F550 · Resident Rights Deficiencies

Health

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

Corrected 2024-08-31

E · Potential for more than minimal harm 2023-09-28

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-10-19

E · Potential for more than minimal harm 2023-09-28

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-10-19

D · Potential for more than minimal harm 2023-09-28

F568 · Resident Rights Deficiencies

Health

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

Corrected 2023-10-19

D · Potential for more than minimal harm 2023-09-28

F625 · Resident Rights Deficiencies

Health

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 2023-10-19

D · Potential for more than minimal harm 2023-09-28

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-10-19

D · Potential for more than minimal harm 2023-09-28

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-10-19

D · Potential for more than minimal harm 2023-09-28

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-10-19

B · Minimal harm 2023-09-28

F582 · Resident Rights Deficiencies

Health

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

Corrected 2023-10-19

Penalties and ownership

What sits behind the stars

Ownership

Care Initiatives

5% Or Greater Direct Ownership Interest · Organization

100% 43 facilities 1989-08-01
Baedke, Charissa

Operational/Managerial Control · Individual

0% 12 facilities 2024-01-01
Beal, Michael

Corporate Director · Individual

0% 43 facilities 2020-06-01
Beal, Michael

Corporate Officer · Individual

0% 43 facilities 2020-06-01
Bowen, Lane

Corporate Director · Individual

0% 44 facilities 2021-01-01
Carothers, Mary Jane

Corporate Director · Individual

0% 43 facilities 2023-01-01
Childs, Kevin

Corporate Director · Individual

0% 43 facilities 2023-04-01
Computershare Corporate Trust

5% Or Greater Mortgage Interest · Organization

0% 41 facilities 2025-02-01
Corless, Peter

Corporate Director · Individual

0% 40 facilities 2025-01-01
Dixon, David

Corporate Officer · Individual

0% 44 facilities 2016-06-01
Drake, Emily

Corporate Officer · Individual

0% 43 facilities 2023-01-04
Gilyard, Tanya

Corporate Officer · Individual

0% 40 facilities 2025-05-23
Krein, Keith

Corporate Director · Individual

0% 43 facilities 2022-06-29
Kuhn, Jeramy

Corporate Officer · Individual

0% 43 facilities 2008-06-25
Mcdyer, Jessica

Corporate Officer · Individual

0% 43 facilities 2023-02-22
Nguyen, Thai

Operational/Managerial Control · Individual

0% 2 facilities 2024-01-01
Rust, Elizabeth

Corporate Director · Individual

0% 43 facilities 2023-01-01
Sturm, Denise

Corporate Director · Individual

0% 43 facilities 2021-01-01
Upmeyer, Linda

Corporate Director · Individual

0% 43 facilities 2022-06-29
Volm, Johanna

Corporate Officer · Individual

0% 27 facilities 2021-01-01
Wendt, Tina

Operational/Managerial Control · Individual

0% 1 facilities 2013-08-01

Nearby options

Other facilities in reach

#1

Rehabilitation Center of Lisbon

Lisbon, IA

4-star overall rating with 4-star inspections with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

Overall
4 / 5
Health
4 / 5
Staffing
4 / 5
Fines
$0
#2

Hallmark Care Center

Mount Vernon, IA

3-star overall rating with 4-star inspections with 5 recent health deficiencies

Overall
3 / 5
Health
4 / 5
Staffing
1 / 5
Fines
$0
#3

Clarence Nursing Home

Clarence, IA

5-star overall rating with 4-star inspections with 1 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

Overall
5 / 5
Health
4 / 5
Staffing
4 / 5
Fines
$0

Jump out

Supporting pages