GoodStanding

Nursing home report

Mechanicsville Specialty Care

Mechanicsville, IA · Medicare-certified · 39 beds

In good standing
Non-profitChain member
Data as of July 1, 2026
5 of 5 overall

Mechanicsville Specialty Care has an overall 5 of 5 stars, with 4 of 5 for health inspection and staffing and 5 of 5 for quality measures. It reported 3.07 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had $0 in fines over the last 24 months, and recent inspection issues included food safety/temperature and resident dignity rights.

Facility ratings

Health inspections

Staffing

3.0724 hrs/resident/day

Quality measures

Last inspection: September 4, 2025Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0724.

Staffing detail

Registered nurses
0.60
Licensed practical nurses
0.41
Nurse aides
2.06
Weekend nursing
2.98

Hours per resident per day.

Total staff turnover: 38%
Registered nurse turnover: 33%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

4.3%4.2%No change

Residents with a fall causing major injury

0%0%No change

Residents with pressure ulcers (bedsores)

8.2%0%Improving

Residents with a urinary tract infection

3.3%0%Improving

Residents who lost too much weight

0%0%No change

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

19.2%7.7%Improving

Residents whose ability to walk got worse

15.8%

Long-stay residents on antianxiety or sleep medication

14.3%10.7%Improving

Short-stay residents newly given an antipsychotic

0%

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

26.2%21.9%Improving

Residents with depressive symptoms

0%3.2%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

96.6%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

82.1%

Short-stay residents given the pneumonia vaccine

100%100%No change

What the inspectors found

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited September 2023 — limited pattern, potential for harm.

View the original federal record

F-Tag 804 — 42 CFR §483.60 — S/S: E

The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited September 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 550 — 42 CFR §483.10(a) — S/S: D

The home failed to make sure feeding tubes were used only when medically needed and that residents with feeding tubes received proper care. Cited September 2025 — isolated incident, potential for harm.

View the original federal record

F-Tag 693 — 42 CFR §483.25 — S/S: D

The home failed to properly hold, secure, and manage residents’ personal money kept by the facility. Cited September 2023 — isolated incident, potential for harm.

View the original federal record

F-Tag 568 — 42 CFR §483.10 — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 8 health deficiencies.

    See what inspectors found

Operator & ownership

Ownership
Non profit - Corporation
Chain
Part of CARE INITIATIVES · 43 homes · 3 stars avg
Occupancy
37.4 residents on an average day (96% of 39 beds)
Medicare history
Certified for 30 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.