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Mechanicsville Specialty Care

Nursing Home & Skilled Nursing · Mechanicsville, IA

CMS overall rating

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Mechanicsville Specialty Care

Nursing Home & Skilled Nursing · Mechanicsville, IA

CMS overall rating

104 East Fourth Street, Mechanicsville, Ia 523060430 View map

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Mechanicsville Specialty Care accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Mechanicsville Specialty Care accepts Medicare, Medicaid, and private pay.

Overview of Mechanicsville Specialty Care

Owned by Thai Nguyen and led by administrator Tina Wendt, Mechanicsville Specialty Care operates a 39-bed nursing home that has served the Cedar County area for 36 years. The property utilizes public funding pathways, including Medicare and Medicaid, alongside standard private pay options. Stays at the building average nearly nine months, establishing a stable residential population that balances short-term, post-hospital recovery therapies with conventional extended care.

An average of 4 hours and 11 minutes of direct daily care is delivered to each resident by the on-site clinical team. Certified nurse aides, licensed practical nurses, and registered nurses divide this round-the-clock schedule to manage everyday physical assistance and medical monitoring. The community is situated in a rural area that requires a vehicle for travel, meaning out-of-town visitors and families rely on personal transportation due to limited neighborhood walkability.

Recent inspection records from state oversight departments noted a few administrative and procedural adjustments, which the team resolved without discovering direct resident-care issues.

Prospective representatives can contact the main business office to check on current bed availability, request details about the rehabilitation schedules, or plan a convenient time to tour the building. The administration can also help you review individual insurance paperwork and explain how public aid or private payment networks apply to standard monthly billing.

Facility Direct Line (563) 432-7235

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

4h 11m per day

vs avg

5 of 6 metrics below state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	34m per day	▼ 23% State avg: 44m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	29m per day	▼ 14% State avg: 34m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 18m per day	▼ 9% State avg: 2h 32m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	3h 11m per day	▼ 5% State avg: 3h 21m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	2m per day	■ Avg State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	26m per day	▼ 15% State avg: 30m per day · National avg: 28m per day

Capacity and availability

279 days

39-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

36 years in operation

A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

Walk Score: 20 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate

74%

Similar to the Iowa average: 75.4%

Occupied beds

29 / 39

Average occupied beds in Iowa homes 51 beds

Facility TypeFree Standing Nursing Facility / Skilled Nursing Facility

StatusActive

IssuanceAugust 1, 1989

ExpirationAugust 1, 2026 Expires in 18 days

CountyCedar

License Number160591

CMS Certification Number165263

Certification TypeFALSE

Mechanicsville Specialty Care is administered by Tina Wendt.

Rehabilitation Services

24-Hour Staffing

Email mechanicsvilleadministrator@careinitiatives.org

Pets not allowed

Operating Hours24 hours a day, seven days a week

Get floorplan photos & videos Schedule a home tour Get detailed pricing Check availability Get brochure

Since 2020 · 6 years of data 30 deficiencies 12 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2020 vs. Iowa state average

Overall vs. IA average

Latest Inspection October 1, 2025

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	IA Average	vs. IA Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	30	27	This facility has 11% more total deficiencies than a typical Iowa assisted living residence (30 vs. IA avg 27).↑ 11% worse
Deficiencies per year Average deficiencies per year since 2020.	5	4.5	This facility has 11% more deficiencies per year than a typical Iowa assisted living residence (5 vs. IA avg 4.5).↑ 11% worse
Deficiencies per inspection Average deficiencies per inspection.	2.5	1.8	This facility has 39% more deficiencies per inspection than a typical Iowa assisted living residence (2.5 vs. IA avg 1.8).↑ 39% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	IA Average	vs. IA Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	12	15	This facility has had 20% fewer total inspections than the Iowa average (12 vs. IA avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↓ 20% fewer

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

September 4, 2025 annual inspection found 2 deficiencies involving resident dignity with urinary catheter bags and incorrect tube feeding water flush amounts.
October 1, 2025 plan of correction accepted, certifying the facility in substantial compliance with no new deficiencies or complaints.
September 25, 2023 annual inspection documented 8 deficiencies including failures in resident funds accounting, care planning, assessment accuracy, and food safety, with one substantiated complaint.

Show Inspection Reports

Inspections since 2023

Total health inspections 3

State average N/A

Last Health inspection on Sep 2025

Total health citations

State average N/A

Citations per inspection

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

8 of 12 citations resulted from standard inspections; and 4 of 12 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

11 moderate citations State average: N/A

1 minor citation State average: N/A

Citations history (last 3 years)

Quality of Care moderate citation Sep 04, 2025

Corrected

Resident Rights moderate citation Sep 04, 2025

Corrected

Nutrition moderate citation Aug 08, 2024

Corrected

Resident Rights moderate citation Aug 08, 2024

Corrected

Total staff 58

Employees 48

Contractors 10

Staff to resident ratio 2.00 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 17

Average shift 7 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 11,012

Nursing staff breakdown

9.5 hours

8.1 hours

7.2 hours

Contractor staffing

422 contractor hours this quarter

Physical Therapy Assistant: 3 Physical Therapy Aide: 2 Respiratory Therapy Technician: 2 Speech Language Pathologist: 1 Qualified Social Worker: 1 Medical Director: 1

Staff by category


Certified Nursing Assistant	28	0	28	5,468	92	100%	7.2
Licensed Practical Nurse	5	0	5	1,380	92	100%	8.1
Medication Aide/Technician	3	0	3	1,022	91	99%	9.4
Registered Nurse	4	0	4	833	74	80%	9.5
Nurse Practitioner	1	0	1	460	59	64%	7.8
Administrator	1	0	1	456	58	63%	7.9
Dietitian	1	0	1	427	66	72%	6.5
Clinical Nurse Specialist	2	0	2	308	44	48%	6.9
Mental Health Service Worker	3	0	3	236	30	33%	7.2
Physical Therapy Aide	0	2	2	128	61	66%	2.1
Speech Language Pathologist	0	1	1	101	39	42%	2.6
Respiratory Therapy Technician	0	2	2	93	29	32%	3.2
Medical Director	0	1	1	45	3	3%	15
Qualified Social Worker	0	1	1	28	21	23%	1.3
Physical Therapy Assistant	0	3	3	27	14	15%	1.8

28 Certified Nursing Assistant

% of Days 100%

5 Licensed Practical Nurse

% of Days 100%

3 Medication Aide/Technician

% of Days 99%

4 Registered Nurse

% of Days 80%

1 Nurse Practitioner

% of Days 64%

1 Administrator

% of Days 63%

1 Dietitian

% of Days 72%

2 Clinical Nurse Specialist

% of Days 48%

3 Mental Health Service Worker

% of Days 33%

2 Physical Therapy Aide

% of Days 66%

1 Speech Language Pathologist

% of Days 42%

2 Respiratory Therapy Technician

% of Days 32%

1 Medical Director

% of Days 3%

1 Qualified Social Worker

% of Days 23%

3 Physical Therapy Assistant

% of Days 15%

View All Staffing Data

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 6.6

35% better than State average

State average: 10.2

Functional decline score 16.7

23% better than State average

State average: 21.6

Long-stay resident measures

Significantly above average State avg: 3.3

Need for Help with Daily Activities Increased 15.2%

19% better than State average

State average: 18.8%

Walking Ability Worsened 10.6%

46% better than State average

State average: 19.7%

Low Risk Residents with Bowel/Bladder Incontinence 24.3%

7% better than State average

State average: 26.2%

Falls with Major Injury 0.0%

100% better than State average

State average: 3.6%

High Risk Residents with Pressure Ulcers 6.4%

47% worse than State average

State average: 4.4%

Urinary Tract Infection 1.8%

29% better than State average

State average: 2.5%

Lost Too Much Weight 1.0%

81% better than State average

State average: 5.0%

Depressive Symptoms 2.8%

27% better than State average

State average: 3.9%

Antipsychotic Use 12.0%

37% better than State average

State average: 19.0%

Pneumococcal Vaccine 100.0%

6% better than State average

State average: 94.4%

Influenza Vaccine 96.6%

In line with State average

State average: 95.3%

Short-stay resident measures

Pneumococcal Vaccine 99.0%

16% better than State average

State average: 85.1%

Antipsychotic medication increase 0.0%

100% better than State average

State average: 1.8%

Influenza Vaccine 82.1%

12% better than State average

State average: 73.3%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Breakdown by payment type

Medicare

22% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

57% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

22% of new residents, often for long-term daily care.

Typical stay 3 years

Total residents 29

Medicaid

75.9% of residents

Private pay or other

24.1% of residents

Financial Trends

Historical financial and operational data for Mechanicsville Specialty Care from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 90.1% ↑ 8.7pp vs 2022

Net Patient Income $247.9K ↑ ~$547.0K vs 2022

Payroll Costs $1.9M ↑ ~$422.2K vs 2022

Operating Margin 7.4% ↑ 18.9pp vs 2022

Financial Performance

Net patient revenue Operating expenses Net patient income

Salaries Wage Costs Contract Labor

Medicare Medicaid Private Pay/Other

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	59.4%	55.9%	54.7%	46.9%	48.8%	49.3%	58.4%	87.7%	82.2%	76.0%	73.6%	81.4%	90.1%
Beds	67	67	67	67	67	67	39	39	39	39	39	39	39
Net Income	-$205,403	-$351,793	-$61,550	-$287,347	-$297,150	-$443,044	-$279,731	-$168,634	-$189,087	-$154,603	-$401,528	-$292,778	$198,977
Gross Revenue	$2,387,846	$2,271,787	$2,352,786	$2,095,744	$2,397,309	$2,389,849	$2,519,379	$2,507,219	$2,449,570	$2,342,095	$2,558,989	$3,378,098	$5,611,651
Operating Expenses	$2,563,229	$2,618,094	$2,381,930	$2,305,281	$2,526,180	$2,563,561	$2,525,696	$2,329,304	$2,324,381	$2,433,321	$2,549,497	$2,918,883	$3,086,561
Net Patient Income	-$212,727	-$346,307	-$65,718	-$288,442	-$299,892	-$443,865	-$279,769	-$170,208	-$172,922	-$400,737	-$403,934	-$299,019	$247,944
Net Patient Revenue	$2,350,502	$2,271,787	$2,316,212	$2,016,839	$2,226,288	$2,119,696	$2,245,927	$2,159,096	$2,151,459	$2,032,584	$2,145,563	$2,619,864	$3,334,505
Payroll Costs	$1,310,533	$1,227,050	$1,273,398	$1,244,464	$1,221,692	$1,321,078	$1,382,801	$1,264,755	$1,222,941	$1,267,736	$1,381,663	$1,501,800	$1,924,029
Operating Margin %	-9.1%	-15.2%	-2.8%	-14.3%	-13.5%	-20.9%	-12.5%	-7.9%	-8.0%	-19.7%	-18.8%	-11.4%	7.4%
Medicare %	9.6%	6.4%	6.9%	6.5%	8.1%	2.6%	2.0%	1.7%	1.1%	1.2%	2.5%	6.7%	2.9%
Medicaid %	38.2%	38.0%	45.6%	45.1%	50.4%	61.8%	68.5%	72.3%	76.4%	80.0%	77.8%	75.2%	80.0%
Private %	52.2%	55.6%	47.5%	48.4%	41.5%	35.6%	29.5%	26.0%	22.5%	18.8%	19.6%	18.1%	17.1%
Net Patient Revenue/Day	$162	$166	$173	$176	$186	$176	$176	$173	$184	$187	$205	$226	$260
Cost/Day	$176	$191	$178	$201	$212	$212	$198	$187	$199	$224	$243	$252	$241
Avg Length of Stay	181.6 days	221.0 days	243.4 days	249.4 days	202.4 days	389.6 days	440.5 days	356.5 days	467.8 days	516.5 days	327.5 days	246.7 days	278.9 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$3.3M

Net patient income

$247.9K

Nonprofit Nonprofit Corporation

Net patient revenue

$3.3M

Net patient income

$247.9K

Other income

$11.8K

Payroll costs

$1.9M 57.7% of net patient revenue

Other operating costs

$1.2M

Total costs

$3.1M

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

Most new residents arrive under private pay (57% of admissions), and a typical private pay stay runs around 2 - 3 months.

Coverage residents most often arrive under.

Medicare 22%

Private pay 57%

Medicaid 22%

Coverage residents most often leave under.

Medicare 33%

Private pay 48%

Medicaid 20%

0.0 miles from city center Estimated distance in miles from Mechanicsville's city center to Mechanicsville Specialty Care's address, calculated via Google Maps.

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The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.


Bethany Home Retirement Center	NH IL MC SNF	Dubuque (Eagle Point District)	-	66	-	69	1 Bed / 2 Bed
Sunrise Retirement Community	NH AL IL MC RC SNF	Sioux City	-	74	A+	22	Studio
Green Hills Retirement Community	NH AL IL MC SNF	Ames (Hamilton Drive)	-	56	-	18	1 Bed / 2 Bed
Meth Wick Community	NH AL IL MC RC SNF	Cedar Rapids (The Meth-Wick Community)	-	69	-	23	-
Mechanicsville Specialty Care	NH SNF	Mechanicsville	-	39	-	20	-

Nursing Home Explorer

Is Mechanicsville Specialty Care in a walkable area?

Mechanicsville Specialty Care has a walk score of 20. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Mechanicsville Specialty Care?

According to IA state health department records, Mechanicsville Specialty Care's license number is 160591.

When does Mechanicsville Specialty Care's license expire?

According to IA state health department records, Mechanicsville Specialty Care's license expires on August 1, 2026.

What is the occupancy rate at Mechanicsville Specialty Care?

Mechanicsville Specialty Care's occupancy is 74%.

Are pets allowed at Mechanicsville Specialty Care?

No, Mechanicsville Specialty Care has a no-pet policy.

What is the best email address for Mechanicsville Specialty Care?

The team at Mechanicsville Specialty Care can be reached at MechanicsvilleAdministrator@careinitiatives.org.

Does Mechanicsville Specialty Care operate as a for-profit or non-profit?

Mechanicsville Specialty Care is registered as a non-profit in IA.

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Mechanicsville Specialty Care

Overview of Mechanicsville Specialty Care

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Contact Information

Additional Policies & Features

Amenities & Lifestyle

Contact Mechanicsville Specialty Care

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

28 Certified Nursing Assistant

5 Licensed Practical Nurse

3 Medication Aide/Technician

4 Registered Nurse

1 Nurse Practitioner

1 Administrator

1 Dietitian

2 Clinical Nurse Specialist

3 Mental Health Service Worker

2 Physical Therapy Aide

1 Speech Language Pathologist

2 Respiratory Therapy Technician

1 Medical Director

1 Qualified Social Worker

3 Physical Therapy Assistant

Penalties and fines

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

Places of interest near Mechanicsville Specialty Care

Calculate Travel Distance to Mechanicsville Specialty Care

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