Show Inspection Reports
Total health inspections
3
Iowa average 4.9
Last Health inspection on Sep 2025
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.
Mechanicsville Specialty Care
Nursing Home
Mechanicsville Specialty Care
Nursing Home
Mechanicsville Specialty Care in Mechanicsville offers skilled nursing, long-term care, and rehabilitation services. The facility is committed to providing compassionate, individualized care for residents while also supporting their families. It is licensed to care for up to 39 residents, ensuring quality care 24/7.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
39
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
90.1%
Residents per day (avg)
32
Occupancy rate
90.1%
Residents per day (avg)
32
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
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
Finances and operations
Voluntary non-profit home
Other
Home revenue
$5.6M
Surplus of revenue
$199.0K
Voluntary non-profit home
Other
Home revenue
$5,623,497.00
Surplus of revenue
$198,977.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.6M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$5.4M
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.
About this community
Occupancy Rate
74%
Occupied Beds
29 of 39
Percentage of available beds currently in use by residents.
License Status
ActiveFacility Type
Free Standing NF/SNF
License Date
August 1, 1989
Additional licensing details
License number:
160591
CMS Certification Number:
165263
Certification type:
FALSE
County:
Cedar
Ownership & operating entity
Mechanicsville Specialty Care is administrated by Tina Wendt.
Care Services
Nursing Services
Rehabilitation Services
Skilled Nursing
24-Hour Staffing
Contact Information
Email:
[email protected]
Programs & Activities
Specific Programs
Skilled Nursing Care, Long-Term Care, Rehabilitation Services, Hospice Care
Operating Hours
24 hours a day, seven days a week
Inspection History
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
12 visits/inspections
Latest inspection
Date:October 1, 2025
13 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Compare Nursing Homes around Iowa
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Akron Care Center, INC
+15%
+10%
+30%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 510017716
45
No
CITY OF AKRON
98.1%
$4,650,730.00
$2,144,112.00
46.1%
42.00
4.7098
-
4
-
+15%+10%+30%
Accura HealthCare of Carlisle
-40%
+36%
+7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 500478733
46
No
AMERICAN HEALTHCARE ASSOCIATES INC
80.5%
$4,098,046.00
$2,453,646.00
59.9%
38.90
5.8515
-
17
2
-40%+36%+7%
Mechanicsville Specialty Care
-17%
-2%
+19%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 523060430
39
No
NGUYEN, THAI
90.1%
$5,611,651.00
$1,757,955.00
31.3%
32.30
4.1895
-
12
-
-17%-2%+19%
Accura Healthcare of Spirit Lake
-8%
-12%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 513601000
85
No
-
66.6%
$7,053,735.00
$3,009,392.00
42.7%
65.20
4.2922
1
21
1
-8%
0%
-12%
Accura Healthcare of Lake City, LLC
-33%
+20%
-7%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
IA 514499701
46
No
ACCURA HEALTHCARE OF THE HEARTLAND LLC
70.4%
$2,045,587.00
$969,532.00
47.4%
39.80
5.1665
4
39
4
-33%+20%-7%
Akron Care Center, INC
Type of care:
SNF
AL
Community:
IA 510017716
Bed Count:
45
Pets Allowed:
No
Operator:
CITY OF AKRON
CCN:
165595
Occupancy:
98.1%
Home Revenue:
$4,650,730.00
Payroll Costs:
$2,144,112.00
Payroll %:
46.1%
Avg Residents/Day:
42.00
Overall Rating:
Adj Nurse Hours:
4.7098
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
4
RN share vs State Avg:
+15%
+15%
Staffing vs State Avg:
+10%
+10%
Occupancy vs State Avg:
+30%
+30%
Accura HealthCare of Carlisle
Type of care:
SNF
AL
Community:
IA 500478733
Bed Count:
46
Pets Allowed:
No
Operator:
AMERICAN HEALTHCARE ASSOCIATES INC
CCN:
165311
Occupancy:
80.5%
Home Revenue:
$4,098,046.00
Payroll Costs:
$2,453,646.00
Payroll %:
59.9%
Avg Residents/Day:
38.90
Overall Rating:
Adj Nurse Hours:
5.8515
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
17
Severe Citations:
2
RN share vs State Avg:
-40%
-40%
Staffing vs State Avg:
+36%
+36%
Occupancy vs State Avg:
+7%
+7%
Mechanicsville Specialty Care
Type of care:
SNF
AL
Community:
IA 523060430
Bed Count:
39
Pets Allowed:
No
Operator:
NGUYEN, THAI
CCN:
165263
Occupancy:
90.1%
Home Revenue:
$5,611,651.00
Payroll Costs:
$1,757,955.00
Payroll %:
31.3%
Avg Residents/Day:
32.30
Overall Rating:
Adj Nurse Hours:
4.1895
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
12
RN share vs State Avg:
-17%
-17%
Staffing vs State Avg:
-2%
-2%
Occupancy vs State Avg:
+19%
+19%
Accura Healthcare of Spirit Lake
Type of care:
SNF
AL
Community:
IA 513601000
Bed Count:
85
Pets Allowed:
No
CCN:
165528
Occupancy:
66.6%
Home Revenue:
$7,053,735.00
Payroll Costs:
$3,009,392.00
Payroll %:
42.7%
Avg Residents/Day:
65.20
Overall Rating:
Adj Nurse Hours:
4.2922
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
21
Severe Citations:
1
RN share vs State Avg:
-8%
-8%
Staffing vs State Avg:
0%
Occupancy vs State Avg:
-12%
-12%
Accura Healthcare of Lake City, LLC
Type of care:
SNF
AL
Community:
IA 514499701
Bed Count:
46
Pets Allowed:
No
Operator:
ACCURA HEALTHCARE OF THE HEARTLAND LLC
CCN:
165082
Occupancy:
70.4%
Home Revenue:
$2,045,587.00
Payroll Costs:
$969,532.00
Payroll %:
47.4%
Avg Residents/Day:
39.80
Overall Rating:
Adj Nurse Hours:
5.1665
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
4
Citations:
39
Severe Citations:
4
RN share vs State Avg:
-33%
-33%
Staffing vs State Avg:
+20%
+20%
Occupancy vs State Avg:
-7%
-7%Places of interest near Mechanicsville Specialty Care
Mechanicsville, IA 523060430
Mechanicsville, IA 523060430
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
52
Total Staff
44
Employees
8
Contractors
11,396
Total Hours (Quarter)
17
Avg Staff/Day
7.4
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 5 | 8.5 | No |
| Licensed Practical Nurse | 4 | 8.1 | No |
| Certified Nursing Assistant | 24 | 7.4 | No |
Staff by Category
Administration ⓘ
2 staff
8.1hs shift avg
Nursing Staff ⓘ
37 staff
7.9hs shift avg
Physicians & Practitioners ⓘ
3 staff
7.8hs shift avg
Therapy Services ⓘ
5 staff
3hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
2.1hs shift avg
Dietary Services ⓘ
1 staff
7.1hs shift avg
Other Services ⓘ
2 staff
8.3hs shift avg
Contractor Analysis
4.9%
of total hours from contractors
557 contractor hours this quarter
Physical Therapy Assistant: 1
Speech Language Pathologist: 1
Physical Therapy Aide: 1
Respiratory Therapy Technician: 2
Qualified Social Worker: 2
Medical Director: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 24 | 0 | 24 | 6,054 | 91 | 100% | 7.4 |
| Licensed Practical Nurse | 4 | 0 | 4 | 1,155 | 91 | 100% | 8.1 |
| Registered Nurse | 5 | 0 | 5 | 1,135 | 87 | 96% | 8.5 |
| Medication Aide/Technician | 3 | 0 | 3 | 1,043 | 88 | 97% | 10.3 |
| Administrator | 1 | 0 | 1 | 496 | 63 | 69% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 496 | 63 | 69% | 7.9 |
| Dietitian | 1 | 0 | 1 | 403 | 57 | 63% | 7.1 |
| Physical Therapy Aide | 0 | 1 | 1 | 157 | 54 | 59% | 2.9 |
| Speech Language Pathologist | 0 | 1 | 1 | 143 | 47 | 52% | 3 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 95 | 25 | 27% | 3.8 |
| Physical Therapy Assistant | 0 | 1 | 1 | 62 | 25 | 27% | 2.5 |
| Qualified Social Worker | 0 | 2 | 2 | 62 | 30 | 33% | 2.1 |
| Medical Director | 0 | 1 | 1 | 38 | 3 | 3% | 12.5 |
| Mental Health Service Worker | 2 | 0 | 2 | 25 | 3 | 3% | 8.3 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 24 | 4 | 4% | 6 |
| RN Director of Nursing | 1 | 0 | 1 | 8 | 1 | 1% | 7.8 |
Health Inspection History
Inspections
Total health citations
12
Citations per inspection
4
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
0
0
100% better than Iowa averageIowa average: 0.6
Serious Health citations
0
0
100% better than Iowa averageIowa average: 0.9
0 critical citations
0 serious citations
11 moderate citations
1 minor citation
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
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: Non-Profit Corporation
Part of: Care Initiatives
Resident Census by Payment Source
29
Total Residents
Medicaid
22
(75.9%)
ⓘ
Private Pay/Other
7
(24.1%)
ⓘ
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.6
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.6
35% better than Iowa averageIowa average: 10.2
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
16.7
23% better than Iowa averageIowa average: 21.6
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
15.2%
Percent of long-stay residents whose need for help with daily activities has increased
15.2%
19% better than Iowa averageIowa average: 18.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
10.6%
Percent of long-stay residents whose ability to move independently worsened
10.6%
46% better than Iowa averageIowa average: 19.7%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
24.3%
7% better than Iowa averageIowa average: 26.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Iowa averageIowa average: 3.6%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
6.4%
Percent of long-stay high risk residents with pressure ulcers
6.4%
47% worse than Iowa averageIowa average: 4.4%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.8%
Percent of long-stay residents with a urinary tract infection
1.8%
29% better than Iowa averageIowa average: 2.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.0%
Percent of long-stay residents who lose too much weight
1.0%
81% better than Iowa averageIowa average: 5.0%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
2.8%
Percent of long-stay residents who have depressive symptoms
2.8%
27% better than Iowa averageIowa average: 3.9%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
12.0%
Percent of long-stay residents who received an antipsychotic medication
12.0%
37% better than Iowa averageIowa average: 19.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Iowa averageIowa average: 94.4%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.6%
In line with Iowa averageIowa average: 95.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
16% better than Iowa averageIowa average: 85.1%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa averageIowa average: 1.8%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
82.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
82.1%
12% better than Iowa averageIowa average: 73.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Mechanicsville Specialty Care based on CMS SNF Cost Reports.
Occupancy Rate
90.1%
↑ 8.7pp vs 2022
Net Income
$198,977
↑ ~$492K vs 2022
Total Payroll
$2,001,274
↑ ~$98K vs 2022
Profit Margin
3.6%
↑ 12.2pp vs 2022
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