Occupancy rate
74%
In line with Iowa averageMix 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.
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Nursing Home in Iowa
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Mechanicsville Specialty Care
Nursing Home in Iowa
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Mechanicsville Specialty Care
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
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
39
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
74.4%
Residents per day (avg)
32
Occupancy rate
74.4%
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 community
Home revenue
$5.6M
Surplus of revenue
$199.0K
Voluntary non-profit community
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
In line with Iowa averageOccupied beds
29 / 39
Average residents
51 per day
License details
Facility type
Free Standing Nf/snf
Status
Active
Issuance
August 1, 1989
County:
Cedar
Additional licensing details
License number:
160591
CMS Certification Number:
165263
Certification type:
FALSE
Ownership & operating entity
Mechanicsville Specialty Care is administrated by Tina Wendt.
Care Services
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
Iowa average: 17 visits/inspections
Iowa average: 0 inspections
Show Inspection Reports
Latest inspection
Date
October 1, 2025
13 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Iowa average: 27 deficiencies
Inspection Report Summary for Mechanicsville Specialty Care
The most recent inspection on October 1, 2025, found the facility to be in substantial compliance following a plan of correction. Prior inspections showed deficiencies related mainly to resident rights and dignity, including issues with urinary catheter care and tube feeding protocols, as well as food safety and documentation of resident funds and care plans. Complaint investigations were generally unsubstantiated, with one substantiated facility-reported incident involving food safety in August 2024. There were no fines, immediate jeopardy findings, or license actions listed in the available reports. The facility’s record shows some recurring themes in resident dignity and care practices, with recent inspections indicating efforts toward correction and compliance.
Health Inspection History
Inspections
Total health inspections
3
Iowa average 4.9
Last Health inspection on Sep 2025
Total health citations
12
Iowa average 21.7
Citations per inspection
4
Iowa average 4.11
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
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 04, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 04, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Sep 04, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Sep 04, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 08, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
Aug 08, 2024
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Aug 08, 2024
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
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.
Compare Nursing Homes around Iowa The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
Filter by care type
Akron Care Center, INC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Akron
45
98.1%
+30%
4.71
+10%
0
4
2.0
0
42
City Of Akron
$4.7M
$2.1M
46.1%
165595
Accura HealthCare of Carlisle
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Carlisle
46
80.5%
+7%
5.85
+36%
0
17
5.7
2
39
American Healthcare Associates Inc
$4.1M
$2.5M
59.9%
165311
Mechanicsville Specialty Care
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Mechanicsville
39
90.1%
+19%
4.19
-2%
0
12
4.0
0
32
Nguyen, Thai
$5.6M
$1.8M
31.3%
165263
Accura Healthcare of Spirit Lake
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Spirit Lake
85
66.6%
-12%
4.29
0%
1
21
7.0
1
65
-
$7.1M
$3.0M
42.7%
165528
Accura Healthcare of Lake City, LLC
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Lake City
46
70.4%
-7%
5.17
+20%
4
39
3.9
4
40
Accura Healthcare Of The Heartland Llc
$2.0M
$1.0M
47.4%
165082
Places of interest near Mechanicsville Specialty Care
0.0 miles from city center
104 East Fourth Street, Mechanicsville, IA 523060430
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
52
Employees
44
Contractors
8
Staff to resident ratio
1.79:1
10% worse than Iowa averageIowa average ratio: 2.00:1
Avg staff/day
17
Average shift
7.4 hours
0% compared with Iowa averageIowa average: 7.4 hours
Total staff hours (quarter)
11,396
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
5
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
4
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
24
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
4.9%
557 contractor hours this quarter
Respiratory Therapy Technician: 2
Qualified Social Worker: 2
Physical Therapy Assistant: 1
Speech Language Pathologist: 1
Physical Therapy Aide: 1
Medical Director: 1
Staff by category
| 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 |
24 Certified Nursing Assistant
% of Days
100%
4 Licensed Practical Nurse
% of Days
100%
5 Registered Nurse
% of Days
96%
3 Medication Aide/Technician
% of Days
97%
1 Administrator
% of Days
69%
1 Nurse Practitioner
% of Days
69%
1 Dietitian
% of Days
63%
1 Physical Therapy Aide
% of Days
59%
1 Speech Language Pathologist
% of Days
52%
2 Respiratory Therapy Technician
% of Days
27%
1 Physical Therapy Assistant
% of Days
27%
2 Qualified Social Worker
% of Days
33%
1 Medical Director
% of Days
3%
2 Mental Health Service Worker
% of Days
3%
2 Clinical Nurse Specialist
% of Days
4%
1 RN Director of Nursing
% of Days
1%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
29 residents
Residents by payment source
Medicaid
22 residents (75.9%)
Private pay or other
7 residents (24.1%)
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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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