Nursing Care Index

Mechanicsville Specialty Care

Mechanicsville, Cedar County, Iowa · CCN 165263 · Non-profit (Corporation) · part of Care Initiatives (43 facilities, chain average 2.9 stars)

CMS rates Mechanicsville Specialty Care 5 of 5 overall as of August 2026. 39 certified beds, 37 residents a day on average. 12 citations on record from the current inspection cycles; no fines on record.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★★★ 5 of 5
Health inspections★★★★☆ 4 of 5
Staffing★★★★☆ 4 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / — of 5

Staffing

Total nurse staffing3.07243 hours per resident per day
Registered nurses0.60128 hours per resident per day
Weekend total2.982 hours per resident per day
Nursing staff turnover38.2% (registered nurses 33.3%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2025-09-04 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-25
2025-09-04 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.
Quality of Life and Care Deficiencies · tag F0693
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-09-25
2024-08-08 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-08-31
2024-08-08
complaint survey
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-31
2023-09-28 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · tag F0804
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-10-19
2023-09-28 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-10-19
2023-09-28
complaint survey
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights Deficiencies · tag F0568
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-10-19
2023-09-28
complaint survey
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.
Resident Rights Deficiencies · tag F0625
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-10-19
2023-09-28 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · tag F0641
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-10-19
2023-09-28 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-10-19
2023-09-28
complaint survey
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-10-19
2023-09-28 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Resident Rights Deficiencies · tag F0582
B No actual harm, with potential for minimal harm; pattern Deficient, Provider has date of correction
2023-10-19

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Care Initiatives
Organization
5% or greater direct ownership interest100%1989-08-01
Computershare Corporate Trust Company, Na
Organization
5% or greater mortgage interest2025-02-01
Computershare Corporate Trust Company, Na
Organization
adp of the snf2025-04-14
Nguyen, Thai
Individual
adp of the snf2025-08-01
Wendt, Tina
Individual
adp of the snf2025-04-14
Beal, Michael
Individual
corporate director2020-06-01
Bowen, Lane
Individual
corporate director2021-01-01
Carothers, Mary Jane
Individual
corporate director2023-01-01
Childs, Kevin
Individual
corporate director2023-04-01
Corless, Peter
Individual
corporate director2025-01-01
Krein, Keith
Individual
corporate director2022-06-29
Rust, Elizabeth
Individual
corporate director2023-01-01
Sturm, Denise
Individual
corporate director2021-01-01
Upmeyer, Linda
Individual
corporate director2022-06-29
Beal, Michael
Individual
corporate officer2020-06-01
Dixon, David
Individual
corporate officer2016-06-01
Drake, Emily
Individual
corporate officer2023-01-04
Gilyard, Tanya
Individual
corporate officer2025-05-23
Kuhn, Jeramy
Individual
corporate officer2008-06-25
Mcdyer, Jessica
Individual
corporate officer2023-02-22
Volm, Johanna
Individual
corporate officer2021-01-01
Baedke, Charissa
Individual
operational/managerial control2024-01-01
Nguyen, Thai
Individual
operational/managerial control2024-01-01
Wendt, Tina
Individual
operational/managerial control2013-08-01

What changed

Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Cedar County.