Mechanicsville Specialty Care: Staffing, Turnover, and Inspection Record
Mechanicsville Specialty Care is a 39-bed nonprofit nursing home in Mechanicsville, Iowa, part of Care Initiatives. In the CMS August 2026 release it reported 2.06 nurse aide hours per resident per day, 18% below the Iowa average of 2.51, and 38.2% nursing staff turnover (Iowa average 44.0%).
Mechanicsville Specialty Care
104 East Fourth StreetMechanicsville, IA 52306
Cedar County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Mechanicsville Specialty Care, nurse aides logged 2.06 hours per resident per day, 18% below the Iowa average. With about 37 residents a day, that works out to roughly 77 aide hours a day, or about 10 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 3% below the all-days figure.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.06 | 2.51 | 2.32 |
| Licensed practical nurses | 0.41 | 0.56 | 0.86 |
| Registered nurses | 0.60 | 0.74 | 0.69 |
| All nursing staff | 3.07 | 3.82 | 3.86 |
| All nursing staff, weekends | 2.98 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
38.2% of nursing staff at Mechanicsville Specialty Care left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. Registered nurse turnover was 33.3%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Sep 4, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 2 health deficiencies (Iowa average 6.5). CMS lists no fines or payment denials for this home in the last three years.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Mechanicsville Specialty Care holds 5 of 5 overall; the Iowa average is 3.1.
About Mechanicsville Specialty Care
- Ownership: Non profit - Corporation
- Chain: Care Initiatives, 43 homes
- Legal name: Care Initiatives
- Medicare and Medicaid certified since: Dec 4, 1995
- Area: rural
Nursing homes near Mechanicsville Specialty Care
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Rehabilitation Center of Lisbon Lisbon | 7.2 | 64 | 2.40 | 3.53 | 49.3% | 4 | None |
| Hallmark Care Center Mount Vernon | 8.8 | 55 | 2.62 | 3.73 | — | 2 | None |
| Clarence Nursing Home Clarence | 9.9 | 46 | 2.54 | 3.58 | 30.0% | 5 | None |
| Cedar Manor Nursing Home Tipton | 11.2 | 54 | 2.91 | 4.16 | 43.6% | 3 | $32,289 |
| Anamosa Care Center Anamosa | 13.6 | 64 | 2.22 | 3.27 | 50.9% | 5 | None |
| Solon Nursing Care Center Solon | 14.3 | 96 | 2.54 | 3.83 | 55.3% | 5 | None |
| Crestview Specialty Care West Branch | 16.9 | 65 | 2.29 | 3.67 | 62.7% | 1 | $216,061 |
| Silver Oak Nursing and Rehabilitation Center LLC Marion | 18.7 | 91 | 2.33 | 3.55 | 55.4% | 1 | $29,107 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.