Nursing HomeMedicaid Top Rated

Mechanicsville Specialty Care

Strong Medicare quality ratings; families often praise responsive and friendly staff. Still worth an in-person visit.

104 East Fourth Street, Mechanicsville, IA 52306|39 beds|Licensed & Active

5/5

Medicare

Inspection

Quality

Staffing

Google rating

5.0/5

based on 9 Google reviews

(563) 432-7235 Directions Website

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What this means for your family

Mechanicsville Specialty Care is highly regarded by families for its attentive staff and proactive communication. Given the consistently positive feedback, you can feel confident in the facility's responsiveness, but we recommend scheduling a tour to observe the daily activity levels firsthand.

Google Reviews

9 reviews on Google

“Mechanicsville Specialty Care receives consistent praise for its attentive staff and clean environment. Families appreciate the facility's responsiveness and the quality of care provided to their loved ones, noting that communication remains a priority.”

Quality Themes

Tap a score for details

Strengths

Responsive and friendly staff
Clean equipment and facilities
Proactive family communication

Rating Trends

Tap a year to see what changed

Distribution · 9 analyzed

How They Respond to Reviews

56%response rate

This facility responds to some reviews.

Questions for Your Tour

1We've noticed how much the staff seems to prioritize communication with families; how do you typically keep us updated on our loved one's daily well-being?
2Since the facility is so well-maintained and clean, what is your routine for ensuring the resident rooms and common areas stay sanitized and comfortable?
3With a smaller, intimate community of 39 residents, how do you ensure that each person's specific daily routine and social activities are personalized to their interests?
4Could you walk us through the protocol for handling medical emergencies or sudden changes in health during the overnight hours?
5We saw that the team is very responsive to feedback; how does the administration handle and resolve any concerns or suggestions brought forward by families?
6How do you manage staffing levels during busy shifts to ensure that the high standard of care and friendliness the team is known for remains consistent?

Personalized based on this facility's data

Key Review Excerpts

“We enjoy working with the staff at Mechanicsville Specialty Care. They are always responsive, helpful, and friendly.”

Professional partner/vendor · 2023★★★★★

“Thank you for the care and concern shown to my mother. It is reassuring to have her there with all of you.”

Long-term resident's family · 2022★★★★★

“This is a great place they treat my ailing mom very well. Even when she pistol. pistol. Keeps family informed .”

Long-term resident's family · 2025★★★★★

Source: 9 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.57hrs

76%

Registered nurses for medical care

Total Nursing

3.35hrs

82%

All nurses + aides combined

Staff Turnover

34%

Lower is better (< 30% = good)

RN Turnover

50%

Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

5/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility4.7%

Better than Avg

Here

4.7%

15.5%

19.4%

Cedar

20.9%

😔

Residents with depression symptoms

↓ Lower is better

This Facility1.0%

Better than Avg

Here

1.0%

12.1%

4.1%

Cedar

5.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility11.5%

Better than Avg

Here

11.5%

19.5%

20.7%

Cedar

14.3%

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility27.3%

Mixed vs Avgs

Here

27.3%

19.4%

25.9%

Cedar

29.0%

🚶

Residents whose walking got worse

↓ Lower is better

This Facility12.0%

Better than Avg

Here

12.0%

15.3%

17.5%

Cedar

18.9%

💉

Residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

93.4%

93.9%

Cedar

98.1%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility100.0%

Better than Avg

Here

100.0%

81.8%

84.1%

Cedar

89.6%

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility82.1%

Mixed vs Avgs

Here

82.1%

79.8%

73.3%

Cedar

88.8%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.0%

Better than Avg

Here

0.0%

1.6%

2.0%

Cedar

2.1%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies

Well below state avg (6.2)

4 complaint-triggered

This facility shows concerning patterns with recurring safety deficiencies in emergency lighting and fire sprinkler systems appearing across all three surveys, plus repeated violations in resident rights and dietary services. Families have filed complaints that triggered federal investigations into issues including resident dignity, personal money management, and care planning. While the facility corrects violations when cited, the persistence of similar problems across multiple years, particularly in building safety systems, suggests ongoing operational challenges that families should carefully consider.

Sep 4, 2025Routine4 findings

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0693Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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.

Aug 8, 2024Routine2 findings

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Aug 8, 2024Complaint1 finding

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Sep 28, 2023Routine9 findings

0291Potential for harm · WidespreadCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0804Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0582Minimal · PatternCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Sep 28, 2023Complaint3 findings

0568Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

0625Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0658Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

State Inspection History

State Inspections

Source: Iowa Dept. of Inspections, Appeals & Licensing

10total

14deficiencies

Jun 9, 2026OtherNo deficiencies

Clean