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Nursing homeFAID #4191

Mechanicsville Specialty Care

104 East Fourth Street, MECHANICSVILLE, IA, 52306
(563) 346-0982
39 licensed beds
★★★★★5/5CMS Five-Star overall4/5 health inspections4/5 staffing5/5 quality measuresSource: CMS Care Compare

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Address

104 East Fourth Street
Mechanicsville, IA 52306
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Public record summary

What we can show you for free.
Bed capacity
39
CMS facility ID
165263
Care type
Nursing home
County
Cedar
Facility name
Mechanicsville Specialty Care
Street address
104 East Fourth Street
City / state / ZIP
Mechanicsville, IA 52306
Phone
(563) 346-0982

About this facility — Mechanicsville Specialty Care

Mechanicsville Specialty Care is a Medicare/Medicaid-certified skilled nursing facility in Mechanicsville, Iowa. It is licensed for 39 beds — below the median for skilled nursing facilities in Iowa (57 beds).

It is one of 1 senior care facility in Mechanicsville and 389 skilled nursing facilities across Iowa. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Mechanicsville Specialty Care 19 times across 8 inspections in the last three years, including 3 food-safety citations; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Care Initiatives
Ownership type
Non profit - Corporation

Registered owners & officers

Care Initiatives
Direct owner — 100% stake — since 1989
Baedke, Charissa
Operational control — since 2024
Beal, Michael
Director · Officer — since 2020
Bowen, Lane
Director — since 2021
Carothers, Mary Jane
Director — since 2023
Childs, Kevin
Director — since 2023
Computershare Corporate Trust Company, Na
Mortgage holder · Additional disclosable party — since 2025
Corless, Peter
Director — since 2025
Dixon, David
Officer — since 2016
Drake, Emily
Officer — since 2023
Gilyard, Tanya
Officer — since 2025
Krein, Keith
Director — since 2022
Kuhn, Jeramy
Officer — since 2008
Mcdyer, Jessica
Officer — since 2023
Nguyen, Thai
Operational control · Additional disclosable party — since 2024
Rust, Elizabeth
Director — since 2023
Sturm, Denise
Director — since 2021
Upmeyer, Linda
Director — since 2022
Volm, Johanna
Officer — since 2021
Wendt, Tina
Operational control · Additional disclosable party — since 2013

Regulatory standing

Federal court records
18 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1995-12-04
CMS overall rating
5 of 5 stars
Health deficiencies
2 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-09-04
Nurse staffing
3.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$437 per day (≈ $13,280/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
80% Medicaid · 3% Medicare · 17% private/other
Occupancy
90% (fiscal year 2023)
Vs. state median
28% above the IA median of $342/day — full state cost breakdown

Services & coverage

Licensed beds
39
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.
2025-09-04Health inspection2 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-09-25
F-0693
D · No harm found
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.
Corrected 2025-09-25
2024-08-08Health inspectionComplaint-triggered2 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-08-31
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-08-31
4 earlier / fire-safety inspections (15 citations)
2023-09-28Health inspectionComplaint-triggered8 citations
F-0568
D · No harm foundFrom a complaint
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2023-10-19
F-0582
B · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2023-10-19
F-0625
D · No harm foundFrom a complaint
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.
Corrected 2023-10-19
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-10-19
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-10-19
F-0658
D · No harm foundFrom a complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-10-19
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-10-19
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-10-19
2025-09-04Fire-safety inspection2 citations
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-09-05
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-09-05
2024-08-08Fire-safety inspection1 citation
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-08-13
2023-09-28Fire-safety inspection4 citations
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-10-10
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-10-05
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-10-31
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-10-10
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 165263.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 19 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered