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B
Good

Mechanicsville Specialty Care

104 East Fourth Street Box 430 · Mechanicsville, IA 52306

5634327235 · Non profit - Corporation

39 beds31.1 residents49 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
B
Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Mechanicsville Specialty Care receives an overall staffing grade of B (Good). With 3.5015 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.5662 HPRD, below the recommended 0.75. It is 0.39 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 4.24% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.5662 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (5)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
✅Consistent weekend staffing — only 4.24% drop-off
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.5015hrs/resident/day▼ 0.39
CMS benchmark: 3.48
RN HPRD
0.5662hrs/resident/day▼ 0.12
Recommended: 0.75
Weekend Drop-off
4.24%
3.544 weekday → 3.3937 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.0297hrs/resident/day
Direct care aides
LPN HPRD
0.512hrs/resident/day
Licensed practical nurses
Consistency
0.235std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Cedar County Average+0.02 HPRD
3.48
03.50 HPRD
vs. Iowa State Average-0.32 HPRD
3.82
03.50 HPRD
vs. National Average-0.39 HPRD
3.90
03.50 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Mechanicsville Specialty Care ★
Mechanicsville · This facility
—
B
3.50150.5662★★★★★
Hallmark Care Center
Mount Vernon
8.7 mi
C
3.72350.4801★★★☆☆
Anamosa Care Center
Anamosa
14 mi
C
3.31890.5736★★★★★
Crestview Specialty Care
West Branch
16.5 mi
C
3.16180.7422★☆☆☆☆
Silver Oak Nursing and Rehabilitation Center LLC
Marion
18.9 mi
C
3.44810.5018★☆☆☆☆
Iowa City Rehab & Health Care
Iowa City
19.9 mi
C
3.02040.6712★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
12
Total Deficiencies
$0
Fines Assessed
Sep 4, 2025Health
2 deficiencies cited
▼
Aug 8, 2024Health
2 deficiencies cited
▼
Sep 28, 2023Health
8 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.