Above average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Mechanicsville Specialty Care during CMS and state inspections, most recent first.
A resident with moderate cognitive impairment, neurogenic bladder, spastic quadriplegic cerebral palsy, and a urinary catheter was observed in bed with the catheter drainage bag hanging uncovered beside the bed on more than one occasion. The DON stated catheter drainage bags were expected to be kept in a dignity bag, and a CNA said catheter bags go in the blue dignity bag, while the facility’s dignity policy directed staff to help keep urinary catheter bags covered.
Incorrect Tube Feeding Flush Administration: A resident with moderate cognitive impairment, spastic quadriplegic cerebral palsy, and a feeding tube did not receive the ordered water flush before tube feeding administration. The MAR and physician's orders directed 70 mL of water before and after feedings, but an LPN flushed only 30 mL before connecting the gravity bag. The DON confirmed the MAR required 70 mL flushes, while the facility policy directed at least 30 mL or the prescribed amount.
The facility failed to prevent cross-contamination during meal service by not adhering to safe food handling practices. A staff member did not wash her hands after scratching her face before plating food, and a thermometer used to check food temperatures was not sanitized between uses. These actions were contrary to the facility's policies on hand hygiene and food preparation.
A resident with Parkinson's disease and dementia experienced a distressing interaction with an RN, who failed to treat her with respect and dignity. The resident, feeling unwell, requested to go to the ER but was met with resistance from the RN, who repeated the resident's previous statement about her end-of-life care. The situation escalated, leading to the resident calling the sheriff and her physician, who ordered her to be sent to the ER. The facility's investigation revealed discrepancies in staff accounts and highlighted a failure to uphold the facility's dignity policy.
Failure to Keep Catheter Bag Covered
Penalty
Summary
The facility failed to provide dignity with care for Resident #2, who had a BIMS score of 9 out of 15 indicating moderate cognitive impairment and diagnoses including neurogenic bladder, spastic quadriplegic cerebral palsy, and urinary tract infection. The resident’s care plan identified a urinary catheter related to neurogenic bladder. During observations, the resident was lying in bed with the catheter drainage bag hanging uncovered on the side of the bed, and the bag contained amber-colored urine. On a later observation, the uncovered catheter drainage bag was again hanging beside the bed while an empty dignity bag hung next to it. The DON stated that catheter drainage bags were expected to be kept in a dignity bag, and a CNA stated that catheter bags go in the blue dignity bag on the side of the bed. The facility policy on dignity stated that residents should be cared for in a manner that promotes dignity and that staff are expected to help keep urinary catheter bags covered.
Incorrect Tube Feeding Flush Administration
Penalty
Summary
The facility failed to administer the correct amount of water flush before the administration of tube feeding for one of one resident reviewed, Resident #2. Resident #2 had a BIMS score of 9 out of 15, indicating moderate cognitive impairment, and diagnoses listed in the MDS included spastic quadriplegic cerebral palsy and urinary tract infection. The care plan directed that he remain free of side effects or complications related to tube feeding. The physician's orders and MAR directed that the feeding tube be flushed with at least 70 mL of water before and after administration of feedings. On 9/03/25 at 11:18 AM, an LPN flushed the feeding tube with 30 mL of water and connected the gravity bag to the feeding tube. The LPN later reported that she thought she had given 30 mL as the tube feeding flush at the 11:00 feeding and stated that the resident received 70 mL per shift because she gave 40 mL in the morning and 30 mL with the 11 feeding. The DON stated that the MAR directed water flushes of 70 mL before and after each feeding and that nurses were expected to administer the water flush as ordered. The facility policy titled Enteral Tube Feeding Via Gravity Bag directed staff to administer at least 30 mL of water or the prescribed amount.
Failure to Prevent Cross-Contamination During Meal Service
Penalty
Summary
The facility failed to adhere to safe food handling practices, leading to potential cross-contamination during meal service. On one occasion, a staff member left serving utensils in various food items on the steam table uncovered and then resumed plating food without washing her hands after scratching her face. This action was contrary to the facility's policy on hand hygiene, which emphasizes the importance of washing hands frequently and when moving between tasks or areas. Additionally, the facility did not properly sanitize a thermometer used to check food temperatures. The thermometer was used to measure the temperature of different food items without being cleaned before or after each use, increasing the risk of cross-contamination. The dietary manager and facility administrator both acknowledged the importance of sanitizing the thermometer between uses and storing it in a protective sleeve, as outlined in the facility's policy on food preparation and service.
Failure to Uphold Resident Dignity and Respect
Penalty
Summary
The facility failed to treat a resident with respect and dignity during an interaction involving a registered nurse (RN) and a resident diagnosed with Parkinson's disease and non-Alzheimer's dementia. The resident, who had intact cognition and was independent in daily activities, experienced an incident where she felt unwell and requested to be sent to the emergency room (ER). The RN, identified as Staff A, found the resident slipping out of her recliner and asked her to go to bed, which the resident refused. The situation escalated when the resident called the sheriff and her daughter, expressing fear and distress. During the incident, the resident reportedly used vulgar language and kicked the RN, who responded by repeating the resident's previous statement that nothing more could be done for her and that she was sent to the nursing home to live out her life. This statement was overheard by another staff member, Staff B, who expressed concern about the RN's language. The resident's physician was contacted and ordered the resident to be sent to the ER for evaluation. The resident later reported feeling scared and described the RN's behavior as mean, bossy, and aggressive. The facility's investigation included statements from staff members and the resident, revealing discrepancies in the accounts of the incident. Staff B reported hearing the RN speak loudly to the resident, and the resident expressed fear of being restrained. The facility's policy on dignity emphasizes treating residents with respect and supporting their rights, which was not upheld in this situation. The incident highlighted a failure to maintain a respectful and dignified environment for the resident, as required by the facility's policies.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Mechanicsville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Rehabilitation Center Of Lisbon | 7.2 mi | ★★★★★ | 5 | 0 |
| Hallmark Care Center | 8.8 mi | ★★★★★ | 11 | 0 |
| Clarence Nursing Home | 9.9 mi | ★★★★★ | 0 | 0 |
| Cedar Manor Nursing Home | 11.2 mi | ★★★★★ | 6 | 0 |
| Anamosa Care Center | 13.6 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.