Garden View Care Center

1200 West Nishna Road, Shenandoah, IA 51601 · CCN 165531 · 50 certified beds · Data as of 2026-07-01

CMS overallnot ratedCMS inspectionsnot ratedCMS staffingnot ratedCMS qualitynot rated

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 6 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS currently lists this facility as: SFF (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).

CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.

Serious inspection findings

2025-12-08 ACTUAL HARM (tag F0695, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide safe and appropriate respiratory care for a resident when needed.
2025-12-08 IMMEDIATE JEOPARDY (tag F0610, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Respond appropriately to all alleged violations.
2025-12-08 ACTUAL HARM (tag F0684, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2025-12-08 IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-09-11 IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-09-11 IMMEDIATE JEOPARDY (tag F0610, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Respond appropriately to all alleged violations.
2024-09-11 IMMEDIATE JEOPARDY (tag F0609, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2024-09-11 IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Staffing, from payroll records

Nursing hours / resident / day

3.55

state median 3.10

Weekend staffing gap

−16%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.36

registered nurses only

Contract (agency) staff

2%

share of all nursing hours

Days with zero RN hours reported

13

with residents present

Nursing staff turnover

55%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

4 enforcement action(s), totaling $168,858 in fines.

DateTypeAmount
2025-12-08Fine$41,474
2024-07-25Fine$95,573
2024-07-25Payment Denialpayment denial
2023-07-20Fine$31,811

Ownership

Ownership type: For profit - Limited Liability company. Part of the CAMPBELL STREET SERVICES chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: No harm, potential for minimal harm: 1 · Actual harm: 4 · Potential for more than minimal harm: 82 · Immediate jeopardy: 6

Survey dateTagCategorySeverityCorrected
2026-04-08F0550Resident Rights DeficienciesDnot recorded
2026-04-08F0558Resident Rights DeficienciesDnot recorded
2026-04-08F0584Resident Rights DeficienciesEnot recorded
2026-04-08F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2026-04-08F0677Quality of Life and Care DeficienciesDnot recorded
2026-04-08F0842Resident Assessment and Care Planning DeficienciesEnot recorded
2026-04-08F0865Administration DeficienciesFnot recorded
2026-04-08F0880Infection Control DeficienciesEnot recorded
2025-12-08F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesJnot recorded
2025-12-08F0605Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-12-08F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesJnot recorded
2025-12-08F0636Resident Assessment and Care Planning DeficienciesDnot recorded
2025-12-08F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2025-12-08F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2025-12-08F0658Resident Assessment and Care Planning DeficienciesDnot recorded
2025-12-08F0684Quality of Life and Care DeficienciesGnot recorded
2025-12-08F0686Quality of Life and Care DeficienciesDnot recorded
2025-12-08F0688Quality of Life and Care DeficienciesDnot recorded
2025-12-08F0690Quality of Life and Care DeficienciesDnot recorded
2025-12-08F0695Quality of Life and Care DeficienciesGnot recorded
2025-12-08F0725Nursing and Physician Services DeficienciesFnot recorded
2025-12-08F0726Nursing and Physician Services DeficienciesFnot recorded
2025-12-08F0730Nursing and Physician Services DeficienciesFnot recorded
2025-12-08F0755Pharmacy Service DeficienciesDnot recorded
2025-12-08F0803Nutrition and Dietary DeficienciesEnot recorded
2025-12-08F0804Nutrition and Dietary DeficienciesDnot recorded
2025-12-08F0805Nutrition and Dietary DeficienciesEnot recorded
2025-12-08F0812Nutrition and Dietary DeficienciesEnot recorded
2025-12-08F0835Administration DeficienciesFnot recorded
2025-12-08F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2025-12-08F0865Administration DeficienciesFnot recorded
2025-12-08F0867Administration DeficienciesEnot recorded
2025-10-21F0677Quality of Life and Care DeficienciesDnot recorded
2025-04-10F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2025-04-10F0625Resident Rights DeficienciesDnot recorded
2025-04-10F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2025-04-10F0661Resident Assessment and Care Planning DeficienciesDnot recorded
2025-04-10F0688Quality of Life and Care DeficienciesDnot recorded
2025-04-10F0755Pharmacy Service DeficienciesDnot recorded
2025-04-10F0760Pharmacy Service DeficienciesDnot recorded
2025-04-10F0804Nutrition and Dietary DeficienciesEnot recorded
2025-04-10F0865Administration DeficienciesEnot recorded
2025-04-10F0880Infection Control DeficienciesEnot recorded
2025-04-10F0887Infection Control DeficienciesEnot recorded
2025-02-27F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2025-02-27F0658Resident Assessment and Care Planning DeficienciesEnot recorded
2025-02-27F0684Quality of Life and Care DeficienciesEnot recorded
2025-02-27F0686Quality of Life and Care DeficienciesDnot recorded
2025-02-27F0689Quality of Life and Care DeficienciesDnot recorded
2025-02-27F0725Nursing and Physician Services DeficienciesDnot recorded
2025-02-27F0726Nursing and Physician Services DeficienciesDnot recorded
2025-02-27F0727Nursing and Physician Services DeficienciesEnot recorded
2025-02-27F0732Nursing and Physician Services DeficienciesEnot recorded
2025-02-27F0757Pharmacy Service DeficienciesDnot recorded
2025-02-27F0761Pharmacy Service DeficienciesDnot recorded
2025-02-27F0835Administration DeficienciesEnot recorded
2025-02-27F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2025-02-27F0865Administration DeficienciesEnot recorded
2025-02-27F0880Infection Control DeficienciesEnot recorded
2024-09-11F0584Resident Rights DeficienciesEnot recorded
2024-09-11F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesJnot recorded
2024-09-11F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesJnot recorded
2024-09-11F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesJnot recorded
2024-09-11F0656Resident Assessment and Care Planning DeficienciesEnot recorded
2024-09-11F0689Quality of Life and Care DeficienciesJnot recorded
2024-09-11F0725Nursing and Physician Services DeficienciesEnot recorded
2024-09-11F0842Resident Assessment and Care Planning DeficienciesFnot recorded
2024-09-11F0865Administration DeficienciesFnot recorded
2024-09-11F0880Infection Control DeficienciesEnot recorded
2024-07-25F0657Resident Assessment and Care Planning DeficienciesEnot recorded
2024-07-25F0684Quality of Life and Care DeficienciesDnot recorded
2024-07-25F0689Quality of Life and Care DeficienciesGnot recorded
2024-07-25F0698Quality of Life and Care DeficienciesDnot recorded
2024-07-25F0725Nursing and Physician Services DeficienciesFnot recorded
2024-07-25F0727Nursing and Physician Services DeficienciesFnot recorded
2024-07-25F0812Nutrition and Dietary DeficienciesEnot recorded
2024-07-25F0880Infection Control DeficienciesDnot recorded
2024-07-25F0883Infection Control DeficienciesDnot recorded
2024-04-05F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-04-05F0622Resident Rights DeficienciesDnot recorded
2024-04-05F0661Resident Assessment and Care Planning DeficienciesDnot recorded
2024-04-05F0684Quality of Life and Care DeficienciesDnot recorded
2024-04-05F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2024-02-02F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2024-02-02F0677Quality of Life and Care DeficienciesDnot recorded
2024-02-02F0688Quality of Life and Care DeficienciesDnot recorded
2024-02-02F0725Nursing and Physician Services DeficienciesEnot recorded
2024-02-02F0727Nursing and Physician Services DeficienciesEnot recorded
2024-02-02F0732Nursing and Physician Services DeficienciesCnot recorded
2023-08-08F0558Resident Rights DeficienciesDnot recorded
2023-08-08F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2023-08-08F0684Quality of Life and Care DeficienciesGnot recorded
2023-08-08F0921Environmental DeficienciesEnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Garden View Care Center, Shenandoah” at medicare.gov/care-compare.