nursing home in Shenandoah, IA

Garden View Care Center

1200 West Nishna Road, Shenandoah, IA 51601 · (712) 246-4515

Not rated
Not rated
CMS overall star rating
  • Health inspectionsNot rated
  • StaffingNot rated
  • Quality measuresNot rated
  • Special Focus Facility
  • Abuse citation

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Garden View Care Center at a glance

Garden View Care Center is a 50-bed for-profit nursing home in Shenandoah, Iowa (Page County).

CMS has not published a overall star rating for this nursing home, usually because it has too little recent data.

Residents receive about 4.3 hours of nursing care per day (0.7 of them from registered nurses), better than the state average of 3.8 hours.

Its most recent standard health inspection (December 8, 2025) found 51 health citations. The Iowa average is 6.5.

Federal regulators fined it 2 times in the past three years, totaling $137,835.

Nursing staff turnover is 55.3% per year (state average 44%).

Facility details

Type
Nursing home
Ownership
For Profit - Limited Liability Company
Beds
50
Certified for
Medicare and Medicaid
Chain / affiliated entity
Campbell Street Services
Medicare-certified since
April 1, 2004
Resident/family council
Resident
County
Page County
CMS Certification Number
165531

Staffing

This facility4.33 hrsIowa average3.82 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Iowa and U.S. averages
MeasureThis facilityIowa avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)4.33 hrs3.82 hrs3.86 hrsBetter
Registered nurse hours per resident per day (higher is better)0.72 hrs0.74 hrs0.69 hrsBetter
Nurse aide hours per resident per day (higher is better)2.97 hrs2.52 hrs2.32 hrsBetter
Weekend nurse staff hours per resident per day (higher is better)3.56 hrs3.37 hrs3.42 hrsAverage
Nursing staff turnover (yearly) (lower is better)55.3%44%45.8%Worse
Administrators who left in the past year (lower is better)201Worse

Inspections

This facility51Iowa average6U.S. average9
Health citations in the most recent inspection: this facility vs. Iowa and U.S. averages
MeasureThis facilityIowa avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)5169Worse
Citations from complaint investigations (latest cycle) (lower is better)3233Worse
Weighted health inspection score ⓘ (lower is better)525.554.580.6Worse

Penalties

This facility2Iowa average1U.S. average1
Fines in the past 3 years: this facility vs. Iowa and U.S. averages
MeasureThis facilityIowa avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)211Worse
Total fines in the past 3 years (lower is better)$137,835$19,286$30,972Worse
All federal penalties in the past 3 years (lower is better)311Worse

Size

MeasureThis facilityIowa avg.U.S. avg.vs. U.S.
Certified beds5065107
Average residents per day335286
Occupancy65.2%81.5%80.9%

Long-stay residents

This facility1.4%Iowa average3.8%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Iowa and U.S. averages
MeasureThis facilityIowa avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)1.4%3.8%3.2%Better
Long-stay residents with pressure ulcers (lower is better)10.5%4.2%4.6%Worse
Long-stay residents given antipsychotic medication (lower is better)28.9%19.5%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)2.1%2.4%1.6%Worse
Long-stay residents with a catheter left in the bladder (lower is better)3.1%1.5%0.8%Worse
Long-stay residents needing more help with daily activities (lower is better)18.5%17.1%13.9%Worse
Long-stay residents whose walking worsened (lower is better)17.8%16.6%14.1%Worse
Long-stay residents who lose too much weight (lower is better)9.9%4.6%5.2%Worse
Long-stay residents with depressive symptoms (lower is better)2.4%4.2%12.8%Better
Long-stay residents who were physically restrained (lower is better)0.7%0.2%0.1%Worse
Long-stay residents given anti-anxiety or sleep medication (lower is better)17.2%20.8%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)21.9%25.6%19%Worse
Long-stay residents given a flu vaccine (higher is better)97.4%95.3%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)99.3%94%93.6%Better

Short-stay residents

This facility100%Iowa average84%U.S. average82%
Short-stay residents given a pneumonia vaccine: this facility vs. Iowa and U.S. averages
MeasureThis facilityIowa avg.U.S. avg.vs. U.S.
Short-stay residents given a pneumonia vaccine (higher is better)100%84%82%Better

Inspection citations

State inspectors cited this home for 107 health deficiencies and 13 fire safety deficiencies in the inspection records CMS currently publishes. 9 citations involved actual harm, including 6 rated "immediate jeopardy".

DateCitationSeverityStatus
June 2, 2026
Complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Tag F0725
E
Potential harm, pattern
Corrected June 8, 2026
June 2, 2026
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected June 8, 2026
June 2, 2026
Complaint
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected June 8, 2026
June 2, 2026
Complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Tag F0865
E
Potential harm, pattern
Corrected June 8, 2026
June 2, 2026
Complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
E
Potential harm, pattern
Corrected June 8, 2026
June 2, 2026
Complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
E
Potential harm, pattern
Corrected June 8, 2026
June 2, 2026
Complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
E
Potential harm, pattern
Corrected June 8, 2026
June 2, 2026
Complaint
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected June 8, 2026
June 2, 2026
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected June 8, 2026
June 2, 2026
Complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected June 8, 2026
June 2, 2026
Complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602
D
Potential harm, isolated
Corrected June 8, 2026
June 2, 2026
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected June 8, 2026
June 2, 2026
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected June 8, 2026
June 2, 2026
Complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Tag F0757
D
Potential harm, isolated
Corrected June 8, 2026
June 2, 2026
Complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected June 8, 2026
June 2, 2026
Complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care Deficiencies · Tag F0744
D
Potential harm, isolated
Corrected June 8, 2026
June 2, 2026
Complaint
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0691
D
Potential harm, isolated
Corrected June 8, 2026
June 2, 2026
Complaint
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Nutrition and Dietary Deficiencies · Tag F0809
D
Potential harm, isolated
Corrected June 8, 2026
April 8, 2026
Complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Tag F0865
F
Potential harm, widespread
Corrected June 8, 2026
April 8, 2026
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
E
Potential harm, pattern
Corrected April 28, 2026
April 8, 2026
Complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Tag F0584
E
Potential harm, pattern
Corrected May 8, 2026
April 8, 2026
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected April 30, 2026
April 8, 2026
Complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected April 30, 2026
April 8, 2026
Complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Tag F0550
D
Potential harm, isolated
Corrected May 8, 2026
April 8, 2026
Complaint
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected April 29, 2026
April 8, 2026
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected June 8, 2026
April 2, 2026
Fire safety
Implement emergency and standby power systems.
Emergency Preparedness Deficiencies · Tag E0041
F
Potential harm, widespread
Corrected May 5, 2026
April 2, 2026
Fire safety
Have exits that are accessible at all times.
Egress Deficiencies · Tag K0271
F
Potential harm, widespread
Corrected August 1, 2026
April 2, 2026
Fire safety
Provide a written emergency evacuation plan.
Miscellaneous Deficiencies · Tag K0711
F
Potential harm, widespread
Corrected April 21, 2026
April 2, 2026
Fire safety
Install proper backup exit lighting.
Egress Deficiencies · Tag K0281
F
Potential harm, widespread
Corrected April 12, 2026
April 2, 2026
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
F
Potential harm, widespread
Corrected April 12, 2026
April 2, 2026
Fire safety
Address subsistence needs for staff and patients.
Emergency Preparedness Deficiencies · Tag E0015
F
Potential harm, widespread
Corrected May 5, 2026
April 2, 2026
Fire safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies · Tag K0761
E
Potential harm, pattern
Corrected April 21, 2026
April 2, 2026
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
E
Potential harm, pattern
Corrected August 1, 2026
April 2, 2026
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected April 12, 2026
April 2, 2026
Fire safety
Install corridor and hallway doors that block smoke.
Smoke Deficiencies · Tag K0363
D
Potential harm, isolated
Corrected April 12, 2026
April 2, 2026
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
D
Potential harm, isolated
Corrected May 5, 2026
April 2, 2026
Fire safety
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies · Tag K0291
D
Potential harm, isolated
Corrected April 16, 2026
December 8, 2025
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
J
Immediate jeopardy, isolated
Corrected December 9, 2025
December 8, 2025
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
J
Immediate jeopardy, isolated
Corrected December 9, 2025
December 8, 2025
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
G
Actual harm, isolated
Corrected December 29, 2025
December 8, 2025
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
G
Actual harm, isolated
Corrected December 29, 2025
December 8, 2025
Complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Tag F0725
F
Potential harm, widespread
Corrected January 8, 2026
December 8, 2025
Standard
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Tag F0835
F
Potential harm, widespread
Corrected January 8, 2026
December 8, 2025
Standard
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Tag F0865
F
Potential harm, widespread
Corrected January 8, 2026
December 8, 2025
Standard
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · Tag F0730
F
Potential harm, widespread
Corrected January 8, 2026
December 8, 2025
Complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Tag F0726
F
Potential harm, widespread
Corrected January 8, 2026
December 8, 2025
Standard
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Tag F0805
E
Potential harm, pattern
Corrected January 8, 2026
December 8, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected January 8, 2026
December 8, 2025
Standard
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies · Tag F0803
E
Potential harm, pattern
Corrected January 8, 2026
December 8, 2025
Standard
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Tag F0867
E
Potential harm, pattern
Corrected January 8, 2026
December 8, 2025
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected January 8, 2026
December 8, 2025
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected January 8, 2026
December 8, 2025
Complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
D
Potential harm, isolated
Corrected January 8, 2026
December 8, 2025
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected January 8, 2026
December 8, 2025
Standard
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · Tag F0690
D
Potential harm, isolated
Corrected January 8, 2026
December 8, 2025
Standard
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · Tag F0688
D
Potential harm, isolated
Corrected January 8, 2026
December 8, 2025
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected January 8, 2026
December 8, 2025
Standard
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
D
Potential harm, isolated
Corrected January 8, 2026
December 8, 2025
Standard
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
D
Potential harm, isolated
Corrected January 8, 2026
December 8, 2025
Standard
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Resident Assessment and Care Planning Deficiencies · Tag F0636
D
Potential harm, isolated
Corrected January 8, 2026
December 8, 2025
Standard
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605
D
Potential harm, isolated
Corrected January 8, 2026
October 21, 2025
Complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected November 20, 2025
April 10, 2025
Fire safety
Establish roles under a Waiver declared by secretary.
Emergency Preparedness Deficiencies · Tag E0026
F
Potential harm, widespread
Corrected May 10, 2025
April 10, 2025
Standard
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Infection Control Deficiencies · Tag F0887
E
Potential harm, pattern
Corrected May 10, 2025
April 10, 2025
Standard
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Tag F0865
E
Potential harm, pattern
Corrected May 10, 2025
April 10, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected May 10, 2025
April 10, 2025
Standard
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Tag F0804
E
Potential harm, pattern
Corrected May 10, 2025
April 10, 2025
Standard
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607
E
Potential harm, pattern
Corrected May 10, 2025
April 10, 2025
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected May 10, 2025
April 10, 2025
Standard
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.
Resident Rights Deficiencies · Tag F0625
D
Potential harm, isolated
Corrected May 10, 2025
April 10, 2025
Standard
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Assessment and Care Planning Deficiencies · Tag F0661
D
Potential harm, isolated
Corrected May 10, 2025
April 10, 2025
Standard
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · Tag F0688
D
Potential harm, isolated
Corrected May 10, 2025
April 10, 2025
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected May 10, 2025
April 10, 2025
Standard
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
D
Potential harm, isolated
Corrected May 10, 2025
February 27, 2025
Complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Tag F0835
E
Potential harm, pattern
Corrected March 27, 2025
February 27, 2025
Complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Tag F0865
E
Potential harm, pattern
Corrected March 27, 2025
February 27, 2025
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected March 27, 2025
February 27, 2025
Complaint
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Tag F0732
E
Potential harm, pattern
Corrected March 27, 2025
February 27, 2025
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
E
Potential harm, pattern
Corrected March 27, 2025
February 27, 2025
Complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
E
Potential harm, pattern
Corrected March 27, 2025
February 27, 2025
Complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies · Tag F0727
E
Potential harm, pattern
Corrected March 27, 2025
February 27, 2025
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected March 27, 2025
February 27, 2025
Complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
D
Potential harm, isolated
Corrected March 27, 2025
February 27, 2025
Complaint
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected March 27, 2025
February 27, 2025
Complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Tag F0757
D
Potential harm, isolated
Corrected March 27, 2025
February 27, 2025
Complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Tag F0726
D
Potential harm, isolated
Corrected March 27, 2025
February 27, 2025
Complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Tag F0725
D
Potential harm, isolated
Corrected March 27, 2025
February 27, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected March 27, 2025
February 27, 2025
Complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected March 27, 2025
September 11, 2024
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
J
Immediate jeopardy, isolated
Corrected September 28, 2024
September 11, 2024
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
J
Immediate jeopardy, isolated
Corrected September 28, 2024
September 11, 2024
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
J
Immediate jeopardy, isolated
Corrected September 28, 2024
September 11, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
J
Immediate jeopardy, isolated
Corrected September 28, 2024
September 11, 2024
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
F
Potential harm, widespread
Corrected September 28, 2024
September 11, 2024
Complaint
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Tag F0865
F
Potential harm, widespread
Corrected September 28, 2024
September 11, 2024
Complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · Tag F0584
E
Potential harm, pattern
Corrected September 28, 2024
September 11, 2024
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected September 28, 2024
September 11, 2024
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
E
Potential harm, pattern
Corrected September 28, 2024
September 11, 2024
Complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Tag F0725
E
Potential harm, pattern
Corrected September 28, 2024
July 25, 2024
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
G
Actual harm, isolated
Corrected September 28, 2024
July 25, 2024
Standard
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Tag F0725
F
Potential harm, widespread
Corrected September 28, 2024
July 25, 2024
Standard
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies · Tag F0727
F
Potential harm, widespread
Corrected August 25, 2024
July 25, 2024
Standard
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
E
Potential harm, pattern
Corrected August 25, 2024
July 25, 2024
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
E
Potential harm, pattern
Corrected August 25, 2024
July 25, 2024
Standard
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected August 25, 2024
July 25, 2024
Standard
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Tag F0883
D
Potential harm, isolated
Corrected August 25, 2024
July 25, 2024
Standard
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Tag F0698
D
Potential harm, isolated
Corrected September 28, 2024
July 25, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected September 28, 2024
April 5, 2024
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected May 3, 2024
April 5, 2024
Complaint
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Resident Rights Deficiencies · Tag F0622
D
Potential harm, isolated
Corrected May 3, 2024
April 5, 2024
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected May 3, 2024
April 5, 2024
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected May 3, 2024
April 5, 2024
Complaint
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Assessment and Care Planning Deficiencies · Tag F0661
D
Potential harm, isolated
Corrected May 3, 2024
February 2, 2024
Complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies · Tag F0727
E
Potential harm, pattern
Corrected March 2, 2024
February 2, 2024
Complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Tag F0725
E
Potential harm, pattern
Corrected March 2, 2024
February 2, 2024
Complaint
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies · Tag F0688
D
Potential harm, isolated
Corrected March 2, 2024
February 2, 2024
Complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected March 2, 2024
February 2, 2024
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected March 2, 2024
February 2, 2024
Complaint
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Tag F0732
C
No harm, widespread
Corrected March 2, 2024

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 3 federal penalties in the past three years, including $137,835 in fines.

DatePenaltyAmount / length
December 8, 2025Fine$42,262
July 25, 2024Payment Denial32 days from August 27, 2024
July 25, 2024Fine$95,573

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
ACD CONSOLIDATED LLC
Organization
adp of the snfNOT APPLICABLE09/01/2024
BEAR CREEK SRAF GP HOLDINGS LLC
Organization
adp of the snfNOT APPLICABLE09/01/2024
BEAR CREEK STRATEGIC REAL ASSETS FUND LP
Organization
adp of the snfNOT APPLICABLE09/01/2024
CAMPBELL STREET IA 10 LLC
Organization
adp of the snfNOT APPLICABLE02/01/2025
CAMPBELL STREET SERVICES LLC
Organization
adp of the snfNOT APPLICABLE02/01/2025
DEFRANCO INVESTMENT CO LTD
Organization
adp of the snfNOT APPLICABLE09/01/2024
IAGA SNF HOLDINGS LLC
Organization
adp of the snfNOT APPLICABLE09/01/2024
IAGA SNF PORTFOLIO LLC
Organization
adp of the snfNOT APPLICABLE08/28/2025
IAGA SNF SHENANDOAH LLC
Organization
adp of the snfNOT APPLICABLE09/01/2025
KLEINSTREUBER, PETER
Individual
adp of the snfNOT APPLICABLE02/01/2025
NAP HOLDINGS LLC
Organization
adp of the snfNOT APPLICABLE09/01/2024
ONEAL, TAMARA
Individual
adp of the snfNOT APPLICABLE02/01/2025
OURADA, MICHAEL
Individual
adp of the snfNOT APPLICABLE02/01/2025
SATTERFIELD, BRENDA
Individual
adp of the snfNOT APPLICABLE02/01/2015
HOLDCO, IA, 10, LLC
Organization
direct ownership interestNOT APPLICABLE02/01/2025
BIRCHWOOD HEALTHCARE PARTNERS LLC
Organization
indirect ownership interestNOT APPLICABLE02/01/2025
DOLE, ISAAC
Individual
indirect ownership interestNOT APPLICABLE02/01/2025
DOLE, ISAAC
Individual
managing control - governing bodyNOT APPLICABLE02/01/2025
SATTERFIELD, BRENDA
Individual
managing control - governing bodyNOT APPLICABLE02/01/2025
BIRCHWOOD FOUNDATION LLC
Organization
operational/managerial controlNOT APPLICABLE02/01/2025
BIRCHWOOD HEALTHCARE PARTNERS LLC
Organization
operational/managerial controlNOT APPLICABLE02/01/2025
CAMPBELL STREET IA 10 LLC
Organization
operational/managerial controlNOT APPLICABLE02/01/2025
CAMPBELL STREET SERVICES LLC
Organization
operational/managerial controlNOT APPLICABLE02/01/2025
DOLE, ISAAC
Individual
operational/managerial controlNOT APPLICABLE02/01/2025
HOLDCO, IA, 10, LLC
Organization
operational/managerial controlNOT APPLICABLE02/01/2025
KLEINSTREUBER, PETER
Individual
operational/managerial controlNOT APPLICABLE02/01/2025
ONEAL, TAMARA
Individual
operational/managerial controlNOT APPLICABLE02/01/2025
OURADA, MICHAEL
Individual
operational/managerial controlNOT APPLICABLE02/01/2025
SATTERFIELD, BRENDA
Individual
operational/managerial controlNOT APPLICABLE02/01/2025

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    ★★★★★1Much below average
  2. The Ambassador Sidney INC

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  4. Tabor Manor Care Center

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  5. Red Oak Rehab and Care Center

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  6. Good Samaritan - Red Oak

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Frequently asked questions

What is Garden View Care Center's rating?

CMS has not published a star rating for Garden View Care Center. This usually means there is not enough recent data.

How many inspection citations did Garden View Care Center receive?

Its most recent standard health inspection found 51 citations, compared with a Iowa average of 6.5. Every citation is listed on this page with its severity.

Does Garden View Care Center accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Garden View Care Center?

It is for profit - limited liability company and part of Campbell Street Services. The ownership section on this page lists the owners and managers reported to CMS.

Where is Garden View Care Center and how do I contact it?

Garden View Care Center is at 1200 West Nishna Road, Shenandoah, IA 51601. Phone: (712) 246-4515.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.