nursing home in Oshkosh, NE
Garden County Hospital & Nursing Home
1100 West 2nd St, Oshkosh, NE 69154 · (308) 772-3283
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★5
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Garden County Hospital & Nursing Home at a glance
Garden County Hospital & Nursing Home is a 24-bed government nursing home in Oshkosh, Nebraska (Garden County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the Nebraska average of 2.8.
Residents receive about 4.2 hours of nursing care per day (0.9 of them from registered nurses), better than the state average of 4 hours.
Its most recent standard health inspection (August 25, 2025) found 4 health citations. The Nebraska average is 7.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 44% per year (state average 48.7%).
Facility details
- Type
- Nursing home
- Ownership
- Government - City/County
- Beds
- 24
- Certified for
- Medicaid
- Medicare-certified since
- March 31, 1974
- Resident/family council
- Resident
- County
- Garden County
- CMS Certification Number
- 28E180
Ratings
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 5 / 5 | 3.2 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 2.9 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 4.18 hrs | 3.98 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.91 hrs | 0.67 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.42 hrs | 2.64 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.61 hrs | 3.48 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 44% | 48.7% | 45.8% | Average |
| Registered nurse turnover (yearly) (lower is better) | 20% | 44.1% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 4 | 7 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 73.5 | 57.3 | 80.6 | Better |
Penalties
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 0 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $11,975 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 24 | 76 | 107 | |
| Average residents per day | 21 | 55 | 86 | |
| Occupancy | 86.2% | 73% | 80.9% |
Long-stay residents
| Measure | This facility | Nebraska avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.8% | 4.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 1.4% | 4% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 20.3% | 20.7% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 2.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.4% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 13.9% | 19% | 13.9% | Average |
| Long-stay residents whose walking worsened (lower is better) | 12.2% | 18.2% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 4.8% | 5.1% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 2.6% | 4.3% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.3% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 8.3% | 19.3% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 25.1% | 25.9% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 92.9% | 96.1% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 93% | 93.6% | Better |
Inspection citations
State inspectors cited this home for 18 health deficiencies and 6 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| August 25, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected September 24, 2025 |
| August 25, 2025 Standard | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Tag F0947 | F Potential harm, widespread | Corrected October 8, 2025 |
| August 25, 2025 Standard | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Tag F0940 | F Potential harm, widespread | Corrected October 8, 2025 |
| August 25, 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 | F Potential harm, widespread | Corrected October 8, 2025 |
| August 25, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected October 8, 2025 |
| July 23, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected August 12, 2024 |
| July 23, 2024 Fire safety | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Tag E0041 | F Potential harm, widespread | Corrected August 12, 2024 |
| July 23, 2024 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 | D Potential harm, isolated | Corrected August 12, 2024 |
| July 23, 2024 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected August 12, 2024 |
| July 23, 2024 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | G Actual harm, isolated | Corrected September 18, 2024 |
| July 23, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected September 18, 2024 |
| July 23, 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 | F Potential harm, widespread | Corrected October 30, 2024 |
| July 23, 2024 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 | E Potential harm, pattern | Corrected September 18, 2024 |
| July 23, 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 | D Potential harm, isolated | Corrected September 18, 2024 |
| July 23, 2024 Standard | 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 September 18, 2024 |
| July 23, 2024 Standard | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected September 18, 2024 |
| July 23, 2024 Standard | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | D Potential harm, isolated | Corrected September 18, 2024 |
| July 23, 2024 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 September 18, 2024 |
| July 23, 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 September 18, 2024 |
| July 23, 2024 Standard | 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 September 18, 2024 |
| July 23, 2024 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected September 18, 2024 |
| June 27, 2023 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | E Potential harm, pattern | Corrected August 11, 2023 |
| June 27, 2023 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 | F Potential harm, widespread | Corrected August 11, 2023 |
| June 27, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected August 11, 2023 |
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 no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ownership data not available |
Other nursing homes near Garden County Hospital & Nursing Home
Sedgwick County Memorial Nursing Home
901 Cedar St, Julesburg, CO 80737 · 29.2 mi
Government · 32 beds
★★★★★1Much below averageSrmc Long Term Care, LLC DBA Pole Creek Estates
1855 Greenwood Rd, Sidney, NE 69162 · 36.5 mi
Non-profit · 63 beds
★★★★★3AverageIndian Hills Manor
1720 North Spruce, Ogallala, NE 69153 · 37.6 mi
For-profit · 82 beds · Part of Lantis Enterprises
★★★★★1Much below average
Frequently asked questions
What is Garden County Hospital & Nursing Home's rating?
Garden County Hospital & Nursing Home has 3 out of 5 stars on the CMS overall star rating. The average for Nebraska nursing homes is 2.8 stars.
How many inspection citations did Garden County Hospital & Nursing Home receive?
Its most recent standard health inspection found 4 citations, compared with a Nebraska average of 7.4. Every citation is listed on this page with its severity.
Does Garden County Hospital & Nursing Home accept Medicare and Medicaid?
CMS lists it as certified for: Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Garden County Hospital & Nursing Home?
It is government - city/county. The ownership section on this page lists the owners and managers reported to CMS.
Where is Garden County Hospital & Nursing Home and how do I contact it?
Garden County Hospital & Nursing Home is at 1100 West 2nd St, Oshkosh, NE 69154. Phone: (308) 772-3283.
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.