Garden View Care Center

1200 West Nishna Road, Shenandoah, IA 51601 (opens Google Maps) · Page County · (712) 246-4515· 50 certified beds · avg 33 residents/day · certified since Apr 1, 2004 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Abuse citation flag (CMS)SFF

What the abuse flag means → · What Special Focus status means →

Part of chain: CAMPBELL STREET SERVICES (22 facilities, chain avg rating 2.1★)

The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.

—/5

Health inspection rating (on-site)

inspected Dec 8, 2025

Serious findings on record

most recent Dec 8, 2025

$137,835

Fines, last 3 years

4.85

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: —/5 · CMS overall rating: —/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, isolated · Dec 8, 2025 · F-0600 · triggered by a complaint

The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Dec 9, 2025 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · Dec 8, 2025 · F-0610 · triggered by a complaint

The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.

Why it matters: When allegations aren't investigated, harm to residents can continue unchecked.

Corrected: Dec 9, 2025 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · Sep 11, 2024 · F-0600 · triggered by a complaint

The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

Corrected: Sep 28, 2024 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · Sep 11, 2024 · F-0609 · triggered by a complaint

The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.

Why it matters: When incidents aren't reported promptly, abusers may continue harming residents and outside authorities can't step in.

Corrected: Sep 28, 2024 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · Sep 11, 2024 · F-0610 · triggered by a complaint

The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.

Why it matters: When allegations aren't investigated, harm to residents can continue unchecked.

Corrected: Sep 28, 2024 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · Sep 11, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Corrected: Sep 28, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Dec 8, 2025 · F-0684

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Dec 29, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Dec 8, 2025 · F-0695

The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.

Why it matters: Mistakes in breathing care can quickly become life-threatening for residents who depend on oxygen or equipment.

Corrected: Dec 29, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Jul 25, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Corrected: Sep 28, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Aug 8, 2023 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Corrected: Sep 8, 2023 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 111 inspection findings. Open the full record below to read every finding.

Jun 2, 2026E · Potential for more than minimal harm, pattern
The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint F-0657
Jun 2, 2026E · Potential for more than minimal harm, pattern
The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint F-0658
Jun 2, 2026E · Potential for more than minimal harm, pattern
The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint F-0677

View all 111 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

Date	Severity	What the facility was cited for
Jun 2, 2026	E · Potential for more than minimal harm, pattern	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint · F-0657
Jun 2, 2026	E · Potential for more than minimal harm, pattern	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint · F-0658
Jun 2, 2026	E · Potential for more than minimal harm, pattern	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677
Jun 2, 2026	E · Potential for more than minimal harm, pattern	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint · F-0725
Jun 2, 2026	E · Potential for more than minimal harm, pattern	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint · F-0761
Jun 2, 2026	E · Potential for more than minimal harm, pattern	The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. · from a complaint · F-0865
Jun 2, 2026	E · Potential for more than minimal harm, pattern	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
Jun 2, 2026	D · Potential for more than minimal harm, isolated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint · F-0550
Jun 2, 2026	D · Potential for more than minimal harm, isolated	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint · F-0602
Jun 2, 2026	D · Potential for more than minimal harm, isolated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Jun 2, 2026	D · Potential for more than minimal harm, isolated	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint · F-0610
Jun 2, 2026	D · Potential for more than minimal harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Jun 2, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide proper care for residents with a colostomy, urostomy, or ileostomy — surgical openings in the abdomen that let waste leave the body into a pouch. These require regular, skilled attention to stay clean and healthy. · from a complaint · F-0691
Jun 2, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint · F-0695
Jun 2, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. · from a complaint · F-0744
Jun 2, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint · F-0755
Jun 2, 2026	D · Potential for more than minimal harm, isolated	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint · F-0757
Jun 2, 2026	D · Potential for more than minimal harm, isolated	The facility did not serve meals and snacks at times that fit residents' needs, preferences, and requests, or did not offer nourishing alternatives for residents who want to eat outside scheduled meal times. · from a complaint · F-0809
Apr 8, 2026	F · Potential for more than minimal harm, widespread	The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. · from a complaint · F-0865
Apr 8, 2026	E · Potential for more than minimal harm, pattern	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584
Apr 8, 2026	E · Potential for more than minimal harm, pattern	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842
Apr 8, 2026	E · Potential for more than minimal harm, pattern	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
Apr 8, 2026	D · Potential for more than minimal harm, isolated	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint · F-0550
Apr 8, 2026	D · Potential for more than minimal harm, isolated	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint · F-0558
Apr 8, 2026	D · Potential for more than minimal harm, isolated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Apr 8, 2026	D · Potential for more than minimal harm, isolated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677
Dec 8, 2025	▲ J · Immediate jeopardy, isolated	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
Dec 8, 2025	▲ J · Immediate jeopardy, isolated	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint · F-0610
Dec 8, 2025	▲ G · Actual harm, isolated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Dec 8, 2025	▲ G · Actual harm, isolated	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695
Dec 8, 2025	F · Potential for more than minimal harm, widespread	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint · F-0725
Dec 8, 2025	F · Potential for more than minimal harm, widespread	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint · F-0726
Dec 8, 2025	F · Potential for more than minimal harm, widespread	The facility did not observe each nurse aide's job performance or provide regular training as required. · F-0730
Dec 8, 2025	F · Potential for more than minimal harm, widespread	The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · F-0835
Dec 8, 2025	F · Potential for more than minimal harm, widespread	The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. · F-0865
Dec 8, 2025	E · Potential for more than minimal harm, pattern	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · F-0803
Dec 8, 2025	E · Potential for more than minimal harm, pattern	The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. · F-0805
Dec 8, 2025	E · Potential for more than minimal harm, pattern	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Dec 8, 2025	E · Potential for more than minimal harm, pattern	The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · F-0867
Dec 8, 2025	D · Potential for more than minimal harm, isolated	The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · F-0605
Dec 8, 2025	D · Potential for more than minimal harm, isolated	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · F-0636
Dec 8, 2025	D · Potential for more than minimal harm, isolated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Dec 8, 2025	D · Potential for more than minimal harm, isolated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657
Dec 8, 2025	D · Potential for more than minimal harm, isolated	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Dec 8, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686
Dec 8, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688
Dec 8, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690
Dec 8, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Dec 8, 2025	D · Potential for more than minimal harm, isolated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint · F-0804
Dec 8, 2025	D · Potential for more than minimal harm, isolated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Oct 21, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677
Apr 10, 2025	E · Potential for more than minimal harm, pattern	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · F-0607
Apr 10, 2025	E · Potential for more than minimal harm, pattern	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804
Apr 10, 2025	E · Potential for more than minimal harm, pattern	The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. · F-0865
Apr 10, 2025	E · Potential for more than minimal harm, pattern	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Apr 10, 2025	E · Potential for more than minimal harm, pattern	The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. · F-0887
Apr 10, 2025	D · Potential for more than minimal harm, isolated	The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. · F-0625
Apr 10, 2025	D · Potential for more than minimal harm, isolated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Apr 10, 2025	D · Potential for more than minimal harm, isolated	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. · F-0661
Apr 10, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688
Apr 10, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Apr 10, 2025	D · Potential for more than minimal harm, isolated	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760
Feb 27, 2025	E · Potential for more than minimal harm, pattern	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint · F-0658
Feb 27, 2025	E · Potential for more than minimal harm, pattern	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Feb 27, 2025	E · Potential for more than minimal harm, pattern	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · from a complaint · F-0727
Feb 27, 2025	E · Potential for more than minimal harm, pattern	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · from a complaint · F-0732
Feb 27, 2025	E · Potential for more than minimal harm, pattern	The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint · F-0835
Feb 27, 2025	E · Potential for more than minimal harm, pattern	The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. · from a complaint · F-0865
Feb 27, 2025	E · Potential for more than minimal harm, pattern	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
Feb 27, 2025	D · Potential for more than minimal harm, isolated	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint · F-0657
Feb 27, 2025	D · Potential for more than minimal harm, isolated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686
Feb 27, 2025	D · Potential for more than minimal harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Feb 27, 2025	D · Potential for more than minimal harm, isolated	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint · F-0725
Feb 27, 2025	D · Potential for more than minimal harm, isolated	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · from a complaint · F-0726
Feb 27, 2025	D · Potential for more than minimal harm, isolated	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint · F-0757
Feb 27, 2025	D · Potential for more than minimal harm, isolated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint · F-0761
Feb 27, 2025	D · Potential for more than minimal harm, isolated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842
Sep 11, 2024	▲ J · Immediate jeopardy, isolated	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
Sep 11, 2024	▲ J · Immediate jeopardy, isolated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Sep 11, 2024	▲ J · Immediate jeopardy, isolated	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint · F-0610
Sep 11, 2024	▲ J · Immediate jeopardy, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Sep 11, 2024	F · Potential for more than minimal harm, widespread	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842
Sep 11, 2024	F · Potential for more than minimal harm, widespread	The facility did not have a written plan describing how it runs its quality improvement program — the ongoing process of finding problems in care and fixing them. · from a complaint · F-0865
Sep 11, 2024	E · Potential for more than minimal harm, pattern	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint · F-0584
Sep 11, 2024	E · Potential for more than minimal harm, pattern	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656
Sep 11, 2024	E · Potential for more than minimal harm, pattern	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint · F-0725
Sep 11, 2024	E · Potential for more than minimal harm, pattern	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint · F-0880
Jul 25, 2024	▲ G · Actual harm, isolated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Jul 25, 2024	F · Potential for more than minimal harm, widespread	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · F-0725
Jul 25, 2024	F · Potential for more than minimal harm, widespread	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · F-0727
Jul 25, 2024	E · Potential for more than minimal harm, pattern	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · F-0657
Jul 25, 2024	E · Potential for more than minimal harm, pattern	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Jul 25, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684
Jul 25, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · F-0698
Jul 25, 2024	D · Potential for more than minimal harm, isolated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Jul 25, 2024	D · Potential for more than minimal harm, isolated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883
Apr 5, 2024	D · Potential for more than minimal harm, isolated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Apr 5, 2024	D · Potential for more than minimal harm, isolated	The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · from a complaint · F-0622
Apr 5, 2024	D · Potential for more than minimal harm, isolated	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. · from a complaint · F-0661
Apr 5, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Apr 5, 2024	D · Potential for more than minimal harm, isolated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint · F-0842
Feb 2, 2024	E · Potential for more than minimal harm, pattern	The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint · F-0725
Feb 2, 2024	E · Potential for more than minimal harm, pattern	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · from a complaint · F-0727
Feb 2, 2024	D · Potential for more than minimal harm, isolated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint · F-0656
Feb 2, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677
Feb 2, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · from a complaint · F-0688
Feb 2, 2024	C · Potential for minimal harm, widespread	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · from a complaint · F-0732
Aug 8, 2023	▲ G · Actual harm, isolated	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Aug 8, 2023	E · Potential for more than minimal harm, pattern	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint · F-0921
Aug 8, 2023	D · Potential for more than minimal harm, isolated	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint · F-0558
Aug 8, 2023	D · Potential for more than minimal harm, isolated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (11 → 24).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2023

2024

2025

2026

All bars start at zero. Exact values and supporting details remain below.

Year	Citations	Serious (G–L)	Worst severity that year
2023	4	1	G ▲
2024	30	5	J ▲
2025	51	4	J ▲
2026	26	0	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

2 fines totaling $137,835, plus 1 Medicare payment denial period.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

Date	Type	Amount / length
Dec 8, 2025	Fine	$42,262
Jul 25, 2024	Fine	$95,573
Jul 25, 2024	Payment Denial	32 days from Aug 27, 2024

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityIowa averageU.S. average

Total nurse staffing (hours per resident per day)

4.85

4.37

3.95

Registered Nurse hours

0.81

0.85

0.69

Weekend total nurse staffing

3.98

3.86

3.50

All bars start at zero. Exact values and supporting details remain below.

Measure	This facility	Iowa avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.85	4.37	3.95	top 23% in Iowa; top 16% in the U.S.
Registered Nurse hours	0.81	0.85	0.69	top 48% in Iowa; top 27% in the U.S.
Weekend total nurse staffing	3.98	3.86	3.50	top 39% in Iowa; top 23% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.44	0.51	0.48	bottom 45% in Iowa; top 42% in the U.S.
Total nursing staff turnover (%)	55.3	44.0	45.8	bottom 20% in Iowa; bottom 24% in the U.S.
RN turnover (%)	—	42.1	42.9	—

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.33, RN 0.72, weekend 3.56.Comparing with Medicare Care Compare? Care Compare shows the raw figure (4.33 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: —/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: —/5 · long-stay residents: —/5 · short-stay residents: —/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Garden View Care Center. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Birchwood Healthcare Partners LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	02/01/2025
Dole, Isaac	Individual	Indirect Ownership Interest	NOT APPLICABLE	02/01/2025
Holdco, Ia, 10, LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	02/01/2025
Acd Consolidated LLC	Organization	ADP of the SNF	NOT APPLICABLE	09/01/2024
Bear Creek Sraf GP Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	09/01/2024
Bear Creek Strategic Real Assets Fund LP	Organization	ADP of the SNF	NOT APPLICABLE	09/01/2024
Birchwood Foundation LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	02/01/2025
Birchwood Healthcare Partners LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	02/01/2025
Campbell Street Ia 10 LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	02/01/2025
Campbell Street Ia 10 LLC	Organization	ADP of the SNF	NOT APPLICABLE	02/01/2025
Campbell Street Services LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	02/01/2025
Campbell Street Services LLC	Organization	ADP of the SNF	NOT APPLICABLE	02/01/2025
Defranco Investment Co LTD	Organization	ADP of the SNF	NOT APPLICABLE	09/01/2024
Dole, Isaac	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/01/2025
Dole, Isaac	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2025
Holdco, Ia, 10, LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	02/01/2025
Iaga SNF Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	09/01/2024
Iaga SNF Portfolio LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/28/2025
Iaga SNF Shenandoah LLC	Organization	ADP of the SNF	NOT APPLICABLE	09/01/2025
Kleinstreuber, Peter	Individual	Operational/Managerial Control	NOT APPLICABLE	02/01/2025

Showing 20 of 29 parties CMS has on file for this facility; 9 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Campbell Street Services — 22 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Granger Nursing & Rehabilitation Center — Granger, IA · overall 3/5
Grundy Care Center — Grundy Center, IA · overall 1/5
Iowa City Rehab & Health Care — Iowa City, IA · overall 1/5
Norwalk Nursing and Rehabilitation Center — Norwalk, IA · overall 3/5
Osage Rehab and Health Care Center — Osage, IA · overall 1/5
Parkview Manor — Wellman, IA · overall 1/5abuse
Pleasant Acres Care Center — Hull, IA · overall 3/5
Regency Care Center — Norwalk, IA · overall 1/5abuse

Listed by state, then facility name — not a ranking. Showing 8 of the 21 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"

Also worth asking anywhere

"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"CMS reports 55% total nursing staff turnover here — who on the care team has been with you longest?"
"The ownership record on file lists 29 owning or managing parties — who makes the decisions about staffing levels?"
"CMS lists this facility under its Special Focus program — what is being done differently, and by when?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Accura Healthcare of Shenandoah	0.4 mi	Shenandoah, IA	★☆☆☆☆	1/5
The Ambassador Sidney INC	13.9 mi	Sidney, IA	★★★★☆	4/5
Azria Health Clarinda	17.7 mi	Clarinda, IA	★★☆☆☆	3/5
Tabor Manor Care Center	18.0 mi	Tabor, IA	★☆☆☆☆	1/5
Red Oak Rehab and Care Center	19.9 mi	Red Oak, IA	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Shenandoah →

Facility data as of CMS processing date 2026-08-01. CCN 165531.

Garden View Care Center

What health inspectors found (on-site government inspections — the most independent evidence available)

Most serious findings (actual harm or immediate jeopardy)

Inspection findings in the public record

Inspection trend by year

Fines and enforcement (last 3 years)

Nurse staffing (from payroll records, adjusted for how much care residents need)

Quality measures: assessments & claims

Costs & payment

Before you compare prices

Who owns this facility

Other facilities in the same chain

Questions to ask on your visit

Also worth asking anywhere

Nearby facilities (within 20 miles)

Viewed & saved homes

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