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Garden View Care Center

1200 West Nishna Road, Shenandoah, IA 516017122464515Ownership: For profit - Limited Liability companyCertified beds: 50Avg. daily residents: 33Chain: Campbell Street Services (22 facilities)County: Page
Special Focus Facility — CMS currently lists this facility in its program for nursing homes with a history of serious quality issues; it is inspected about twice as often as other facilities until it graduates or is terminated from Medicare.
Abuse icon — CMS displays this icon when a facility was cited for abuse that led to resident harm in the past year, or for abuse that could have led to harm in each of the last two years.

The complete public record on Garden View Care Center, a Medicare & Medicaid–certified nursing home in Shenandoah, Iowa, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
Not rated
CMS’s composite of the three ratings below.
Health inspection
Not rated
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
Not rated
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
Not rated
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
CMS has published limited rating data for this facility. That is common for newly certified facilities and does not by itself indicate a problem. Nursing staff turnover of 55% is well above the Iowa average of 44%; high turnover is one of the strongest predictors of inconsistent care. Federal regulators have fined this facility $137,835 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

4.33 total nurse staff hours per resident per day
above the state average (3.82)
0.72 RN hours per resident per day
about the state average (0.74)
3.56 weekend nurse staff hours per resident per day
55.3% total nursing staff turnover
above the state average (44.2)
Not reported RN turnover
2 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

December 8, 2025 most recent standard health inspection
51 health deficiencies cited in the most recent inspection cycle
above the state average (6.6)
52 health deficiencies in the two prior cycles combined
$137,835 in federal fines across 2 penalties (last 3 years)
above the state average ($19,559)
1 payment denial
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

60 citations on record across recent inspections, 4 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
June 2, 20260657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health… ComplaintE · Potential for more than minimal harm
June 2, 20260658Ensure services provided by the nursing facility meet professional standards of quality. ComplaintE · Potential for more than minimal harm
June 2, 20260677Provide care and assistance to perform activities of daily living for any resident who is unable. ComplaintE · Potential for more than minimal harm
June 2, 20260725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. ComplaintE · Potential for more than minimal harm
June 2, 20260761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all… ComplaintE · Potential for more than minimal harm
June 2, 20260865Have a plan that describes the process for conducting QAPI and QAA activities. ComplaintE · Potential for more than minimal harm
June 2, 20260880Provide and implement an infection prevention and control program. ComplaintE · Potential for more than minimal harm
June 2, 20260550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. ComplaintD · Potential for more than minimal harm
June 2, 20260602Protect each resident from the wrongful use of the resident's belongings or money. ComplaintD · Potential for more than minimal harm
June 2, 20260609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. ComplaintD · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.