Garden View Care Center

1200 West Nishna Road, Shenandoah, IA 51601 · (712) 246-4515
For profit - Limited Liability company · 50 certified beds

Abuse icon Medicare's Care Compare says: “This nursing home has been cited for abuse.” Medicare marks homes recently cited for harm or potential harm from abuse or neglect, and caps their health inspection rating at 2 stars.

Special Focus Facility Medicare doesn't rate this home: “This facility is not rated due to a history of serious quality issues and is included in the special focus facility program.” Special Focus Facilities get a full inspection at least every six months.

Garden View Care Center is a Special Focus Facility, so Medicare doesn't rate it. Its last standard inspection, in December 2025, found 24 citations, 4 for actual harm or immediate jeopardy (the Iowa average is 6.5). It was fined 2 times in the last three years, $137,835 in all.

Medicare ratings

Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating.	Not available
Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state.	Not available
Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay.	Not available
StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover.	Not available

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on December 8, 2025 found 24 citations. What an inspection citation means

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.December 8, 2025 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
Respond appropriately to all alleged violations.December 8, 2025 · F0610 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
Provide appropriate treatment and care according to orders, resident’s preferences and goals.December 8, 2025 · F0684 · Level of harm: Actual harm · Residents affected: Few
Provide safe and appropriate respiratory care for a resident when needed.December 8, 2025 · F0695 · Level of harm: Actual harm · Residents affected: Few
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.December 8, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
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.December 8, 2025 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
Observe each nurse aide's job performance and give regular training.December 8, 2025 · F0730 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
Administer the facility in a manner that enables it to use its resources effectively and efficiently.December 8, 2025 · F0835 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
Have a plan that describes the process for conducting QAPI and QAA activities.December 8, 2025 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
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.December 8, 2025 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.December 8, 2025 · F0805 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.December 8, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.December 8, 2025 · F0867 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.December 8, 2025 · F0605 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.December 8, 2025 · F0636 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.December 8, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.December 8, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Ensure services provided by the nursing facility meet professional standards of quality.December 8, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Provide appropriate pressure ulcer care and prevent new ulcers from developing.December 8, 2025 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
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.December 8, 2025 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.December 8, 2025 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.December 8, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.December 8, 2025 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.December 8, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 69 citations.

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.June 2, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Protect each resident from the wrongful use of the resident's belongings or money.June 2, 2026 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.June 2, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Respond appropriately to all alleged violations.June 2, 2026 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.June 2, 2026 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Ensure services provided by the nursing facility meet professional standards of quality.June 2, 2026 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Provide care and assistance to perform activities of daily living for any resident who is unable.June 2, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.June 2, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.June 2, 2026 · F0691 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Provide safe and appropriate respiratory care for a resident when needed.June 2, 2026 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.June 2, 2026 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.June 2, 2026 · F0744 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.June 2, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Ensure each resident’s drug regimen must be free from unnecessary drugs.June 2, 2026 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
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.June 2, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
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.June 2, 2026 · F0809 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Have a plan that describes the process for conducting QAPI and QAA activities.June 2, 2026 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Provide and implement an infection prevention and control program.June 2, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.April 8, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Reasonably accommodate the needs and preferences of each resident.April 8, 2026 · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
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.April 8, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.April 8, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Provide care and assistance to perform activities of daily living for any resident who is unable.April 8, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.April 8, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Have a plan that describes the process for conducting QAPI and QAA activities.April 8, 2026 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
Provide and implement an infection prevention and control program.April 8, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.December 8, 2025 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
Respond appropriately to all alleged violations.December 8, 2025 · F0610 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.December 8, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
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.December 8, 2025 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.December 8, 2025 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Provide care and assistance to perform activities of daily living for any resident who is unable.October 21, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.February 27, 2025 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Ensure services provided by the nursing facility meet professional standards of quality.February 27, 2025 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Provide appropriate treatment and care according to orders, resident’s preferences and goals.February 27, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Provide appropriate pressure ulcer care and prevent new ulcers from developing.February 27, 2025 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 27, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.February 27, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
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.February 27, 2025 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
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.February 27, 2025 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Post nurse staffing information every day.February 27, 2025 · F0732 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Ensure each resident’s drug regimen must be free from unnecessary drugs.February 27, 2025 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
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.February 27, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Administer the facility in a manner that enables it to use its resources effectively and efficiently.February 27, 2025 · F0835 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.February 27, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Have a plan that describes the process for conducting QAPI and QAA activities.February 27, 2025 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Provide and implement an infection prevention and control program.February 27, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
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.September 11, 2024 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.September 11, 2024 · F0600 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.September 11, 2024 · F0609 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
Respond appropriately to all alleged violations.September 11, 2024 · F0610 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.September 11, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.September 11, 2024 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.September 11, 2024 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.September 11, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
Have a plan that describes the process for conducting QAPI and QAA activities.September 11, 2024 · F0865 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
Provide and implement an infection prevention and control program.September 11, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 25, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.April 5, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
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.April 5, 2024 · F0622 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.April 5, 2024 · F0661 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Provide appropriate treatment and care according to orders, resident’s preferences and goals.April 5, 2024 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.April 5, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.February 2, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Provide care and assistance to perform activities of daily living for any resident who is unable.February 2, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
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.February 2, 2024 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.February 2, 2024 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
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.February 2, 2024 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Post nurse staffing information every day.February 2, 2024 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Many

Fines and payment denials

Fine of $42,262December 8, 2025
Fine of $95,573July 25, 2024
Medicare payment denial for 32 daysStarting August 27, 2024

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

Hours per resident per day	This home	Iowa average	U.S. average
Total nurse staffing	4.33	3.82	3.86
Registered nurses (RN)	0.72	0.74	0.69
Licensed practical nurses (LPN)	0.63	0.56	0.86
Nurse aides	2.97	2.52	2.32
Total nursing staff turnover	55.3%	44%	45.8%

About this home

Ownership	For profit - Limited Liability company
Certified beds	50
Average residents per day	32.6
Inside a hospital	No
Continuing care retirement community	No

Nursing homes nearby

Accura Healthcare of Shenandoah Shenandoah · 1 out of 5 stars
Azria Health Clarinda Clarinda · 2 out of 5 stars
The Ambassador Sidney Inc Sidney · 4 out of 5 stars
Tabor Manor Care Center Tabor · 1 out of 5 stars

Compare every nursing home in Shenandoah, IA · Nursing homes in Iowa

Comparing nursing homes?

See whether help at home or assisted living fits better. Answer four questions and we'll suggest where to start: a medical alert, help at home, or assisted living.

Free for families. This isn't medical advice.

Care matcherStep 1 of 7

Who are you looking for help for?

Free for families. Your answers aren't saved.

Data from Medicare (CMS), updated October 2026, from Garden View Care Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.