All states › Iowa › Shenandoah › Garden View Care Center
1200 West Nishna Road Shenandoah, IA 51601 · Page County
All 2 nursing homes in Shenandoah, IA (2 take Medicaid)
CMS certification number 165531 · See this home on Medicare Care Compare
Is Garden View Care Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Garden View Care Center as of October 2026.
CMS has not given it an overall rating yet.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.72 hours per resident per day at Garden View Care Center, above the Iowa median of 3.76 (US median: 3.72). About 0.78 of those hours are from registered nurses. On weekends it falls to 3.77 hours, 20% below its all-week average. Ask how weekends are staffed. 55.8% of nursing staff left within a year (Iowa median 41.7%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Garden View Care Center: Medicare and Medicaid
Garden View Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Iowa's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on July 23, 2026 and found 1 deficiency, plus 27 from complaint inspections in the same period. In total, inspectors issued 100 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: 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.
What the inspections found
Over the last three years, inspectors issued 100 citations at Garden View Care Center across 11 inspection dates, 69 of them from complaint investigations. 6 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on December 8, 2025 (complaint inspection). The most common areas cited were quality of life and care (21) and resident assessment and care planning (18). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level J, December 8, 2025). 12 citations were under CMS's abuse, neglect and exploitation rules.
July 23, 2026 · 1 citation
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
June 2, 2026 · 18 citations · includes complaint inspection
EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
EEnsure services provided by the nursing facility meet professional standards of quality.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
EEnsure 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.
EHave a plan that describes the process for conducting QAPI and QAA activities.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DProtect each resident from the wrongful use of the resident's belongings or money.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DEnsure 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.
April 8, 2026 · 8 citations · includes complaint inspection
FHave a plan that describes the process for conducting QAPI and QAA activities.
EHonor 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.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DReasonably accommodate the needs and preferences of each resident.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
December 8, 2025 · 24 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
JRespond appropriately to all alleged violations.
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
GProvide safe and appropriate respiratory care for a resident when needed.
FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
FEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
FObserve each nurse aide's job performance and give regular training.
FAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
FHave a plan that describes the process for conducting QAPI and QAA activities.
EEnsure 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.
EEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
ESet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
DAssess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DProvide 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.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
October 21, 2025 · 1 citation · includes complaint inspection
DProvide care and assistance to perform activities of daily living for any resident who is unable.
April 10, 2025 · 11 citations
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EHave a plan that describes the process for conducting QAPI and QAA activities.
EProvide and implement an infection prevention and control program.
EEducate 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.
DNotify 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.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
DProvide 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.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure that residents are free from significant medication errors.
February 27, 2025 · 15 citations · includes complaint inspection
EEnsure services provided by the nursing facility meet professional standards of quality.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EHave 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.
EPost nurse staffing information every day.
EAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
EHave a plan that describes the process for conducting QAPI and QAA activities.
EProvide and implement an infection prevention and control program.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide appropriate pressure ulcer care and prevent new ulcers from developing.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
DEnsure each resident’s drug regimen must be free from unnecessary drugs.
DEnsure 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.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
September 11, 2024 · 10 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
JTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
JRespond appropriately to all alleged violations.
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
FHave a plan that describes the process for conducting QAPI and QAA activities.
EHonor 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.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
EProvide and implement an infection prevention and control program.
July 25, 2024 · 1 citation, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
April 5, 2024 · 5 citations · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
DEnsure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
February 2, 2024 · 6 citations · includes complaint inspection
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
EHave 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.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DProvide 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.
CPost nurse staffing information every day.
Questions to ask on a tour of Garden View Care Center
- Inspectors cited the home at the immediate-jeopardy level on December 8, 2025 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on June 2, 2026. How are staff trained, and how are concerns reported?
- Weekend staffing is 20% below the all-week average. Who is on duty on Saturday nights?
- Nursing staff turnover was 55.8% a year. How many of the staff come from agencies?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
3 penalties in the last three years, including $137,835 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Dec 8, 2025 | Fine | $42,262 |
| Jul 25, 2024 | Fine | $95,573 |
| Jul 25, 2024 | Payment Denial | 32 days of payments denied |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | — | — | — | — |
| August 2026 | — | — | — | — |
Location
Hospitals near Garden View Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
0.7 mi
Shenandoah Medical Center ShenandoahEmergency roomMedian ER visit 1h 54m for patients treated and sent home
-
16.9 mi
George C Grape Community Hospital HamburgEmergency roomMedian ER visit 1h 48m for patients treated and sent home
-
17.9 mi
Clarinda Regional Health Center ClarindaEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 33m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Garden View Care Center › All nursing homes in Shenandoah ›
Compare Garden View Care Center with the 3 closest homes side by side ›
Other Campbell Street Services nursing homes in Iowa
- Regency Park Nursing & Rehab Center of Carroll · Carroll · 5 stars
- University Park Nursing and Rehabilitation Center · Des Moines · 4 stars
- Regency Park Nursing & Rehab Center of Jefferson · Jefferson · 4 stars
- Denison Care Center · Denison · 3 stars
- Granger Nursing & Rehabilitation Center · Granger · 3 stars
- Pleasant Acres Care Center · Hull · 3 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 25 Campbell Street Services nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.