The home failed to provide enough food and fluids to keep residents healthy. Cited July 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
Nursing home report
Garden County Hospital & Nursing Home
Oshkosh, NE · Medicare-certified · 24 beds
In good standing
Government-run
3 of 5 overall
Garden County Hospital & Nursing Home in Oshkosh, NE has a 3-star overall rating. Its staffing rating is 5 stars and reported nurse staffing is 4.40 hours per resident per day, above the federal benchmark of 4.1, but its health inspection rating is 2 stars and recent inspection citations included food and fluids, food handling, and staff training issues; there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.4007 hrs/resident/day
Quality measures
Last inspection: August 25, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.4007.
Staffing detail
- Registered nurses
- 0.92
- Licensed practical nurses
- 0.92
- Nurse aides
- 2.57
- Weekend nursing
- 3.84
Hours per resident per day.
Total staff turnover: 44%
Registered nurse turnover: 20%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
—25%—
Residents with a fall causing major injury
4.3%10%Worsening
Residents with pressure ulcers (bedsores)
10.8%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
4.5%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
19%9.1%Improving
Residents whose ability to walk got worse
—14.1%—
Long-stay residents on antianxiety or sleep medication
4.5%5%No change
Residents with a long-term catheter
—0%—
Residents with new or worsening incontinence
30.1%25%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—92.9%—
Long-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to provide and maintain effective training for its staff, including both new and existing employees. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 940 — 42 CFR §483.95 — S/S: F
The home failed to ensure nurse aides had the skills and training needed to care for residents safely, including dementia care and abuse prevention. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 947 — 42 CFR §483.95 — S/S: F
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited July 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 12 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Government - City/county
- Occupancy
- 20.2 residents on an average day (84% of 24 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 52 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.