The nursing home failed to protect residents from abuse and neglect by others. Cited December 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
Garden View Care Center
Shenandoah, IA · Medicare-certified · 50 beds
Needs attention
Special Focus FacilityAbuse citationFor-profitChain member
Data as of July 1, 2026
Not yet rated
Overall rating: not rated. Garden View Care Center is a Special Focus Facility, has an attention flag for special focus status, and was fined $137,047 in the last 24 months; recent inspection citations included failures related to abuse protection, responding to alleged violations, and timely reporting of suspected abuse, neglect, or theft.
Facility ratings
Health inspections
Staffing
Quality measures
Last inspection: April 8, 2026Penalties, last 24 months: $137,047special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
Staffing detail
Total staff turnover: 55%
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
43.3%20.7%Improving
Residents with a fall causing major injury
5%0%Improving
Residents with pressure ulcers (bedsores)
14.6%7.7%Improving
Residents with a urinary tract infection
2.6%2.9%No change
Residents who lost too much weight
8.1%9.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
21.6%25.8%Worsening
Residents whose ability to walk got worse
—17.8%—
Long-stay residents on antianxiety or sleep medication
20.5%17.6%Improving
Residents with a long-term catheter
2.9%2.4%No change
Residents with new or worsening incontinence
14.2%26.8%Worsening
Residents with depressive symptoms
0%10%Worsening
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
—97.4%—
Long-stay residents given the pneumonia vaccine
97.5%100%Improving
Short-stay residents given the pneumonia vaccine
—100%—
What the inspectors found
The home failed to respond appropriately to all reported abuse or neglect concerns. Cited December 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 610 — 42 CFR §483.12 — S/S: J
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited September 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited December 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Recent history
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $41,474 was recorded.
- PENALTY
A federal fine of $63,805 was recorded.
- INSPECTION
Health inspection found 24 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $95,573 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $168,858 in total fines · 1 payment denial.
- $41,474
Federal fine
Dec 8, 2025
- 32 days
Medicare/Medicaid payment denial
Jul 25, 2024
- $95,573
Federal fine
Jul 25, 2024
- $31,811
Federal fine
Jul 20, 2023
Operator & ownership
Recent ownership change · Feb 1, 2025
Now operated by Opco Shenandoah Ia LLC, previously Premier Estates 509 LLC.
- Ownership
- For profit - Limited Liability company
- Chain
- Part of CAMPBELL STREET SERVICES · 20 homes · 2.2 stars avg
- Occupancy
- 32.6 residents on an average day (65% of 50 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 22 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.