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
Nursing home report
Garden View Care Center
Shenandoah, IA · Medicare-certified · 50 beds
Needs attention
Special Focus FacilityAbuse citationFor-profitChain member
Data as of September 1, 2026
Not yet rated
Overall rating: not rated. Garden View Care Center in Shenandoah, IA is a special focus facility (SFF) with $42,262 in fines over the last 24 months; reported nurse staffing is 4.33 hours per resident per day, slightly above the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
4.3291 hrs/resident/day
Quality measures
Last inspection: June 2, 2026Penalties, last 24 months: $42,262special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.3291.
Staffing detail
- Registered nurses
- 0.72
- Licensed practical nurses
- 0.63
- Nurse aides
- 2.97
- Weekend nursing
- 3.56
Hours per resident per day.
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 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
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 home failed to provide safe and appropriate breathing care when a resident needed it. Cited December 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 695 — 42 CFR §483.25(i) — S/S: G
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 18 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 8 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $42,262 was recorded.
- 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: 2 fines · $137,835 in total fines · 1 payment denial.
- $42,262
Federal fine
Dec 8, 2025
- 32 days
Medicare/Medicaid payment denial
Jul 25, 2024
- $95,573
Federal fine
Jul 25, 2024
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 · 24 homes · 2.1 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.