Elder Care Record

Iowa › Page County › Shenandoah

Garden View Care Center

1200 West Nishna Road, Shenandoah, IA 51601

CCN 165531 · For-profit, limited liability company · 50 certified beds · chain Campbell Street Services

CMS abuse iconSpecial Focus Facility
Overallnot rated
Health inspectionnot rated
Staffingnot rated
Quality measuresnot rated

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Garden View Care Center is a For-profit, limited liability company nursing home in Shenandoah, Iowa, certified for 50 beds and caring for about 33 residents a day.

CMS gives it no overall rating; the health inspection rating is —, staffing — and quality measures —.

Inspectors recorded 111 health deficiencies across the three most recent survey cycles (51, 36, 24 by cycle, most recent first), 10 of them at the actual-harm or immediate-jeopardy level. That is 222.0 per 100 beds, more than the state median of 27.5.

CMS lists 3 penalties in the period covered: fines totalling $138K and 1 payment denial.

Reported nurse staffing is 4.3 hours per resident per day (0.7 RN), close to the Iowa median of 3.7; nursing staff turnover is 55.3%.

CMS flags that the facility carries the CMS abuse icon and is a Special Focus Facility.

111health deficiencies, 3 survey cycles10 at actual harm or worse
$138Kfines listed by CMS3 penalties in period
4.3nurse hours per resident per daystate median 3.7
65%occupancy (residents ÷ beds)33 residents a day

Compared with county, state and nation

MeasureThis facilityPage Co. medianIowa medianUS average
Overall star rating—233.0
Health citations, 3 cycles111321628.7
Citations per 100 beds222.076.227.526.8
Total nurse hours per resident day4.33.73.73.9
RN hours per resident day0.70.60.70.7
Nursing staff turnover55.3%55.3%41.9%45.8%
Fines listed$137,835$16,448$0—

County and state figures are medians across facilities (3 in the county, 387 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)51
Cycle 236
Cycle 324

Dark bar: this facility. Grey bar: Iowa average per facility for the same cycle, as published by CMS. Standard health survey dates: 8 Dec 2025, 10 Apr 2025.

Severity mix: J ×6 G ×4 D ×55 E ×35 F ×10 C ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
2 Jun 2026F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EComplaint investigation8 Jun 2026
2 Jun 2026F0658Ensure services provided by the nursing facility meet professional standards of quality.EComplaint investigation8 Jun 2026
2 Jun 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation8 Jun 2026
2 Jun 2026F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation8 Jun 2026
2 Jun 2026F0761Ensure 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.EComplaint investigation8 Jun 2026
2 Jun 2026F0865Have a plan that describes the process for conducting QAPI and QAA activities.EComplaint investigation8 Jun 2026
2 Jun 2026F0880Provide and implement an infection prevention and control program.EComplaint investigation8 Jun 2026
2 Jun 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation8 Jun 2026
2 Jun 2026F0602Protect each resident from the wrongful use of the resident's belongings or money.DComplaint investigation8 Jun 2026
2 Jun 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation8 Jun 2026
2 Jun 2026F0610Respond appropriately to all alleged violations.DComplaint investigation8 Jun 2026
2 Jun 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation8 Jun 2026
2 Jun 2026F0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.DComplaint investigation8 Jun 2026
2 Jun 2026F0695Provide safe and appropriate respiratory care for a resident when needed.DComplaint investigation8 Jun 2026
2 Jun 2026F0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DComplaint investigation8 Jun 2026
2 Jun 2026F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation8 Jun 2026
2 Jun 2026F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint investigation8 Jun 2026
2 Jun 2026F0809Ensure 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.DComplaint investigation8 Jun 2026
8 Apr 2026F0865Have a plan that describes the process for conducting QAPI and QAA activities.FComplaint investigation8 Jun 2026
8 Apr 2026F0584Honor 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.EComplaint investigation8 May 2026
8 Apr 2026F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint investigation28 Apr 2026
8 Apr 2026F0880Provide and implement an infection prevention and control program.EComplaint investigation30 Apr 2026
8 Apr 2026F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint investigation8 May 2026
8 Apr 2026F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation29 Apr 2026
8 Apr 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation8 Jun 2026
8 Apr 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation30 Apr 2026
8 Dec 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation9 Dec 2025
8 Dec 2025F0610Respond appropriately to all alleged violations.JComplaint investigation9 Dec 2025
8 Dec 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard survey29 Dec 2025
8 Dec 2025F0695Provide safe and appropriate respiratory care for a resident when needed.GStandard survey29 Dec 2025
8 Dec 2025F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint investigation8 Jan 2026
8 Dec 2025F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.FComplaint investigation8 Jan 2026
8 Dec 2025F0730Observe each nurse aide's job performance and give regular training.FStandard survey8 Jan 2026
8 Dec 2025F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.FStandard survey8 Jan 2026
8 Dec 2025F0865Have a plan that describes the process for conducting QAPI and QAA activities.FStandard survey8 Jan 2026
8 Dec 2025F0803Ensure 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.EStandard survey8 Jan 2026
8 Dec 2025F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.EStandard survey8 Jan 2026
8 Dec 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey8 Jan 2026
8 Dec 2025F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard survey8 Jan 2026
8 Dec 2025F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey8 Jan 2026
8 Dec 2025F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard survey8 Jan 2026
8 Dec 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey8 Jan 2026
8 Dec 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard survey8 Jan 2026
8 Dec 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey8 Jan 2026
8 Dec 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey8 Jan 2026
8 Dec 2025F0688Provide 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.DStandard survey8 Jan 2026
8 Dec 2025F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey8 Jan 2026
8 Dec 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey8 Jan 2026
8 Dec 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DComplaint investigation8 Jan 2026
8 Dec 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey8 Jan 2026
21 Oct 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation20 Nov 2025
10 Apr 2025F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard survey10 May 2025
10 Apr 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey10 May 2025
10 Apr 2025F0865Have a plan that describes the process for conducting QAPI and QAA activities.EStandard survey10 May 2025
10 Apr 2025F0880Provide and implement an infection prevention and control program.EStandard survey10 May 2025
10 Apr 2025F0887Educate 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.EStandard survey10 May 2025
10 Apr 2025F0625Notify 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.DStandard survey10 May 2025
10 Apr 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey10 May 2025
10 Apr 2025F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard survey10 May 2025
10 Apr 2025F0688Provide 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.DStandard survey10 May 2025
10 Apr 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard survey10 May 2025
10 Apr 2025F0760Ensure that residents are free from significant medication errors.DStandard survey10 May 2025
27 Feb 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.EComplaint investigation27 Mar 2025
27 Feb 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint investigation27 Mar 2025
27 Feb 2025F0727Have 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.EComplaint investigation27 Mar 2025
27 Feb 2025F0732Post nurse staffing information every day.EComplaint investigation27 Mar 2025
27 Feb 2025F0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.EComplaint investigation27 Mar 2025
27 Feb 2025F0865Have a plan that describes the process for conducting QAPI and QAA activities.EComplaint investigation27 Mar 2025
27 Feb 2025F0880Provide and implement an infection prevention and control program.EComplaint investigation27 Mar 2025
27 Feb 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint investigation27 Mar 2025
27 Feb 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint investigation27 Mar 2025
27 Feb 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation27 Mar 2025
27 Feb 2025F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DComplaint investigation27 Mar 2025
27 Feb 2025F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint investigation27 Mar 2025
27 Feb 2025F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint investigation27 Mar 2025
27 Feb 2025F0761Ensure 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.DComplaint investigation27 Mar 2025
27 Feb 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation27 Mar 2025
11 Sep 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint investigation28 Sep 2024
11 Sep 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.JComplaint investigation28 Sep 2024
11 Sep 2024F0610Respond appropriately to all alleged violations.JComplaint investigation28 Sep 2024
11 Sep 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation28 Sep 2024
11 Sep 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.FComplaint investigation28 Sep 2024
11 Sep 2024F0865Have a plan that describes the process for conducting QAPI and QAA activities.FComplaint investigation28 Sep 2024
11 Sep 2024F0584Honor 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.EComplaint investigation28 Sep 2024
11 Sep 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint investigation28 Sep 2024
11 Sep 2024F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation28 Sep 2024
11 Sep 2024F0880Provide and implement an infection prevention and control program.EComplaint investigation28 Sep 2024
25 Jul 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation28 Sep 2024
25 Jul 2024F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FStandard survey28 Sep 2024
25 Jul 2024F0727Have 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.FStandard survey25 Aug 2024
25 Jul 2024F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey25 Aug 2024
25 Jul 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey25 Aug 2024
25 Jul 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey25 Aug 2024
25 Jul 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey28 Sep 2024
25 Jul 2024F0880Provide and implement an infection prevention and control program.DStandard survey28 Sep 2024
25 Jul 2024F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey25 Aug 2024
5 Apr 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation3 May 2024
5 Apr 2024F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DComplaint investigation3 May 2024
5 Apr 2024F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DComplaint investigation3 May 2024
5 Apr 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation3 May 2024
5 Apr 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint investigation3 May 2024
2 Feb 2024F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint investigation2 Mar 2024
2 Feb 2024F0727Have 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.EComplaint investigation2 Mar 2024
2 Feb 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation2 Mar 2024
2 Feb 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation2 Mar 2024
2 Feb 2024F0688Provide 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.DComplaint investigation2 Mar 2024
2 Feb 2024F0732Post nurse staffing information every day.CComplaint investigation2 Mar 2024
8 Aug 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation8 Sep 2023
8 Aug 2023F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint investigation8 Sep 2023
8 Aug 2023F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation8 Sep 2023
8 Aug 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation8 Sep 2023

Penalties

DateTypeAmountDetail
8 Dec 2025Fine$42,262
25 Jul 2024Payment denial—32 days
25 Jul 2024Fine$95,573

Staffing

Total nursing4.33 h
Nurse aides2.97 h
LPN0.63 h
RN0.72 h
Weekend total3.56 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Iowa average. Turnover: nursing staff 55.3%, RNs —; 2 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityIowa medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay18.5%16.8%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay3.1%0.8%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.1%1.8%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay1.4%3.4%2.8%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay17.8%15.9%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay10.5%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay28.9%18.2%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: Opco Shenandoah Ia Llc. Chain: Campbell Street Services (22 facilities).

OrganisationRole in the CMS recordInterestSince
Holdco, Ia, 10, LLCDirect ownership interestNOT APPLICABLE02/01/2025
Birchwood Healthcare Partners LLCIndirect ownership interestNOT APPLICABLE02/01/2025
Birchwood Foundation LLCOperational/managerial controlNOT APPLICABLE02/01/2025
Birchwood Healthcare Partners LLCOperational/managerial controlNOT APPLICABLE02/01/2025
Campbell Street Ia 10 LLCOperational/managerial controlNOT APPLICABLE02/01/2025
Campbell Street Services LLCOperational/managerial controlNOT APPLICABLE02/01/2025
Holdco, Ia, 10, LLCOperational/managerial controlNOT APPLICABLE02/01/2025
Acd Consolidated LLCAdp of the snfNOT APPLICABLE09/01/2024
Bear Creek Sraf Gp Holdings LLCAdp of the snfNOT APPLICABLE09/01/2024
Bear Creek Strategic Real Assets Fund LPAdp of the snfNOT APPLICABLE09/01/2024
Campbell Street Ia 10 LLCAdp of the snfNOT APPLICABLE02/01/2025
Campbell Street Services LLCAdp of the snfNOT APPLICABLE02/01/2025
Defranco Investment Co LtdAdp of the snfNOT APPLICABLE09/01/2024
Iaga SNF Holdings LLCAdp of the snfNOT APPLICABLE09/01/2024
Iaga SNF Portfolio LLCAdp of the snfNOT APPLICABLE08/28/2025
Iaga SNF Shenandoah LLCAdp of the snfNOT APPLICABLE09/01/2025
Nap Holdings LLCAdp of the snfNOT APPLICABLE09/01/2024

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Page County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Azria Health ClarindaClarinda702321318.6$16K7 May 2026
Accura Healthcare of ShenandoahShenandoah421113276.2$8K18 Sep 2025

All 3 facilities in Page County

Questions and answers

How many deficiencies has Garden View Care Center been cited for?

111 health deficiencies across the three most recent survey cycles, 10 at the actual-harm or immediate-jeopardy level. The Iowa median is 16 per facility.

Has Garden View Care Center been fined?

Yes. CMS lists fines totalling $138K in the period covered, plus 1 payment denial.

How does staffing at Garden View Care Center compare?

Reported total nurse staffing is 4.3 hours per resident per day against a Iowa median of 3.7 and a national average of 3.9.

Who operates Garden View Care Center?

It is part of the Campbell Street Services chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Holdco, Ia, 10, LLC, Birchwood Healthcare Partners LLC and Birchwood Foundation LLC. Individual owners and managers are not listed on this site.

When was Garden View Care Center last inspected?

The most recent survey or investigation in the CMS record is dated 2 Jun 2026; the most recent standard health survey was 8 Dec 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.