Nursing home
Garden View Care Center
1200 West Nishna Road, Shenandoah, IA 51601 · Map
For profit - Limited Liability company · Part of Arboreta Healthcare (8 facilities) · 50 certified beds
Garden View Care Center is a Medicare-certified nursing home in Shenandoah, Iowa. Nurse staffing is 3.66 hours per resident per day, below the Iowa average of 3.83. Its most recent inspection on Dec 8, 2025 cited 25 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight and it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- Special Focus FacilityCMS has identified this facility for enhanced oversight.
- 3 fines totaling $191,189In CMS records: 4 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Garden View Care Center compares
This facility vs. the Iowa and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Iowa avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.66 | 3.83 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.40 | 0.73 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.67 | 2.53 | 2.34 | above avg |
| Nursing staff turnover | —% | 43.9% | 46.4% | — |
| Deficiencies cited, last inspection | 25.0 | 6.2 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 3 fines totaling $191,189, 4 total penalties, 1 Medicare payment denial.
What inspectors found at Garden View Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Immediate jeopardy
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 8, 2025 · Full report (PDF) - Immediate jeopardy
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 8, 2025 · Full report (PDF) - Actual harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Dec 8, 2025 · Full report (PDF) - Actual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Dec 8, 2025 · Full report (PDF) - Potential for harm
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies · Dec 8, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Dec 8, 2025 · Full report (PDF) - Potential for harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Dec 8, 2025 · Full report (PDF) - Potential for harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · Dec 8, 2025 · Full report (PDF) - Potential for harm
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · Dec 8, 2025 · Full report (PDF) - Potential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · Dec 8, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Dec 8, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · Dec 8, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1200 West Nishna Road
Shenandoah, IA 51601 - CMS certification #
- 165531
- Ownership
- For profit - Limited Liability company
- Certified beds
- 50
- Avg residents/day
- 36.3
- Provider type
- Medicare and Medicaid
- First certified
- 2004-04-01
- Chain
- Arboreta Healthcare (8 facilities)
- Setting
- Rural
Part of Arboreta Healthcare
Arboreta Healthcare operates 8 nursing facilities across the United States. View all Arboreta Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Garden View Care Center using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2017
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for May 1, 2017 to Feb 13, 2019. Violations found: Overtime, Child labor. Back wages: $5,828 owed to 17 employees. Civil money penalties assessed: $1,810. DOL marked the employer as a repeat violator. Employer as DOL recorded it: Garden View Care Center (Premier Estates 509, LLC). Case 1880160.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Shenandoah Medical Center, Shenandoah. 0.8 miles away, straight line.
- Nearest Medicare nursing home
- Accura Healthcare of Shenandoah, Shenandoah. 0.4 miles away, straight line.
- Nearest home health agency office
- Pure Health Services, LLC, Clarinda. 18.7 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Hy-Vee Pharmacy. 0.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 51601 as small town (small town core).
- Dialysis within 15 miles
- Davita Shenandoah Dialysis, Shenandoah, 0.8 miles away, straight line (CMS rating 2 of 5 stars)
- Hospice
- 3 Medicare hospices tell CMS they serve ZIP code 51601.
- Nearest geriatric medicine practice
- Advanced Mobile Medicine LLC, Bellevue. 38.5 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively low, wildfire very low, tornado relatively high, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
How is Garden View Care Center staffed?
Garden View Care Center reports 3.66 total nurse hours per resident per day, compared with the Iowa average of 3.83.
Has Garden View Care Center had inspection problems?
Its most recent CMS inspection cited 25 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does Garden View Care Center have?
Garden View Care Center is certified for 50 beds.