Hearth Record

Garden View Care Center

A nursing home in Shenandoah, Iowa 51601

1200 West Nishna Road, Shenandoah, Iowa 51601. (712) 246-4515.

  • On CMS’s special focus list
  • Cited for abuse (CMS flag)
CMS’s own record, on Care Compare

Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.

The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 100 citations in 11 months of the last 36. Last cited Jul 2026. Most serious: immediate jeopardy to health or safety (J). Every month

Each figure’s source sits beside it, in its section below.

What these words mean8
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Immediate jeopardy
CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

28 health citations at the latest inspection cycle

The Iowa average is 6.6.

Last standard inspection Jul 23, 2026.

Most serious in three years: immediate jeopardy to health or safety (J), at a standard and complaint inspection on Dec 8, 2025

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

100 citations in 11 months of the last 36. Last cited Jul 2026. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.

100 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 100 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 69 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Jul 23, 2026: standard inspection1 citation

  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Rule F0804. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Aug 7, 2026.

Jun 2, 2026: complaint inspection18 citations

  • Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Rule F0550. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 8, 2026.

  • Protect each resident from the wrongful use of the resident’s belongings or money.

    Rule F0602. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 8, 2026.

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 8, 2026.

  • Respond appropriately to all alleged violations.

    Rule F0610. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 8, 2026.

  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Rule F0657. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 8, 2026.

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Rule F0658. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 8, 2026.

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 8, 2026.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 8, 2026.

  • Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

    Rule F0691. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 8, 2026.

  • Provide safe and appropriate respiratory care for a resident when needed.

    Rule F0695. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 8, 2026.

  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Rule F0725. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 8, 2026.

  • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Rule F0744. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 8, 2026.

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Rule F0755. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 8, 2026.

  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Rule F0757. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 8, 2026.

  • Ensure 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.

    Rule F0761. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 8, 2026.

  • Ensure 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.

    Rule F0809. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 8, 2026.

  • Have a plan that describes the process for conducting QAPI and QAA activities.

    Rule F0865. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 8, 2026.

  • Provide and implement an infection prevention and control program.

    Rule F0880. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 8, 2026.

Apr 8, 2026: complaint inspection8 citations

  • Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Rule F0550. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 8, 2026.

  • Reasonably accommodate the needs and preferences of each resident.

    Rule F0558. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 29, 2026.

  • Honor 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.

    Rule F0584. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 8, 2026.

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 8, 2026.

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 30, 2026.

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 28, 2026.

  • Have a plan that describes the process for conducting QAPI and QAA activities.

    Rule F0865. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 8, 2026.

  • Provide and implement an infection prevention and control program.

    Rule F0880. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 30, 2026.

Dec 8, 2025: standard inspection19 citations

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. G: actual harm. Correction date, as CMS recorded it: Dec 29, 2025.

  • Provide safe and appropriate respiratory care for a resident when needed.

    Rule F0695. G: actual harm. Correction date, as CMS recorded it: Dec 29, 2025.

  • Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident’s ability to function.

    Rule F0605. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 8, 2026.

  • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Rule F0636. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 8, 2026.

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 8, 2026.

  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Rule F0657. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 8, 2026.

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Rule F0658. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 8, 2026.

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 8, 2026.

  • Provide 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.

    Rule F0688. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 8, 2026.

  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Rule F0690. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 8, 2026.

  • Observe each nurse aide’s job performance and give regular training.

    Rule F0730. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 8, 2026.

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Rule F0755. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 8, 2026.

  • Ensure 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.

    Rule F0803. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 8, 2026.

  • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Rule F0805. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 8, 2026.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 8, 2026.

  • Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Rule F0835. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 8, 2026.

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 8, 2026.

  • Have a plan that describes the process for conducting QAPI and QAA activities.

    Rule F0865. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 8, 2026.

  • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Rule F0867. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 8, 2026.

Dec 8, 2025: standard and complaint inspection5 citations

  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Dec 9, 2025.

  • Respond appropriately to all alleged violations.

    Rule F0610. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Dec 9, 2025.

  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Rule F0725. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 8, 2026.

  • 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.

    Rule F0726. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 8, 2026.

  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Rule F0804. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 8, 2026.

Oct 21, 2025: complaint inspection1 citation

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Nov 20, 2025.

Apr 10, 2025: standard inspection11 citations

  • Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Rule F0607. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 10, 2025.

  • Notify 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.

    Rule F0625. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 10, 2025.

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 10, 2025.

  • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Rule F0661. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 10, 2025.

  • Provide 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.

    Rule F0688. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 10, 2025.

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Rule F0755. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 10, 2025.

  • Ensure that residents are free from significant medication errors.

    Rule F0760. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 10, 2025.

  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Rule F0804. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 10, 2025.

  • Have a plan that describes the process for conducting QAPI and QAA activities.

    Rule F0865. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 10, 2025.

  • Provide and implement an infection prevention and control program.

    Rule F0880. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 10, 2025.

  • Educate 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.

    Rule F0887. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 10, 2025.

Feb 27, 2025: complaint inspection15 citations

  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Rule F0657. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 27, 2025.

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Rule F0658. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 27, 2025.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 27, 2025.

  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Rule F0686. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 27, 2025.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 27, 2025.

  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Rule F0725. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 27, 2025.

  • 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.

    Rule F0726. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 27, 2025.

  • Have 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.

    Rule F0727. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 27, 2025.

  • Post nurse staffing information every day.

    Rule F0732. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 27, 2025.

  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Rule F0757. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 27, 2025.

  • Ensure 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.

    Rule F0761. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 27, 2025.

  • Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Rule F0835. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 27, 2025.

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 27, 2025.

  • Have a plan that describes the process for conducting QAPI and QAA activities.

    Rule F0865. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 27, 2025.

  • Provide and implement an infection prevention and control program.

    Rule F0880. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 27, 2025.

Sep 11, 2024: complaint inspection10 citations

  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Sep 28, 2024.

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Sep 28, 2024.

  • Respond appropriately to all alleged violations.

    Rule F0610. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Sep 28, 2024.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Sep 28, 2024.

  • Honor 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.

    Rule F0584. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 28, 2024.

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 28, 2024.

  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Rule F0725. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 28, 2024.

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 28, 2024.

  • Have a plan that describes the process for conducting QAPI and QAA activities.

    Rule F0865. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 28, 2024.

  • Provide and implement an infection prevention and control program.

    Rule F0880. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 28, 2024.

Jul 25, 2024: complaint inspection1 citation

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. G: actual harm. From a complaint. Correction date, as CMS recorded it: Sep 28, 2024.

Apr 5, 2024: complaint inspection5 citations

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Rule F0609. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 3, 2024.

  • Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    Rule F0622. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 3, 2024.

  • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Rule F0661. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 3, 2024.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 3, 2024.

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 3, 2024.

Feb 2, 2024: complaint inspection6 citations

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 2, 2024.

  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Rule F0677. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 2, 2024.

  • Provide 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.

    Rule F0688. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 2, 2024.

  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Rule F0725. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 2, 2024.

  • Have 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.

    Rule F0727. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 2, 2024.

  • Post nurse staffing information every day.

    Rule F0732. C: no actual harm, potential for minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 2, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Apr 1, 2004.
  • On CMS’s special focus list, which CMS keeps for homes with a history of serious problems.
  • CMS marks it with its abuse icon: cited for abuse or neglect that harmed a resident.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, limited liability company.
  • 50 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • 2 fines in the last three years, $137,835 in all.
  • 1 Medicare payment denial in the last three years.
  • 69 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
Dec 8, 2025Fine$42,262
Jul 25, 2024Medicare payment denialNot given
Jul 25, 2024Fine$95,573

Who does the caring?

4.72 nurse hours per resident per day

The Iowa average is 3.86.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeIowa average
Nurse hours per resident per day4.723.86
Of which registered nurses0.780.74
At weekends3.773.38
Nursing staff turnover55.8%44.1%
Registered nurse turnover85.7%42.1%
Administrators who leftNot givenNot given

Who owns it?

  • Holdco, IA, 10, LLC owns 100% directly since Feb 1, 2025.
  • Birchwood Foundation LLC and Campbell Street IA 10 LLC and Birchwood Healthcare Partners LLC and Holdco, IA, 10, LLC and Campbell Street Services LLC run it.
  • 14 owners or officers are people: Isaac S Dole (owns a share through other companies, 100%); Brenda S Satterfield (runs it (operational or managerial control)); Brenda S Satterfield (on the governing body (managing control)); Brenda S Satterfield (additional disclosable party (controls, leases property to, or provides services to the home)); Isaac S Dole (runs it (operational or managerial control)); Isaac S Dole (on the governing body (managing control)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)); Michael J Ourada (runs it (operational or managerial control)); Michael J Ourada (additional disclosable party (controls, leases property to, or provides services to the home)); Peter Kleinstreuber (runs it (operational or managerial control)); Peter Kleinstreuber (additional disclosable party (controls, leases property to, or provides services to the home)); Tamara Oneal (runs it (operational or managerial control)); Tamara Oneal (additional disclosable party (controls, leases property to, or provides services to the home)); A person CMS lists without a name (additional disclosable party (controls, leases property to, or provides services to the home)).
  • Part of Campbell Street Services (25 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Birchwood Healthcare Partners LLCOwns a share through other companies100%Feb 1, 2025
Holdco, IA, 10, LLCOwns a share directly100%Feb 1, 2025
Defranco Investment Co LtdAdditional disclosable party (controls, leases property to, or provides services to the home)Sep 1, 2024
Birchwood Foundation LLCRuns it (operational or managerial control)Feb 1, 2025
Campbell Street IA 10 LLCRuns it (operational or managerial control)Feb 1, 2025
Campbell Street IA 10 LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Feb 1, 2025
NAP Holdings LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Sep 1, 2024
Bear Creek Sraf GP Holdings LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Sep 1, 2024
Iaga SNF Holdings LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Sep 1, 2024
Bear Creek Strategic Real Assets Fund LPAdditional disclosable party (controls, leases property to, or provides services to the home)Sep 1, 2024
Iaga SNF Portfolio LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Aug 28, 2025
Birchwood Healthcare Partners LLCRuns it (operational or managerial control)Feb 1, 2025
Acd Consolidated LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Sep 1, 2024
Holdco, IA, 10, LLCRuns it (operational or managerial control)Feb 1, 2025
Campbell Street Services LLCRuns it (operational or managerial control)Feb 1, 2025
Campbell Street Services LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Feb 1, 2025
Iaga SNF Shenandoah LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Sep 1, 2025

How do residents fare?

  • CMS hasn’t rated this home’s quality measures.
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall ratingNot rated
Health inspectionsNot rated
StaffingNot rated
Quality measuresNot rated

How does it compare nearby?

  • Among the 12 nearest homes, within 25.9 miles, this one had the 1st most health citations at the latest inspection cycle (28; the middle value was 8.5).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
PlaceMiles awayCitations, latest cycle
Garden View Care Center This nursing home28
Accura Healthcare of Shenandoah0.411
The Ambassador Sidney Inc.13.95
Azria Health Clarinda17.72
Tabor Manor Care Center18.025
Red Oak Rehab and Care Center19.912
Good Samaritan - Red Oak20.115
Accura Healthcare of Stanton21.34
Pleasant View Nursing Home23.93
Good Samaritan - Villisca24.26
Prestige Care Center of Nebraska City25.428
The Ambassador Nebraska City, Inc.25.92

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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