Garden View Care Center
1200 West Nishna Road, Shenandoah, IA, 51601
Yes. Federal inspectors cited 33 deficiencies against Garden View Care Center in Shenandoah, Iowa at its most recent standard inspection on 2025-12-08, 14 of them arising from complaints. 6 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 3 times, totalling $168,858. CMS currently flags this home for abuse.
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · F0865 · 2026-04-08 · from a complaint · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0584 · 2026-04-08 · from a complaint · No actual harm, potential for more than minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · F0842 · 2026-04-08 · from a complaint · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2026-04-08 · from a complaint · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2026-04-08 · from a complaint · No actual harm, potential for more than minimal harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · F0558 · 2026-04-08 · from a complaint · No actual harm, potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2026-04-08 · from a complaint · No actual harm, potential for more than minimal harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · F0677 · 2026-04-08 · from a complaint · No actual harm, potential for more than minimal harm
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 · F0600 · 2025-12-08 · from a complaint · Immediate jeopardy to resident health or safety
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2025-12-08 · from a complaint · Immediate jeopardy to resident health or safety
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-12-08 · standard survey · Actual harm to a resident
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · F0695 · 2025-12-08 · standard survey · Actual harm to a resident
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 · F0725 · 2025-12-08 · from a complaint · No actual harm, potential for more than minimal 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 · F0726 · 2025-12-08 · from a complaint · No actual harm, potential for more than minimal harm
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies · F0730 · 2025-12-08 · standard survey · No actual harm, potential for more than minimal harm
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies · F0835 · 2025-12-08 · standard survey · No actual harm, potential for more than minimal harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · F0865 · 2025-12-08 · standard survey · No actual harm, potential for more than minimal harm
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.
Nutrition and Dietary Deficiencies · F0803 · 2025-12-08 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies · F0805 · 2025-12-08 · standard survey · No actual harm, potential for more than minimal 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 · F0812 · 2025-12-08 · standard survey · No actual harm, potential for more than minimal harm
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
What Medicare has fined this home
Who owns Garden View Care Center
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| HOLDCO, IA, 10, LLC | Organization | NOT APPLICABLE | since 02/01/2025 |
| BIRCHWOOD HEALTHCARE PARTNERS LLC | Organization | NOT APPLICABLE | since 02/01/2025 |
| DOLE, ISAAC | Individual | NOT APPLICABLE | since 02/01/2025 |
| DOLE, ISAAC | Individual | NOT APPLICABLE | since 02/01/2025 |
| SATTERFIELD, BRENDA | Individual | NOT APPLICABLE | since 02/01/2025 |
| BIRCHWOOD FOUNDATION LLC | Organization | NOT APPLICABLE | since 02/01/2025 |
| BIRCHWOOD HEALTHCARE PARTNERS LLC | Organization | NOT APPLICABLE | since 02/01/2025 |
| CAMPBELL STREET IA 10 LLC | Organization | NOT APPLICABLE | since 02/01/2025 |
| CAMPBELL STREET SERVICES LLC | Organization | NOT APPLICABLE | since 02/01/2025 |
| HOLDCO, IA, 10, LLC | Organization | NOT APPLICABLE | since 02/01/2025 |
| DOLE, ISAAC | Individual | NOT APPLICABLE | since 02/01/2025 |
| KLEINSTREUBER, PETER | Individual | NOT APPLICABLE | since 02/01/2025 |
Part of the CAMPBELL STREET SERVICES group.
Ask Garden View Care Center a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 165531.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction