Garden View Care Center: Staffing, Turnover, and Inspection Record
Garden View Care Center is a 50-bed for-profit nursing home in Shenandoah, Iowa, part of Campbell Street Services. In the CMS August 2026 release it reported 2.97 nurse aide hours per resident per day, 19% above the Iowa average of 2.51, and 55.3% nursing staff turnover (Iowa average 44.0%).
Garden View Care Center
1200 West Nishna RoadShenandoah, IA 51601
Page County
CMS Care Compare, August 2026 release
Special Focus Facility. CMS places nursing homes with a history of serious quality issues in its Special Focus Facility program, which brings more frequent inspections.
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Garden View Care Center, nurse aides logged 2.97 hours per resident per day, 19% above the Iowa average. With about 33 residents a day, that works out to roughly 97 aide hours a day, or about 12 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 18% below the all-days figure.
CMS note: Not rated: this home is in the Special Focus Facility program because of a history of serious quality issues.
| Hours per resident per day | This home | Iowa avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.97 | 2.51 | 2.32 |
| Licensed practical nurses | 0.63 | 0.56 | 0.86 |
| Registered nurses | 0.72 | 0.74 | 0.69 |
| All nursing staff | 4.33 | 3.82 | 3.86 |
| All nursing staff, weekends | 3.56 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
55.3% of nursing staff at Garden View Care Center left over the year CMS measured, against a Iowa average of 44.0% and a US average of 45.8%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Dec 8, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 51 health deficiencies (Iowa average 6.5). CMS lists 2 fines totaling $137,835 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Dec 8, 2025 | Fine | $42,262 |
| Jul 25, 2024 | Fine | $95,573 |
| Jul 25, 2024 | Payment Denial | 32 days from Aug 27, 2024 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Not rated: this home is in the Special Focus Facility program because of a history of serious quality issues.
About Garden View Care Center
- Ownership: For profit - Limited Liability company
- Chain: Campbell Street Services, 22 homes
- Legal name: Opco Shenandoah Ia LLC
- Medicare and Medicaid certified since: Apr 1, 2004
- Councils: resident council
- Area: rural
Nursing homes near Garden View Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Accura Healthcare of Shenandoah Shenandoah · many days without an RN | 0.4 | 42 | 2.49 | 3.63 | 60.4% | 1 | $8,414 |
| The Ambassador Sidney Inc Sidney | 13.9 | 46 | 2.46 | 3.54 | 34.1% | 4 | None |
| Azria Health Clarinda Clarinda | 17.7 | 70 | 2.23 | 3.66 | 32.8% | 2 | $16,448 |
| Tabor Manor Care Center Tabor | 18.0 | 46 | 2.53 | 3.76 | 60.4% | 1 | $17,996 |
| Red Oak Rehab and Care Center Red Oak | 19.9 | 58 | 2.63 | 3.54 | 44.8% | 3 | None |
| Good Samaritan - Red Oak Red Oak | 20.1 | 53 | 2.04 | 3.29 | 17.9% | 1 | $29,894 |
| Accura Healthcare of Stanton Stanton | 21.3 | 46 | 2.55 | 3.79 | 25.0% | 3 | None |
| Pleasant View Nursing Home Rock Port · many days without an RN | 23.9 | 60 | 1.60 | 2.40 | 45.0% | 3 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.