Starfile / Iowa

Garden View Care Center

1200 West Nishna Road, Shenandoah, IA 51601 · CCN 165531

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Inspection history vs Iowa & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$191,189

Number of fines

3

Number of penalties

4

Payment denials

1

Chain

Chain

ARBORETA HEALTHCARE

Facilities in chain

8

Chain avg overall

2.30 / 5

Inspection citations (87)6 immediate jeopardy4 actual harm

1. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-12-08 · Health · corrected 2025-12-09

   Immediate jeopardy

2. DF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-12-08 · Health · corrected 2026-01-08

   Potential for more than minimal harm

3. JF0610Respond appropriately to all alleged violations.2025-12-08 · Health · corrected 2025-12-09

   Immediate jeopardy

4. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2025-12-08 · Health · corrected 2026-01-08

   Potential for more than minimal harm

5. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-12-08 · Health · corrected 2026-01-08

   Potential for more than minimal harm

6. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-12-08 · Health · corrected 2026-01-08

   Potential for more than minimal harm

7. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-12-08 · Health · corrected 2026-01-08

   Potential for more than minimal harm

8. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-12-08 · Health · corrected 2025-12-29

   Actual harm

9. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-12-08 · Health · corrected 2026-01-08

   Potential for more than minimal harm

10. DF0688Provide 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.2025-12-08 · Health · corrected 2026-01-08

    Potential for more than minimal harm

11. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-12-08 · Health · corrected 2026-01-08

    Potential for more than minimal harm

12. GF0695Provide safe and appropriate respiratory care for a resident when needed.2025-12-08 · Health · corrected 2025-12-29

    Actual harm

13. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-12-08 · Health · corrected 2026-01-08

    Potential for more than minimal harm

14. FF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-12-08 · Health · corrected 2026-01-08

    Potential for more than minimal harm

15. FF0730Observe each nurse aide's job performance and give regular training.2025-12-08 · Health · corrected 2026-01-08

    Potential for more than minimal harm

16. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-12-08 · Health · corrected 2026-01-08

    Potential for more than minimal harm

17. EF0803Ensure 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.2025-12-08 · Health · corrected 2026-01-08

    Potential for more than minimal harm

18. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-12-08 · Health · corrected 2026-01-08

    Potential for more than minimal harm

19. EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2025-12-08 · Health · corrected 2026-01-08

    Potential for more than minimal harm

20. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-12-08 · Health · corrected 2026-01-08

    Potential for more than minimal harm

21. FF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2025-12-08 · Health · corrected 2026-01-08

    Potential for more than minimal harm

22. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-12-08 · Health · corrected 2026-01-08

    Potential for more than minimal harm

23. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-12-08 · Health · corrected 2026-01-08

    Potential for more than minimal harm

24. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2025-12-08 · Health · corrected 2026-01-08

    Potential for more than minimal harm

25. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-10-21 · Health · corrected 2025-11-20

    Potential for more than minimal harm

26. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-04-10 · Health · corrected 2025-05-10

    Potential for more than minimal harm

27. DF0625Notify 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.2025-04-10 · Health · corrected 2025-05-10

    Potential for more than minimal harm

28. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-10 · Health · corrected 2025-05-10

    Potential for more than minimal harm

29. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2025-04-10 · Health · corrected 2025-05-10

    Potential for more than minimal harm

30. DF0688Provide 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.2025-04-10 · Health · corrected 2025-05-10

    Potential for more than minimal harm

31. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-04-10 · Health · corrected 2025-05-10

    Potential for more than minimal harm

32. DF0760Ensure that residents are free from significant medication errors.2025-04-10 · Health · corrected 2025-05-10

    Potential for more than minimal harm

33. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-04-10 · Health · corrected 2025-05-10

    Potential for more than minimal harm

34. EF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-04-10 · Health · corrected 2025-05-10

    Potential for more than minimal harm

35. EF0880Provide and implement an infection prevention and control program.2025-04-10 · Health · corrected 2025-05-10

    Potential for more than minimal harm

36. EF0887Educate 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.2025-04-10 · Health · corrected 2025-05-10

    Potential for more than minimal harm

37. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-02-27 · Health · corrected 2025-03-27

    Potential for more than minimal harm

38. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-02-27 · Health · corrected 2025-03-27

    Potential for more than minimal harm

39. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-27 · Health · corrected 2025-03-27

    Potential for more than minimal harm

40. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-02-27 · Health · corrected 2025-03-27

    Potential for more than minimal harm

41. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-27 · Health · corrected 2025-03-27

    Potential for more than minimal harm

42. DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-02-27 · Health · corrected 2025-03-27

    Potential for more than minimal harm

43. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-02-27 · Health · corrected 2025-03-27

    Potential for more than minimal harm

44. EF0727Have 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.2025-02-27 · Health · corrected 2025-03-27

    Potential for more than minimal harm

45. EF0732Post nurse staffing information every day.2025-02-27 · Health · corrected 2025-03-27

    Potential for more than minimal harm

46. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-02-27 · Health · corrected 2025-03-27

    Potential for more than minimal harm

47. DF0761Ensure 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.2025-02-27 · Health · corrected 2025-03-27

    Potential for more than minimal harm

48. EF0835Administer the facility in a manner that enables it to use its resources effectively and efficiently.2025-02-27 · Health · corrected 2025-03-27

    Potential for more than minimal harm

49. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-02-27 · Health · corrected 2025-03-27

    Potential for more than minimal harm

50. EF0865Have a plan that describes the process for conducting QAPI and QAA activities.2025-02-27 · Health · corrected 2025-03-27

    Potential for more than minimal harm

51. EF0880Provide and implement an infection prevention and control program.2025-02-27 · Health · corrected 2025-03-27

    Potential for more than minimal harm

52. EF0584Honor 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.2024-09-11 · Health · corrected 2024-09-28

    Potential for more than minimal harm

53. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-09-11 · Health · corrected 2024-09-28

    Immediate jeopardy

54. JF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-09-11 · Health · corrected 2024-09-28

    Immediate jeopardy

55. JF0610Respond appropriately to all alleged violations.2024-09-11 · Health · corrected 2024-09-28

    Immediate jeopardy

56. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-09-11 · Health · corrected 2024-09-28

    Potential for more than minimal harm

57. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-11 · Health · corrected 2024-09-28

    Immediate jeopardy

58. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-09-11 · Health · corrected 2024-09-28

    Potential for more than minimal harm

59. FF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-09-11 · Health · corrected 2024-09-28

    Potential for more than minimal harm

60. FF0865Have a plan that describes the process for conducting QAPI and QAA activities.2024-09-11 · Health · corrected 2024-09-28

    Potential for more than minimal harm

61. EF0880Provide and implement an infection prevention and control program.2024-09-11 · Health · corrected 2024-09-28

    Potential for more than minimal harm

62. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-07-25 · Health · corrected 2024-08-25

    Potential for more than minimal harm

63. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-07-25 · Health · corrected 2024-08-25

    Potential for more than minimal harm

64. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-07-25 · Health · corrected 2024-09-28

    Actual harm

65. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-07-25 · Health · corrected 2024-09-28

    Potential for more than minimal harm

66. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-07-25 · Health · corrected 2024-09-28

    Potential for more than minimal harm

67. FF0727Have 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.2024-07-25 · Health · corrected 2024-08-25

    Potential for more than minimal harm

68. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-07-25 · Health · corrected 2024-08-25

    Potential for more than minimal harm

69. DF0880Provide and implement an infection prevention and control program.2024-07-25 · Health · corrected 2024-09-28

    Potential for more than minimal harm

70. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-07-25 · Health · corrected 2024-08-25

    Potential for more than minimal harm

71. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-04-05 · Health · corrected 2024-05-03

    Potential for more than minimal harm

72. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-04-05 · Health · corrected 2024-05-03

    Potential for more than minimal harm

73. DF0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.2024-04-05 · Health · corrected 2024-05-03

    Potential for more than minimal harm

74. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-05 · Health · corrected 2024-05-03

    Potential for more than minimal harm

75. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-04-05 · Health · corrected 2024-05-03

    Potential for more than minimal harm

76. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-02 · Health · corrected 2024-03-02

    Potential for more than minimal harm

77. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-02-02 · Health · corrected 2024-03-02

    Potential for more than minimal harm

78. DF0688Provide 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.2024-02-02 · Health · corrected 2024-03-02

    Potential for more than minimal harm

79. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-02-02 · Health · corrected 2024-03-02

    Potential for more than minimal harm

80. EF0727Have 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.2024-02-02 · Health · corrected 2024-03-02

    Potential for more than minimal harm

81. CF0732Post nurse staffing information every day.2024-02-02 · Health · corrected 2024-03-02

    Potential for minimal harm

82. DF0558Reasonably accommodate the needs and preferences of each resident.2023-08-08 · Health · corrected 2023-09-08

    Potential for more than minimal harm

83. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-08-08 · Health · corrected 2023-09-08

    Potential for more than minimal harm

84. GF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-08-08 · Health · corrected 2023-09-08

    Actual harm

85. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2023-08-08 · Health · corrected 2023-09-08

    Potential for more than minimal harm

86. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-04-27 · Health · corrected 2023-05-30

    Potential for more than minimal harm

87. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-27 · Health · corrected 2023-05-30

    Potential for more than minimal harm

Ownership

Other facilities in Shenandoah

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.