Garden View Care Center
Nursing Home · Shenandoah, IA
CMS certification number165531
CMS lists this nursing home as a Special Focus Facility – a facility with a persistent record of serious quality problems that is inspected more often.
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
1200 West Nishna RoadShenandoah, IA 51601
Page County
- Phone
- (712) 246-4515
- ZIP code
- 51601 – all care providers
Facility details
- Certified beds
- 50
- Residents per day
- 32.6 (65% occupied)
- Ownership
- For profit - Limited Liability company
- Legal name
- Opco Shenandoah Ia LLC
- Chain
- Campbell Street Services (22 facilities, avg 2.1★)
- Medicare certified since
- April 1, 2004
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 4.33 (state 3.82 · U.S. 3.86)
- Registered nurses (RN)
- 0.72 (state 0.74 · U.S. 0.69)
- Licensed practical nurses
- 0.63 (state 0.56 · U.S. 0.86)
- Nurse aides
- 2.97 (state 2.51 · U.S. 2.32)
- Weekend total
- 3.56 (state 3.37 · U.S. 3.42)
- Nursing staff turnover
- 55.3 (state 44.0 · U.S. 45.8)%
- RN turnover
- —
- Administrators who left
- 2 in the last year
Inspections
- Last standard inspection
- December 8, 2025
- Health deficiencies (last cycle)
- 51.0 (state 6.5 · U.S. 9.3)
- From complaints
- 32
- Citations on record (3 years)
- 67 health · 13 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-06-02 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-08 |
| 2026-06-02 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-08 |
| 2026-06-02 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-08 |
| 2026-06-02 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-08 |
| 2026-06-02 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-08 |
| 2026-06-02 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-08 |
| 2026-06-02 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-08 |
| 2026-06-02 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-08 |
| 2026-06-02 | Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-08 |
| 2026-06-02 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-08 |
| 2026-06-02 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-08 |
| 2026-06-02 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-08 |
| 2026-06-02 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. F0691 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-08 |
| 2026-06-02 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-08 |
| 2026-06-02 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-08 |
| 2026-06-02 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-08 |
| 2026-06-02 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-08 |
| 2026-06-02 | 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. F0809 · Nutrition and Dietary Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-08 |
| 2026-04-08 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2026-06-08 |
| 2026-04-08 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-05-08 |
| 2026-04-08 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-28 |
| 2026-04-08 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-04-30 |
| 2026-04-08 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-08 |
| 2026-04-08 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-29 |
| 2026-04-08 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-08 |
| 2026-04-08 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-30 |
| 2025-12-08 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-12-09 |
| 2025-12-08 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-12-09 |
| 2025-12-08 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2025-12-29 |
| 2025-12-08 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
G Actual harm |
Corrected 2025-12-29 |
| 2025-12-08 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2026-01-08 |
| 2025-12-08 | 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. F0726 · Nursing and Physician Services Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2026-01-08 |
| 2025-12-08 | Observe each nurse aide's job performance and give regular training. F0730 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-01-08 |
| 2025-12-08 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-01-08 |
| 2025-12-08 | Have a plan that describes the process for conducting QAPI and QAA activities. F0865 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2026-01-08 |
| 2025-12-08 | 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. F0803 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-08 |
| 2025-12-08 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-08 |
| 2025-12-08 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-08 |
| 2025-12-08 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-08 |
| 2025-12-08 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-08 |
| 2025-12-08 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-08 |
| 2025-12-08 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-08 |
| 2025-12-08 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-08 |
| 2025-12-08 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-08 |
| 2025-12-08 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-08 |
| 2025-12-08 | 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. F0688 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-08 |
| 2025-12-08 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-08 |
| 2025-12-08 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-08 |
| 2025-12-08 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-08 |
| 2025-12-08 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-08 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
3 penalties in the last three years, including $137,835 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-12-08 | Fine | $42,262 |
| 2024-07-25 | Payment Denial | 32 days payment denial |
| 2024-07-25 | Fine | $95,573 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Acd Consolidated LLC (organization) | Administrator · NOT APPLICABLE | |
| Bear Creek Sraf GP Holdings LLC (organization) | Administrator · NOT APPLICABLE | |
| Bear Creek Strategic Real Assets Fund LP (organization) | Administrator · NOT APPLICABLE | |
| Campbell Street Ia 10 LLC (organization) | Administrator · NOT APPLICABLE | |
| Campbell Street Services LLC (organization) | Administrator · NOT APPLICABLE | |
| Defranco Investment Co LTD (organization) | Administrator · NOT APPLICABLE | |
| Iaga SNF Holdings LLC (organization) | Administrator · NOT APPLICABLE | |
| Iaga SNF Portfolio LLC (organization) | Administrator · NOT APPLICABLE | |
| Iaga SNF Shenandoah LLC (organization) | Administrator · NOT APPLICABLE | |
| Kleinstreuber, Peter (individual) | Administrator · NOT APPLICABLE | |
| Nap Holdings LLC (organization) | Administrator · NOT APPLICABLE | |
| Oneal, Tamara (individual) | Administrator · NOT APPLICABLE | |
| Ourada, Michael (individual) | Administrator · NOT APPLICABLE | |
| Satterfield, Brenda (individual) | Administrator · NOT APPLICABLE | |
| Holdco, Ia, 10, LLC (organization) | Direct Ownership Interest · NOT APPLICABLE | |
| Birchwood Healthcare Partners LLC (organization) | Indirect Ownership Interest · NOT APPLICABLE | |
| Dole, Isaac (individual) | Indirect Ownership Interest · NOT APPLICABLE | |
| Dole, Isaac (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Satterfield, Brenda (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Birchwood Foundation LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Birchwood Healthcare Partners LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Campbell Street Ia 10 LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Campbell Street Services LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Dole, Isaac (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Holdco, Ia, 10, LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Kleinstreuber, Peter (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Oneal, Tamara (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Ourada, Michael (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Satterfield, Brenda (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
How many beds does Garden View Care Center have?
It has 50 certified beds and cares for about 33 residents per day.
Has Garden View Care Center been fined?
Yes. CMS lists 3 penalties totaling $137,835 in the last three years.
Who owns Garden View Care Center?
It is part of Campbell Street Services and is classified as for profit - limited liability company. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Garden View Care Center?
(712) 246-4515. The facility is located at 1200 West Nishna Road, Shenandoah, IA 51601.
Other nursing homes in Shenandoah
-
Accura Healthcare of Shenandoah
Nursing Home · Shenandoah, IA · 42 beds
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.