Garden View Care Center, Shenandoah, Iowa

107
Citations from health inspectionsIowa average: 21 a home: 9
Residents harmed or put in dangerIowa average: 1.3 a home: $137,835
Fines from the federal governmentIowa average: $19,286 a home: No rating given
Overall rating in starsIowa average: 3.1

The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files

10 inspection visits produced 107 citations. Residents were in immediate danger in six findings. Residents were found hurt in three cases. Federal fines came to $137,835 (two fines). Once, Medicare stopped paying for new admissions.

This home is a Special Focus Facility. Homes that have done poorly on past inspections are put on this list by CMS, and they get extra attention.

The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.

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Quick Look at the Record

The home's overall star rating: No rating is given while the home stays on the Special Focus list
Rating for health inspections: No rating is given while the home stays on the Special Focus list
Rating for staffing: No rating is given while the home stays on the Special Focus list
Rating for quality of care: No rating is given while the home stays on the Special Focus list
Nurse time for each resident: 4.33 hours each dayThe Iowa average is 3.82 hours
Time from registered nurses: 0.72 hours each dayThe Iowa average is 0.74 hours
Nursing staff who left during one year: 55.3%against the Iowa average of 44%
Beds that are certified: 50
Ownership: Limited Liability company (for profit)
Chain: Campbell Street Services, with 24 homes
Street address: 1200 West Nishna Road, Shenandoah, Iowa 51601
County: Page

Each inspection's citations

Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.

18 citations dated June 2, 2026

F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F865 Written Quality Improvement Plan: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F809 Meals and Snacks at Preferred Times: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F757 Unnecessary Drugs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F744 Proper Dementia Treatment and Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F691 Proper Care for Surgical Bowel or Bladder Openings: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F677 Help With Daily Living: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F658 Care That Meets Professional Standards: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F657 Updating the Care Plan on Time: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F610 Investigating Abuse Allegations: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F602 Protect Residents' Money and Belongings From Misuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Eight citations dated April 8, 2026

F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F865 Written Quality Improvement Plan: risk of harm, no one found hurt, widespread, found on a complaint visit.
F842 Medical Records and Privacy: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

24 citations dated Dec. 8, 2025

F867 Ongoing Quality Review Group and Correction Plans: risk of harm, no one found hurt, a pattern, several residents.
F865 Written Quality Improvement Plan: risk of harm, no one found hurt, widespread.
F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents.
F835 Run the Facility Effectively: risk of harm, no one found hurt, widespread.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
F805 Food Prepared to Meet Individual Needs: risk of harm, no one found hurt, a pattern, several residents.
F804 Food Taste and Temperature: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F803 Menus That Meet Nutrition Needs: risk of harm, no one found hurt, a pattern, several residents.
F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents.
F730 Review Nurse Aide Performance and Training: risk of harm, no one found hurt, widespread.
F726 Nurses and Aides Have Needed Skills: risk of harm, no one found hurt, widespread, found on a complaint visit.
F725 Enough Nursing Staff: risk of harm, no one found hurt, widespread, found on a complaint visit.
F695 Breathing and Oxygen Care: residents were harmed, one or a few residents.
F690 Bladder, Bowel and Catheter Care: risk of harm, no one found hurt, one or a few residents.
F688 Range of Motion and Mobility: risk of harm, no one found hurt, one or a few residents.
F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents.
F684 Quality of Care: residents were harmed, one or a few residents.
F658 Care That Meets Professional Standards: risk of harm, no one found hurt, one or a few residents.
F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents.
F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
F636 Complete Assessments at Admission and Yearly: risk of harm, no one found hurt, one or a few residents.
F610 Investigating Abuse Allegations: immediate danger to residents, one or a few residents, found on a complaint visit.
F605 Avoid Unnecessary Sedating or Psychiatric Drugs: risk of harm, no one found hurt, one or a few residents.
F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents, found on a complaint visit.

One citation dated Oct. 21, 2025

F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

11 citations dated April 10, 2025

F887 Coronavirus Vaccine Education, Offering, and Records: risk of harm, no one found hurt, a pattern, several residents.
F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
F865 Written Quality Improvement Plan: risk of harm, no one found hurt, a pattern, several residents.
F804 Food Taste and Temperature: risk of harm, no one found hurt, a pattern, several residents.
F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents.
F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents.
F688 Range of Motion and Mobility: risk of harm, no one found hurt, one or a few residents.
F661 Share Information at Planned Discharge: risk of harm, no one found hurt, one or a few residents.
F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
F625 Written Notice of Bed Hold Policy: risk of harm, no one found hurt, one or a few residents.
F607 Policies to Prevent Abuse, Neglect, and Theft: risk of harm, no one found hurt, a pattern, several residents.

15 citations dated Feb. 27, 2025

F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F865 Written Quality Improvement Plan: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F835 Run the Facility Effectively: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F757 Unnecessary Drugs: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F732 Post Daily Nurse Staffing Information: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F726 Nurses and Aides Have Needed Skills: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F725 Enough Nursing Staff: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F686 Pressure Ulcer (Bedsore) Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F684 Quality of Care: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F658 Care That Meets Professional Standards: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

10 citations dated Sept. 11, 2024

F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F865 Written Quality Improvement Plan: risk of harm, no one found hurt, widespread, found on a complaint visit.
F842 Medical Records and Privacy: risk of harm, no one found hurt, widespread, found on a complaint visit.
F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F689 Accident Hazards and Supervision: immediate danger to residents, one or a few residents, found on a complaint visit.
F656 A Complete Care Plan: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F610 Investigating Abuse Allegations: immediate danger to residents, one or a few residents, found on a complaint visit.
F609 Reporting Suspected Abuse: immediate danger to residents, one or a few residents, found on a complaint visit.
F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents, found on a complaint visit.
F584 A Safe, Clean, Homelike Room: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.

Nine citations dated July 25, 2024

F883 Flu and Pneumonia Vaccines: risk of harm, no one found hurt, one or a few residents.
F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, widespread.
F725 Enough Nursing Staff: risk of harm, no one found hurt, widespread.
F698 Dialysis Care: risk of harm, no one found hurt, one or a few residents.
F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
F657 Updating the Care Plan on Time: risk of harm, no one found hurt, a pattern, several residents.

Five citations dated April 5, 2024

F842 Medical Records and Privacy: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F684 Quality of Care: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F661 Share Information at Planned Discharge: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F622 Valid Reasons and Paperwork for Transfer or Discharge: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Six citations dated Feb. 2, 2024

F732 Post Daily Nurse Staffing Information: minimal risk to residents, widespread, found on a complaint visit.
F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
F688 Range of Motion and Mobility: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.

Payment Denials and Fines

Date	Penalty	Amount
Dec. 8, 2025	Fine	$42,262
July 25, 2024	Fine	$95,573
July 25, 2024	Payment denial for new admissions	32 days

Ownership and Management of the Home

The home is run by Birchwood Foundation LLC (operational or managerial control).
The home is run by Birchwood Healthcare Partners LLC (operational or managerial control).
The home is run by Campbell Street Ia 10 LLC (operational or managerial control).
The home is run by Campbell Street Services LLC (operational or managerial control).
The home is run by Holdco, Ia, 10, LLC (operational or managerial control).
The direct owner is Holdco, Ia, 10, LLC.
Owns a share through another company: Birchwood Healthcare Partners LLC.

One person with an ownership stake is also listed by CMS.

The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 165531. Other homes in Iowa.