Where They Care · plain answers about nursing homes

Garden View Care Center

1200 West Nishna Road, Shenandoah, IA 51601 · 50 beds · For profit - Limited Liability company

The records flag: On Medicare's Special Focus list; Medicare's abuse flag is set; 6 citations at the most serious level.

Everything here comes from Medicare's own inspection and payroll records. We don't rank facilities or take payment from them.

Medicare overall rating
not rated
All nursing staff, hours / resident
RNs, LPNs and aides · state average 4.37
Weekend RN coverage
not reported
Staff turnover
55%
state average 44%
On Medicare's Special Focus list
Medicare places facilities here when it finds a persistent pattern of problems. They get inspected twice as often.
Medicare's abuse flag is set
Medicare marks facilities cited for abuse on its own comparison site. This one is currently marked.
6 citations at the most serious level
Inspectors judged that residents were placed in danger of serious injury or death. See the inspection section for dates and whether each was corrected.
$168,858 in fines over three years
Medicare fines facilities when inspection findings are severe or go uncorrected.
2 findings not yet confirmed as corrected
A correction plan is on file for these, but Medicare has not yet recorded a completed correction date.

These are drawn straight from Medicare's records. We report what the record says — we don't rate facilities or judge the care given in them.

Who's actually on the floor

Staffing is the thing most closely tied to day-to-day quality of care, and it's the number families most often never see. This is registered nurses only — a smaller figure than the all-staff total above, because it counts the most highly qualified staff on their own — per resident, per day, comparing an average weekday against an average weekend.

Weekdays
Weekends
IA average
0.85 hrs

Registered nurses only — hours per resident per day. Longer is better.

Weekend staffing is not reported here.

Staff turnover: 55%

High turnover matters because continuity does — a nurse who knows your mother notices when something is different about her. Someone on their second shift doesn't have that baseline.

What inspectors found

State inspectors visit at least once a year and after complaints. Over the last three years this facility received 93 citations. Raw counts mislead, though — a paperwork slip and a resident being harmed both count as one. Here they are by how serious inspectors judged them.

SeverityCitations
Immediate jeopardy
Residents placed at risk of serious injury or death
6
Actual harm
A resident was harmed, without immediate danger to life
4
Potential for harm
No one harmed yet, but conditions could allow it
82
No harm
Rule and paperwork findings
1

55 of these came from someone filing a complaint rather than a routine visit — worth weighing differently, because it means a person picked up the phone. 2 citations are not yet recorded as corrected.

Medicare has issued $168,858 in fines here over the past three years.

Disclosed affiliations

Medicare requires every facility to disclose the people and companies connected to it. Most names below are not owners — they are officers, directors, managers, trustees, and what Medicare calls “additional disclosable parties.” The role beside each name is the one Medicare recorded. This is worth reading because operators tend to run their facilities alike: where the same group stands behind a dozen homes, the record across all twelve tells you more than any single inspection does.

NameRole recorded by MedicareSince
Birchwood Healthcare Partners LLC Indirect owner, Operational or managerial control 02/01/2025
Dole, Isaac Indirect owner, Governing body, Operational or managerial control 02/01/2025
Holdco, Ia, 10, LLC Direct owner, Operational or managerial control 02/01/2025
Birchwood Foundation LLC Operational or managerial control 02/01/2025
Campbell Street Ia 10 LLC Operational or managerial control, Additional disclosable party 02/01/2025
Campbell Street Services LLC Operational or managerial control, Additional disclosable party 02/01/2025
Kleinstreuber, Peter Operational or managerial control, Additional disclosable party 02/01/2025
Oneal, Tamara Operational or managerial control, Additional disclosable party 02/01/2025
Ourada, Michael Operational or managerial control, Additional disclosable party 02/01/2025
Satterfield, Brenda Governing body, Operational or managerial control, Additional disclosable party 02/01/2015
Acd Consolidated LLC Additional disclosable party 09/01/2024
Bear Creek Sraf Gp Holdings LLC Additional disclosable party 09/01/2024
Bear Creek Strategic Real Assets Fund LP Additional disclosable party 09/01/2024
Defranco Investment CO LTD Additional disclosable party 09/01/2024
Iaga SNF Holdings LLC Additional disclosable party 09/01/2024
Iaga SNF Portfolio LLC Additional disclosable party 08/28/2025
Iaga SNF Shenandoah LLC Additional disclosable party 09/01/2025
Nap Holdings LLC Additional disclosable party 09/01/2024

Of the 18 parties disclosed here, 3 hold an ownership interest; the rest are recorded in a management, officer, financial, or other disclosable capacity. A percentage is shown only where Medicare published one — for most disclosed parties it publishes none.

Other options nearby

Most families are choosing between whatever is close enough to visit often — and visiting often is itself one of the better protections a resident has. These are the closest 8 facilities.

FacilityMilesRating Nurse hrsWeekend
Accura Healthcare of Shenandoah
Shenandoah
0.4 1 0.66 −45%
The Ambassador Sidney INC
Sidney
13.9 4 0.56 −48%
Azria Health Clarinda
Clarinda
17.7 2 0.39 −35%
Tabor Manor Care Center
Tabor
18.0 1 0.61 −26%
Red Oak Rehab and Care Center
Red Oak
19.9 3 1.01 −15%
Good Samaritan - Red Oak
Red Oak
20.1 1 0.86 −33%
Accura Healthcare of Stanton
Stanton
21.3 3 1.02 −48%
Pleasant View Nursing Home
Rock Port
23.9 3 0.24 −71%

Weekend column shows the change in registered-nurse coverage at weekends compared with weekdays.

Worth asking on a visit

Records only tell you so much. These are the questions this facility's particular numbers suggest you ask — go on a weekend if you possibly can.

  1. Turnover here is about 55%. How long has the director of nursing been in post?
  2. Medicare's records show a citation at the most serious level. What happened, and what changed afterwards?
  3. 2 findings are not confirmed as corrected yet. Where do those stand?
  4. Who will actually be caring for my relative at 3am on a Saturday — an agency nurse or someone on staff?

Where these numbers come from

All figures are published by the Centers for Medicare & Medicaid Services. Different measures cover different periods — some are considerably older than others, so each is dated separately below rather than under one "last updated" stamp.

Staffing hours
Jan–Mar 2026
Staff turnover
calendar year 2025
Inspections & citations
Jul 2023 – Jun 2026
Fines & penalties
last 3 years
Ownership
as reported to Medicare
Star rating & file release
CMS file dated 1 July 2026

We report what the records say and don't draw conclusions about care quality. If you believe something on this page is wrong — email a correction. It reaches a person, not a form. We check every report, fix what is wrong, and say so on the page; see how we handle corrections. If you work at this facility and our figures disagree with your own records, we want to hear that too.