Shenandoah, Iowa · CCN 165531 · Phone: 7122464515 · 50 beds · Ownership: For Profit - Limited Liability Company
Garden View Care Center is a Medicare-certified skilled nursing facility (CCN 165531) in Shenandoah, Iowa. FileFlo scores its CMS survey-readiness at 55/100 (Material Gaps).
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Garden View Care Center is a Medicare- and Medicaid-certified skilled nursing facility in Shenandoah, Iowa, operating under CMS Certification Number (CCN) 165531. 50-bed facility. For Profit - Limited Liability Company. Part of the Arboreta Healthcare chain. The facility is required to comply with the Requirements for Long-Term Care Facilities at 42 CFR Part 483.
Garden View Care Center has held its Medicare/Medicaid certification for approximately 22 years (certification date on file: 2004-04-01). Long-tenured facilities (15+ years) often have established F-tag remediation playbooks and a deeper standard-survey trail; newly-certified facilities (under 3 years) are subject to a different initial survey cadence under 42 CFR 488.308.
Local market context (Page County): Garden View Care Center is the only Medicare-certified skilled nursing facility in the same-county sample for Iowa. Sole-provider counties concentrate post-acute placement decisions into a single facility, which can either be operational leverage or a regulatory-visibility risk depending on quality trajectory.
CMS publishes Five-Star ratings for nursing homes monthly, drawn from the most recent three years of standard surveys, complaint surveys, and Minimum Data Set (MDS) submissions.
Special Focus Facility status: Garden View Care Center appears on the CMS Special Focus Facility list (status: SFF). SFF designation is reserved for facilities with a persistent pattern of substandard quality of care — typically high deficiency counts across consecutive surveys. CMS conducts a standard survey approximately every six months on SFF facilities (vs. up to fifteen months for non-SFF) and tracks two consecutive improved surveys as the exit criterion. Facilities that fail to improve over 18-24 months on the SFF list face termination of their Medicare provider agreement under 42 CFR 488.456.
Abuse Icon present: CMS has applied the Abuse Icon to Garden View Care Center's Care Compare listing. The icon flags facilities cited for substantiated abuse, neglect, exploitation, or misappropriation findings under the F600-series Long-Term Care Resident Rights and Abuse / Neglect F-tags within the most recent two survey cycles, where citations met the scope-and-severity threshold defined in CMS Care Compare's Five-Star Quality Rating Methodology. The icon stays in place until the facility completes a full survey cycle with no further qualifying citations.
Recent health deficiencies cited at last standard survey: 25. National average for facilities of this size is approximately 8 deficiencies per cycle. In its most recent reporting cycle, Garden View Care Center received 3 CMS fines totaling $191,189. Last documented standard health survey: 2025-12-08. CMS conducts standard surveys at most every 15 months for SNFs, with substandard-quality findings triggering more frequent revisits.
CMS health survey weighted score: 419.5. The weighted score multiplies deficiency severity (A-L) by scope (isolated, pattern, widespread); higher weighted scores translate directly into the Health Inspection star rating tier breakpoints CMS publishes monthly.
Payment denials for new admissions in the most recent CMS reporting window: 1. Denial-of-payment-for-new-admissions (DPNA) is one of the enforcement remedies CMS uses under 42 CFR 488.417. It is typically imposed when a facility has been cited at scope and severity levels of F or higher and fails to substantially comply by the date specified in the certification notice.
Total enforcement penalties assessed in the most recent reporting window: $4. This figure aggregates Civil Money Penalties (CMPs), DPNA-equivalent revenue impacts, and other monetary remedies under 42 CFR Part 488 Subpart F.
At today's staffing levels, Garden View Care Center would not meet the cadre-specific minimums scheduled to take effect on the May 2029 timeline under 89 FR 40876: RN HPRD is 0.53 vs the 0.55 floor, a 0.02-hour gap. Closing this gap typically requires either net new hires at the specific cadre, shifted scheduling that reallocates existing FTEs to direct-care hours, or a hardship exemption application under 42 CFR 483.35.
Total nurse staffing: 3.723 hours per resident day (HPRD), which is 0.24 hours above the 3.48 total HPRD floor that the CMS Minimum Staffing Standards rule (89 FR 40876, May 2024) phases in for rural-facility facilities by May 2029.
Staffing mix: RN 0.53 HPRD, LPN 0.642 HPRD, CNA 2.55 HPRD. The same CMS final rule also phases in cadre-specific minimums of 0.55 RN HPRD and 2.45 nurse aide HPRD on the 2029 timeline; RN-specific shortfalls have historically been the most common single-facility staffing deficiency at standard surveys.
Weekend RN staffing: 0.387 HPRD. Weekend RN coverage is a separately reported CMS measure; facilities with low weekend RN HPRD frequently see resident-acuity-driven adverse events spike on the weekend shift.
Administrator turnover events in the most recent reporting window: 3. Multiple administrator changes in a 12-month window is associated with substantial leadership-discontinuity risk during the next standard survey.
Garden View Care Center is operated as part of Arboreta Healthcare, a chain operating 5 Medicare-certified facilities (CMS chain identifier 618). Chain-operated facilities tend to share corporate compliance staff, standard operating procedures, and survey-prep resources — but also share enforcement exposure when CMS designates a chain-wide issue under the system-wide quality assurance framework.
Provider type designation: Medicare And Medicaid.
The facility is classified by CMS as rural (outside metropolitan statistical areas). Rural SNFs face different challenges — referral pipeline depth, RN availability, ambulance distance for transfers — and CMS applies certain modifiers to the staffing minimums under hardship exemption pathways for rural facilities.
Peer comparisons use a same-state cohort of 200 Medicare-certified SNFs, pulled live from CMS Provider Data. The cohort excludes terminated and surrendered certifications.
FileFlo's compliance indicator for Garden View Care Center is 55/100 (Material Gaps). The score is derived from publicly published health-deficiency counts, weighted survey scores, infection-control citations, fines, and staffing hours per resident day. It is not a CMS rating. The full survey-readiness audit (covering F-tags from the most recently cited deficiencies, infection control, staffing minimums, MDS accuracy) is at /tools/cms-survey-readiness-score.
FileFlo publishes a profile for every Medicare-certified nursing home so administrators, DONs, and family members can find the same publicly-published quality data without bouncing between Care Compare, the SFF list, and the CMS Provider Data Catalog. Field-level CFR citations are linked throughout. Dispute this record if any field is incorrect — we resync with CMS monthly and process correction requests within five business days.
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Garden View Care Center is a Medicare-certified skilled nursing facility (CMS Certification Number 165531) in Shenandoah, Iowa.
FileFlo scores Garden View Care Center's CMS survey-readiness at 55/100 (Material Gaps). This is a FileFlo indicator built from CMS-published data, not an official CMS rating.
As a Medicare-certified skilled nursing facility, Garden View Care Center is surveyed against the Conditions of Participation in 42 CFR Part 483 — covering patient/resident rights, assessment and care planning, quality (QAPI), infection control, and aide services. Each CoP section is linked on this page.
Run FileFlo's free CMS survey-readiness audit for Garden View Care Center — it grades the skilled nursing facility against every Condition of Participation in 42 CFR Part 483 in about three minutes, names each gap's F-Tag, and requires no signup.
The 42 CFR Part 483 CoP sections a CMS survey actually checks, in plain English:
Compliance terms: F-Tag · Joint Commission. See the Skilled Nursing Facility directory and the Healthcare compliance guide →
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Data sourced from CMS Care Compare (publish 2026-04-01). Information may not reflect the facility's current status. Resync occurs monthly. Dispute this record · Claim this profile