Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Garden View Care Center

Shenandoah, IA · 50 certified beds · Last Life Safety survey April 2, 2026

CMS Certification Number 165531 · first certified April 2004

Ownership

Operated by CAMPBELL STREET SERVICES · For profit - Limited Liability company

  • New ownershipOwnership changed February 1, 2025 (change of ownership)from PREMIER ESTATES 509 LLC
13
Citations on file
Rolling three-year window
4
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within IA

13 citations — more than 53% of the 387 certified nursing homes in IA. Compared within IA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 12 citations; the earlier surveys in the window averaged 0.3. With 4 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens February 2027 — about 5 months from now. This facility’s last Life Safety survey was April 2026. Facilities in IA are typically surveyed 11–13 months after the last one (median 12), measured over 700 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Emergency preparedness

3 of the 13 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

13 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 13 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.
  • F-0584 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.
  • F-0921 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

How that compares

Citations on file over three years

Compared with the median facility in IA, and nationally. Surveyors differ markedly between states, so the IA figure is the meaningful one.

This facility13IA median12National median11
Citations on file over three years, compared
MeasureCitations
This facility13
Median facility in IA12
Median facility nationally11

Survey history

Citations at each Life Safety survey
02024-0712025-0402025-12122026-04
Citations at each Life Safety survey
Survey dateCitations
July 25, 20240
April 10, 20251
December 8, 20250
April 2, 202612

Most-cited tags

Most-cited tags at this facility
K-03211K-03721K-03451E-00411E-00261K-05111K-07611E-00151
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12026-04-02
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12026-04-02
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12026-04-02
E-0041Implement emergency and standby power systems.12026-04-02
E-0026Establish roles under a Waiver declared by secretary.12025-04-10
K-0511Have properly installed electrical wiring and gas equipment.12026-04-02
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12026-04-02
E-0015Address subsistence needs for staff and patients.12026-04-02

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 4
  • Emergency Preparedness Deficiencies 3
  • Egress Deficiencies 3
  • Miscellaneous Deficiencies 2
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies4
Emergency Preparedness Deficiencies3
Egress Deficiencies3
Miscellaneous Deficiencies2
Services Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

April 2, 2026 — 12 citations

Citations issued on April 2, 2026
TagWhat the surveyor checksStatus
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (May 5, 2026)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (May 5, 2026)
K-0271Have exits that are accessible at all times.Deficient, Provider has plan of correction (August 1, 2026)
K-0281Install proper backup exit lighting.Deficient, Provider has date of correction (April 12, 2026)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (April 16, 2026)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (April 12, 2026)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (May 5, 2026)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (April 12, 2026)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (April 12, 2026)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has plan of correction (August 1, 2026)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (April 21, 2026)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (April 21, 2026)

April 10, 2025 — 1 citation

Citations issued on April 10, 2025
TagWhat the surveyor checksStatus
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (May 10, 2025)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.