Accura Healthcare of Shenandoah
Cost data not yet available
Nursing Homes · Medicare certified
1200 West Nishna Road · Shenandoah, IA 51601 · 50 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1912736653. Look this up in the CMS NPPES registry (opens in a new tab)
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In Shenandoah, Iowa, Garden View Care Center is listed as a nursing home. Public records list 50 beds. Ownership records list a for-profit operator and tie the listing to Campbell Street Services. It is Medicare certified. We hold 93 inspection citations for this listing, the most recent dated 8 April 2026. CMS also lists 4 fine or payment denial actions against it. Reported staffing works out to 4.33 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
CMS Care Compare · Source data August 2026
CMS designation
Special Focus Facility (CMS)
CMS lists this nursing home in the Special Focus Facility program. CMS places facilities in this program when they have a history of serious quality issues and require focused oversight. It is a public CMS designation, not an ElderCareCosts rating. CMS Special Focus Facility program.
Source: CMS Provider Information.GOVStaffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
2
Cited deficiencies
103
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
2
Cited deficiencies
85
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
2
Cited deficiencies
85
Records from August 2023 to April 2026.
December 8, 2025 · E
Citation F0803Federal surveyors cited this nursing home on 2025-12-08 under CMS tag F0803 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-01-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 8, 2025 · J
Citation F0600Federal surveyors cited this nursing home on 2025-12-08 under CMS tag F0600 (CMS scope/severity J: isolated, immediate jeopardy) for Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. The deficiency was recorded as corrected on 2025-12-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 8, 2025 · G
Citation F0684Federal surveyors cited this nursing home on 2025-12-08 under CMS tag F0684 (CMS scope/severity G: isolated, actual harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2025-12-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 8, 2025 · D
Citation F0658Federal surveyors cited this nursing home on 2025-12-08 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2026-01-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 8, 2025 · D
Citation F0605Federal surveyors cited this nursing home on 2025-12-08 under CMS tag F0605 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. The deficiency was recorded as corrected on 2026-01-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 8, 2025 · F
Citation F0730Federal surveyors cited this nursing home on 2025-12-08 under CMS tag F0730 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Observe each nurse aide's job performance and give regular training. The deficiency was recorded as corrected on 2026-01-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 8, 2025 · D
Citation F0686Federal surveyors cited this nursing home on 2025-12-08 under CMS tag F0686 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2026-01-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 8, 2025 · F
Citation F0725Federal surveyors cited this nursing home on 2025-12-08 under CMS tag F0725 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. The deficiency was recorded as corrected on 2026-01-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 8, 2025 · F
Citation F0865Federal surveyors cited this nursing home on 2025-12-08 under CMS tag F0865 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have a plan that describes the process for conducting QAPI and QAA activities. The deficiency was recorded as corrected on 2026-01-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 8, 2025 · D
Citation F0688Federal surveyors cited this nursing home on 2025-12-08 under CMS tag F0688 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2026-01-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 8, 2025 · E
Citation F0805Federal surveyors cited this nursing home on 2025-12-08 under CMS tag F0805 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. The deficiency was recorded as corrected on 2026-01-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
December 8, 2025 · E
Citation F0812Federal surveyors cited this nursing home on 2025-12-08 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2026-01-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 21, 2025 · D
Citation F0677Federal surveyors cited this nursing home on 2025-10-21 under CMS tag F0677 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2025-11-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
April 10, 2025 · D
Citation F0688Federal surveyors cited this nursing home on 2025-04-10 under CMS tag F0688 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-05-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
April 10, 2025 · E
Citation F0607Federal surveyors cited this nursing home on 2025-04-10 under CMS tag F0607 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement policies and procedures to prevent abuse, neglect, and theft. The deficiency was recorded as corrected on 2025-05-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
April 10, 2025 · D
Citation F0656Federal surveyors cited this nursing home on 2025-04-10 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2025-05-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
April 10, 2025 · E
Citation F0887Federal surveyors cited this nursing home on 2025-04-10 under CMS tag F0887 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. The deficiency was recorded as corrected on 2025-05-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
April 10, 2025 · E
Citation F0880Federal surveyors cited this nursing home on 2025-04-10 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-05-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
April 10, 2025 · D
Citation F0760Federal surveyors cited this nursing home on 2025-04-10 under CMS tag F0760 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2025-05-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
April 10, 2025 · D
Citation F0625Federal surveyors cited this nursing home on 2025-04-10 under CMS tag F0625 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. The deficiency was recorded as corrected on 2025-05-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
Total fines on file: $137,835
December 8, 2025 · Fine
Citation FINE-137200CMS recorded a civil money penalty of $41,474 against this nursing home on 2025-12-08 (Fine ID: 137200). Source: CMS Care Compare Penalties (as of 2026-07-01).
July 25, 2024 · Fine
Citation FINE-79446CMS recorded a civil money penalty of $95,573 against this nursing home on 2024-07-25 (Fine ID: 79446). Source: CMS Care Compare Penalties (as of 2026-07-01).
July 25, 2024 · Payment Denial
Citation PAYDEN-2024-08-27CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2024-08-27, lasting 32 days (triggered by inspection on 2024-07-25). Source: CMS Care Compare Penalties (as of 2026-07-01).
July 20, 2023 · Fine
Citation FINE-79081CMS recorded a civil money penalty of $31,811 against this nursing home on 2023-07-20 (Fine ID: 79081). Source: CMS Care Compare Penalties (as of 2026-07-01).
Latest: 4.33 nurse staffing hours per resident per day (2026Q1)
Staffing trend (3 periods)
Most recent period is higher than 2025Q4 (+0.61 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
For profit
CMS Care Compare chain: Campbell Street Services
Chain ID 99 · 22 facilities in chain (CMS)
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
Parent organization: Campbell Street Ia 10 LLC
parent · PAC 648792473
Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.
Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Ownership changed
The source now records ownership as "For profit - Limited Liability company".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit - Limited Liability company".
Reported by CMS nursing homes (provider info)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit".
Reported by CMS nursing homes (ownership)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical IA range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · IA$9,277/moIowa publishes what its Medicaid program pays a nursing facility per resident per day. It is not a private-pay price and it is not what a family is billed. It is useful because it shows what the state considers the cost of a day of nursing-home care.
Median facility daily rate
$307.06per day
That works out to about $9,335 a month at 30.4 days. The monthly figure is our arithmetic, not a number the state published.
Median we calculated from the state's own facility rate file. Period: January 1, 2026. Calculated across 381 facilities in the state's rate file.
Other licensed providers in Shenandoah, with their own public records.
Cost data not yet available
A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.
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Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.
Read how we handle every file on the data sources page.