Garden View Care Center

    1200 W Nishna Rd, Shenandoah, IA, 51601
    2.8 · 14 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousCurrent/former resident
    1.0

    Neglectful unsafe filthy care facility

    I had a horrific stay at Garden View. Constant staff turnover and inept caregivers led to wrong/withheld meds, ignored wounds and infections, dehydration and oxygen problems, rude/lazy CNAs, filthy odor and inedible food, missing/dirty clothes and poor hygiene - I ended up rehospitalized. A few staff, the activities director and the private rehab suite were good, but overall the neglect, lies from management and safety violations were enough that I would not recommend - report them and stay away.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    2.79 · 14 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      1.9
    • Staff

      2.3
    • Meals

      2.0
    • Amenities

      5.0
    • Value

      2.0

    Pros

    • Effective post-surgery and rehabilitation services reported by some
    • Friendly and helpful staff in several accounts
    • Activities director praised
    • Beautiful private rehab suite available
    • Short-term and long-term stay options
    • Assistance with eating and walking rehabilitation reported
    • Some reviewers would recommend for rehab
    • Facility reported as clean by some reviewers

    Cons

    • Neglect of wound care (no cleaning/packing, wound vac issues)
    • Failure to monitor fevers or check for infections
    • Medication errors (wrong pills, wrong dosages, withheld doses)
    • Rude, unprofessional, or lazy CNAs
    • High staff turnover and inept caregivers
    • Residents left on bed pans and ignored for assistance
    • Bruising, skin breakdown, and hygiene neglect
    • Hydration problems and meals withheld
    • Poor food quality (inedible, tasteless, mushy)
    • Persistent facility odor reported
    • Refusal or denial of transport to physical therapy
    • Missing personal items and clothing issues (holes, same clothes for days, missing coat)
    • Hair and bathing neglect (not washed, cradle cap, messy hair)
    • Oxygen not provided or requires out-of-pocket arrangements
    • Billing/overcharging concerns
    • Allegations of abuse by nursing staff
    • Construction or facility disruption issues
    • Reported state violations and calls for regulatory reporting
    • Management dishonesty (administrator and director of nursing alleged to lie)
    • Accountability and communication failures
    • Serious adverse outcomes reported (hospitalizations, amputation)
    • Inconsistent quality between rehab and long-term care

    Summary review

    Overall sentiment from the collected reviews is highly polarized but leans toward serious concern: while several reviewers praise Garden View Care Center for effective short-term, post-surgical rehabilitation and highlight specific staff and amenities, a substantial number of reviews allege severe neglect, safety lapses, and management failures. The positive comments center on the facility’s rehabilitation capabilities—private rehab suites, helpful rehabilitation staff, and an activities director who engages residents—leading some to recommend Garden View for short-term recovery stays. Multiple reviewers explicitly noted improvements in mobility and assistance with eating and walking, and some described the facility as clean and the staff as friendly.

    However, the negative reports are frequent, detailed, and alarming. A major cluster of complaints involves clinical care failures: wound care was reportedly neglected (no cleaning/packing, issues with wound vacs), fevers and potential infections were not monitored, and serious outcomes such as hospitalizations and at least one amputation were attributed by reviewers to inadequate in-facility care. Medication errors are a recurring theme—wrong pills, incorrect dosages, and withheld medications were cited—which combined with monitoring failures raises substantial safety concerns. Several reviewers describe residents being left on bed pans, ignored when requesting help, or denied transport to physical therapy, indicating both staffing and procedural problems.

    Staffing and behavior issues appear as another consistent theme. Many reviews call out rude, unprofessional, or lazy CNAs and high staff turnover leading to inept caregivers. At the same time, some staff members are described as friendly and helpful, suggesting inconsistent performance across shifts or departments. Management and accountability problems are also highlighted: reviewers allege administrators and the director of nursing lied to families or social workers, there are claims of state violations, and people recommend reporting the facility to regulators. Billing complaints, including overcharging and out-of-pocket requirements for oxygen, further contribute to distrust in management.

    Hygiene, daily living assistance, and basic comforts are additional areas of concern. Numerous reviewers report poor personal care for residents—unbathed residents, unwashed hair, cradle cap, wearing the same clothes for days, holes in socks/slippers, and missing coats. Dining complaints range from food being withheld to being described as inedible mush and tasteless; conversely some reviewers found meals accommodating. Environmental issues are mixed: while a few call the facility clean and praise private rehab spaces, others report persistent odors and ongoing construction problems. Allegations of abuse by nursing staff appear in multiple summaries and must be treated seriously.

    Patterns and context: the reviews suggest a divide between experiences in short-term rehab versus longer-term custodial care. Short-term rehab stays are more often described positively—clean private rooms, effective physical therapy, and staff who aid recovery—whereas longer-term care experiences tend to report the most severe problems (neglect of wounds, hygiene failures, medication mistakes, and adverse health outcomes). This pattern implies variability in quality depending on unit, staff assignment, or timing.

    Recommendations based on these patterns: prospective residents and families should conduct thorough, in-person assessments, ask specific questions about wound care protocols, medication administration and monitoring, staffing levels, and complaint/incident reporting processes. Check state inspection reports and recent citations, request to meet nursing leadership and the activities director, and seek references from recent rehab patients if considering short-term recovery. For existing families with concerns, document incidents, escalate to facility leadership and the state licensing agency, and consider alternative placements if immediate safety risks (unmonitored infections, medication errors, abuse) are suspected.

    In summary, Garden View Care Center receives both strong praise for its rehabilitation services and serious, repeated allegations of neglect and mismanagement in other domains. The reviews depict a facility capable of good rehab outcomes for some, but also one with troubling, potentially dangerous lapses in basic nursing care, hygiene, medication safety, and leadership accountability. These conflicting signals call for careful due diligence, close monitoring of any stay, and regulatory review where the more serious allegations apply.

    Location

    Map showing location of Garden View Care Center

    About Garden View Care Center

    Garden View Care Center is a medium-sized, for-profit nursing facility that offers both short-term rehabilitation and long-term care services. The center comprises 90 beds and operates under a corporate ownership model. It is not affiliated with any continuing care retirement community, but it does participate in both Medicare and Medicaid programs, enabling a broader range of residents to seek care and support. The facility focuses on providing post-acute care for patients who are recovering from hospital stays due to conditions such as stroke, heart attack, infection, or accidental injury. Residents at Garden View Care Center can access short-term rehabilitation services, with Medicare typically covering the cost for up to 100 days under certain qualifying circumstances.

    The quality of care at Garden View Care Center is measured through various indicators, including staffing, resident outcomes, and clinical processes. On average, residents receive about 3 hours and 8 minutes of nurse staffing per day. The center also maintains similar staffing levels on weekends, which helps ensure consistent care throughout the week. Health promotion services such as the annual influenza vaccination are actively provided, with a high rate of residents receiving the vaccine. The majority of long-term residents are able to maintain their abilities to move, eat, use the bathroom, and perform other common daily activities without assistance, supporting their independence and dignity.

    All residents at Garden View Care Center benefit from individualized care planning, which draws on both professional assessments and resident preferences. These care plans aim to address medical and personal needs, including assistance with daily living activities, medical treatments, medication management, and therapy designed to maintain or improve mobility and range of motion. The facility provides an environment where residents’ nutritional needs are met, with menus reviewed by a qualified dietician, and meals are prepared to accommodate allergies, intolerances, and personal preferences. Additionally, residents are supported in their right to engage in self-administration of medication when clinically appropriate, further encouraging autonomy.

    Garden View Care Center regularly undergoes health, fire, and safety inspections, during which various aspects of care and operations are reviewed. The center demonstrates ongoing efforts to safeguard resident-identifiable information and to maintain records in accordance with professional standards. Infection prevention and control programs are implemented with the goal of protecting the well-being of all residents. The facility also ensures that food preparation and storage adhere to established safety and quality guidelines, providing meals that are both nutritious and appealing.

    A key aspect of care at Garden View Care Center involves discharge planning and effective communication between the center and other healthcare providers when residents transition in or out of the facility. This process ensures that accurate and timely information is conveyed, supporting seamless continuity of care. By focusing on maintaining a safe, clean, and comfortable environment, the center remains dedicated to helping residents achieve the highest possible quality of life while residing in the community. Garden View Care Center strives to respect the individuality of each resident, nurturing their right to a dignified existence and meaningful engagement throughout their stay.

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