Garden County Hospital & Nursing Home
1100 West 2nd St, Oshkosh, NE 69154
Garden County Hospital & Nursing Home, a 24-bed government - city/county nursing facility in Oshkosh, NE, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #69 of 178 rated homes in NE on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 3087723283
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- 3 / 5
- Average · CMS overall · nat'l 3.0
- #69 of 178
- In-state rank among rated NE homes
- 4.18
- Above average · nurse hrs/day · nat'l 3.86
- 18
- Inspection findings · 1 serious
The verdict
Garden County Hospital & Nursing Home, a 24-bed government - city/county nursing facility in Oshkosh, NE, holds a 3-star CMS overall rating - right around the 3.0-star national average, ranking #69 of 178 rated homes in NE on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
- 3 / 5
- CMS overall · national 3.0
- #69 of 178
- In-state rank among rated NE homes
- 4.18
- Nurse hrs/resident-day · national 3.86
- 18
- Inspection findings · 1 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 180 NE nursing homes split by ownership sector
This facility is recorded as Government - City/county. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 28E180
- Ownership
- Government - City/county
- Provider Type
- Medicaid
- Beds
- 24
- Residents
- 21
- In Hospital
- Yes
- County
- Garden
- Last Inspection
- Aug 25, 2025
Staffing Data
How the 4.18 total nursing hours per resident-day are staffed:
- RN Hours
- 0.91 (nat'l avg: 0.69)
- LPN Hours
- 0.85
- CNA Hours
- 2.42
- Total Nursing Hours
- 4.18 (nat'l avg: 3.86)
- PT Hours
- 0.00
- Nursing Turnover
- 44.0%
- RN Turnover
- 20.0%
What the CMS Record Reveals About Garden County Hospital & Nursing Home
According to CMS Nursing Home Compare, Garden County Hospital & Nursing Home ranks #69 of 178 rated nursing homes in NE on overall stars (tie-broken by health+staffing+quality, then fewer fines). Garden County Hospital & Nursing Home operates 24 certified beds in Oshkosh, NE with approximately 21 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars (health inspection 2★ · staffing 5★ · quality 3★).
The inspection file contains 18 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS has not levied any fines or payment denials against this facility. Reported nurse staffing runs 4.18 total hours per resident day (national average 3.86); RN hours specifically are 0.91 per resident day.
Classified as "Government - City/county" ownership and operating as a "Medicaid" provider embedded within a hospital campus, Garden County Hospital & Nursing Home falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 44.0% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (18 most recent)
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Oct 8, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Category: Nursing and Physician Services Deficiencies
Corrected: Oct 8, 2025
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Category: Administration Deficiencies
Corrected: Oct 8, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Oct 8, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Category: Pharmacy Service Deficiencies
Corrected: Sep 18, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Sep 18, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Sep 18, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Sep 18, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Sep 18, 2024
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Sep 18, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Category: Resident Rights Deficiencies
Corrected: Sep 18, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Category: Resident Rights Deficiencies
Corrected: Sep 18, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Sep 18, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Sep 18, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Oct 30, 2024
Provide enough food/fluids to maintain a resident's health.
Category: Quality of Life and Care Deficiencies
Corrected: Sep 18, 2024
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Aug 11, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Aug 11, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.9% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.8% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.2% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.4% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 20.3% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | N/A | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 4.8% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 2.6% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 8.3% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 92.9% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 25.1% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | N/A | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | N/A | No |
Penalty History
No penalties on record.
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Garden County Hospital & Nursing Home, both outside NE so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside NE (24 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside NE (4.97 here).
Nearby Nursing Homes in NE
179 other nursing homes are on record in NE; 6 are shown here.
Accura Healthcare of Franklin
Franklin, NE
Accura Healthcare of Fullerton
Fullerton, NE
Accura HealthCare of Hartington
Hartington, NE
Accura HealthCare of Kenesaw
Kenesaw, NE
Accura Healthcare of Neligh
Neligh, NE
Accura HealthCare of North Platte
North Platte, NE
Understanding Nursing Home Data
What the CMS records show for Garden County Hospital & Nursing Home
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The NE registry aggregates state averages and the highest-rated homes in this cohort. View NE registry
- Peer homes near 24 beds show how CMS stars vary at a similar scale in NE. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Garden County Hospital & Nursing Home?
Where does Garden County Hospital & Nursing Home rank among nursing homes in NE?
What are the staffing levels at Garden County Hospital & Nursing Home?
How many beds does Garden County Hospital & Nursing Home have?
Does Garden County Hospital & Nursing Home have any deficiencies on record?
Has Garden County Hospital & Nursing Home received any fines or penalties?
Who owns Garden County Hospital & Nursing Home?
When was Garden County Hospital & Nursing Home last inspected?
What quality measures are tracked for Garden County Hospital & Nursing Home?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
