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    Nursing home · Oshkosh, NE

    Garden County Hospital & Nursing Home

    1100 West 2nd St, Oshkosh, NE 69154

    CMS certification number: 28E180 · Updated October 1, 2026

    CMS overall rating

    3 / 5

    Certified beds

    24

    Residents / day

    18

    Ownership

    Government - City/county

    Facility information

    Certification
    Medicaid
    Ownership
    Government - City/county
    County
    Garden
    Certified beds
    24
    Average residents per day
    18
    First certified
    March 31, 1974

    CMS quality ratings

    Overall
    3 / 5
    Health inspections
    2 / 5
    Staffing
    5 / 5
    Quality measures
    2 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Garden, Nebraska. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    3.00
    County peers
    Not reported
    n=0
    State peers
    2.91

    Nurse hours / resident / day

    This home
    4.33
    County peers
    Not reported
    n=0
    State peers
    4.12
    n=170

    Weekend nurse hours / resident / day

    This home
    3.83
    County peers
    Not reported
    n=0
    State peers
    3.56
    n=170

    Nursing staff turnover (%)

    This home
    44.00
    County peers
    Not reported
    n=0
    State peers
    48.55
    n=160

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 11.6% below the all-days average. How is weekend coverage maintained?
    • What has changed since your latest health inspection?
    • CMS reports 44.0% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    6
    Health citations
    18
    Resident measures
    17
    Ownership records
    1
    Penalties
    0
    SNF rehabilitation measures
    57
    Inspection summaries
    3

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    4.33116
    Reported RN Staffing Hours per Resident per Day
    0.86501
    Reported LPN Staffing Hours per Resident per Day
    0.90598
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.56017
    Total number of nurse staff hours per resident per day on the weekend
    3.82998
    Registered Nurse hours per resident per day on the weekend
    0.71672
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.00000
    Total nursing staff turnover
    44.0
    Registered Nurse turnover
    20.0
    Number of administrators who have left the nursing home
    1
    Chain Name
    Not reported
    Number of Facilities in Chain
    Not reported
    Chain Average Overall 5-star Rating
    Not reported
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Resident
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    NE
    Urban
    N
    Chain ID
    Not reported
    Latitude
    41.4115
    Location
    1100 West 2nd St,Oshkosh,NE,69154
    ZIP Code
    69154
    City/Town
    Oshkosh
    Longitude
    -102.35
    QM Rating
    2
    Abuse Icon
    N
    Chain Name
    Not reported
    County/Parish
    Garden
    Provider Name
    Garden County Hospital & Nursing Home
    Provider Type
    Medicaid
    Overall Rating
    3
    Ownership Type
    Government - City/county
    Number of Fines
    0
    Processing Date
    2026-10-01
    Staffing Rating
    5
    Provider Address
    1100 West 2nd St
    Telephone Number
    3087723283
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    Legal Business Name Not Available
    Long-Stay QM Rating
    2
    High Performing Icon
    N
    Short-Stay QM Rating
    Not reported
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.18582
    Chain Average QM Rating
    Not reported
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    2
    Number of Certified Beds
    24
    Provider SSA County Code
    340
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    0
    Registered Nurse turnover
    20.0
    Total Number of Penalties
    0
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    0.84085
    Provider Resides in Hospital
    Y
    Total nursing staff turnover
    44.0
    Chain Average Staffing Rating
    Not reported
    Number of Facilities in Chain
    Not reported
    Short-Stay QM Rating Footnote
    2
    CMS Certification Number (CCN)
    28E180
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    0.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    52
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    73.500
    With a Resident and Family Council
    Resident
    Average Number of Residents per Day
    18.0
    Chain Average Overall 5-star Rating
    Not reported
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    138
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    46
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    Not reported
    Rating Cycle 1 Health Deficiency Score
    52
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    92
    Rating Cycle 1 Standard Survey Health Date
    2025-08-25
    Rating Cycle 2 Standard Health Survey Date
    2024-07-23
    Rating Cycle 2/3 Number of Health Revisits
    2
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    1.02066
    Case-Mix RN Staffing Hours per Resident per Day
    0.58157
    Reported RN Staffing Hours per Resident per Day
    0.86501
    Adjusted LPN Staffing Hours per Resident per Day
    1.06900
    Case-Mix LPN Staffing Hours per Resident per Day
    0.72470
    Reported LPN Staffing Hours per Resident per Day
    0.90598
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    4
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    12
    Rating Cycle 1 Number of Standard Health Deficiencies
    4
    Rating Cycle 2 Number of Standard Health Deficiencies
    12
    Reported Licensed Staffing Hours per Resident per Day
    1.77099
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    0
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    3.02083
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    1.97378
    Number of administrators who have left the nursing home
    1
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.56017
    Adjusted Total Nurse Staffing Hours per Resident per Day
    5.11048
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    3.28005
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    0
    Reported Total Nurse Staffing Hours per Resident per Day
    4.33116
    Registered Nurse hours per resident per day on the weekend
    0.71672
    Date First Approved to Provide Medicare and Medicaid Services
    1974-03-31
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.00000
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    4.51913
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    2.88668
    Total number of nurse staff hours per resident per day on the weekend
    3.82998

    COMMUNITY EXPERIENCE

    Reviews of Garden County Hospital & Nursing Home

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

    Community reviews & discussions

    Explore independent experiences alongside the official record. These links search the named source; a matching listing or discussion is not guaranteed. Confirm the address before relying on a review.

    Third-party opinions are not verified CMS findings. Reviews have not been imported or combined into the CMS rating.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026