Garden County Hospital & Nursing Home

1100 West 2nd St · Oshkosh, NE · 69154 · 3087723283

24 certified beds Government - City/county Hospital-based

  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The composite number cleared 78 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 48
Serious harm & abuse 20% 94
Staffing 20% 84
Federal penalties 15% 100
Trend 10% 83
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 2 of 5 Staffing: 5 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day4.403.48 min · 4.1 strong
RN hours / resident-day0.920.55–0.75
Weekend hours / resident-day3.84≈ weekday level
Nursing turnover / year44%median 45%
Fines (3-yr window)none

Inspection citations (18 in the current record)

  • Potential for harm · D August 25, 2025

    Ensure each resident receives an accurate assessment.

    Corrected October 8, 2025 · Resident Assessment and Care Planning

  • Potential for harm · F August 25, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected October 8, 2025 · Nutrition and Dietary

  • Potential for harm · F August 25, 2025

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Corrected October 8, 2025 · Administration

  • Potential for harm · F August 25, 2025

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Corrected October 8, 2025 · Nursing and Physician Services

  • Actual harm · G July 23, 2024

    Provide enough food/fluids to maintain a resident's health.

    Corrected September 18, 2024 · Quality of Life and Care

  • Potential for harm · D July 23, 2024

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected September 18, 2024 · Resident Rights

  • Potential for harm · D July 23, 2024

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Corrected September 18, 2024 · Resident Rights

  • Potential for harm · D July 23, 2024

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected September 18, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 23, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected September 18, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 23, 2024

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected September 18, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D July 23, 2024

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected September 18, 2024 · Quality of Life and Care

  • Potential for harm · D July 23, 2024

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected September 18, 2024 · Quality of Life and Care

  • Potential for harm · D July 23, 2024

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected September 18, 2024 · Pharmacy Service

  • Potential for harm · F July 23, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected October 30, 2024 · Nutrition and Dietary

  • Potential for harm · E July 23, 2024

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected September 18, 2024 · Resident Assessment and Care Planning

  • Potential for harm · F July 23, 2024

    Provide and implement an infection prevention and control program.

    Corrected September 18, 2024 · Infection Control

  • Potential for harm · D June 27, 2023

    Ensure each resident receives an accurate assessment.

    Corrected August 11, 2023 · Resident Assessment and Care Planning

  • Potential for harm · F June 27, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected August 11, 2023 · Nutrition and Dietary

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data. See the whole state.

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.

Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 28E180 · certified since March 31, 1974. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.