Garden County Hospital & Nursing Home

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Staffing

How full it usually is: this home is certified for 24 beds and averages 20.7 residents a day — about 86% occupied, or roughly 3 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.18 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.91 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.42 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.61 hrs/resident/day on weekends vs 4.42 on weekdays — 18% thinner on weekends. RN hours go from 1.01 to 0.69 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 44% is about the same as the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

18 citations, most serious first. The 11 most serious are shown; the remaining 7 are one tap away and print in full.

• Actual harm · G2024-07-23 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.09(J) Based on observations, record reviews, and interviews; the facility failed to evaluate and implement interventions for 2 (Residents 11 and 8) of 13 sampled residents to prevent significant weight loss. The facility census was 26. The Findings Are: A. A record review of Resident 11's Minimum Data Set (MDS,a federally mandated comprehensive assessment tool used in care planning), dated 5/14/24, revealed in Section C a Brief Interview for Mental Status (BIMS) score of 6/15, which indicated the resident had severe cognitive impairment. The MDS also revealed in Section K revealed Resident 11 had a weight loss of 5% or more in the last month or of 10% or more in the last six months and was not on a prescribed weight loss plan. A record review of the Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual dated October 2023 revealed that weight changes of 5% in 1 month, 7.5% in 3 months, or 10% in 6 months should prompt a thorough assessment of the resident's nutritional status and that if significant weight loss is noted,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-08-25 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.18(D)Licensure Reference Number 175 NAC 12-006.11(E) Based on observation, interview, and record review; the facility failed to A) transport and then use visibly soiled utensils in a manner to prevent the potential for cross contamination B) sanitize counters and thermometers, C) have expiration or best used by dates on canned goods, and D) failed to ensure staff performed hand hygiene as required during meal delivery. This had the potential to affect all residents. The facility census was 21. A. An Observation on 8/21/2025 at 11:30 AM revealed [NAME] K removed covered food-from oven and placed the food on a Hot/Cold serving cart. Further observations revealed serving utensils that were soiled with food debris were placed on a serving tray and placed on to the serving cart Cook-K transported the food from the kitchen through the hospital hallway and into the nursing facility. The Hot/Cold serving cart was placed against the wall in nursing home hallway outside the dining…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-08-25 · tag F0940 — failed to train staff — widespread
  Develop, implement, and/or maintain an effective training program for all new and existing staff members.
  What the surveyor found here — the official record, unedited, may be distressing

  Licensure Reference Number 175 NAC 12-006.04(B)(i) Based on record review and interview, the facility failed to ensure 3 of 4 sampled employees completed initial orientation as required. The facility census was 21.Findings Are: A record review conducted on 8/21/2025 of an undated and untitled facility staff list revealed the following:-Nurse Aide (NA)-B was hired on 8/1/2025.-Housekeeper (HSK)-C was hired on 4/7/2025.-Cook-D was hired on 8/11/2025. A record review of facility provided employee file for NA-B revealed no evidence that initial orientation had been completed. A record review of facility provided employee file for HSK-C revealed no evidence that initial orientation had been completed. A record review of facility provided employee file for Cook-D revealed no evidence that initial orientation had been completed. An interview on 8/25/2025 at 9:02 AM with the Director of Nursing confirmed that initial orientation had not been completed for NA-B, HSK-C, or Cook-D.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-08-25 · tag F0947 — failed to train nurse aides adequately — widespread
  Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.04(B)(ii) Based on record review and interview, the facility failed to ensure 4 of 5 sampled nurse aides (NA) completed 12 hours of ongoing training annually and failed to ensure 5 of 5 sampled staff completed the required 4 hours of Alzheimer's care and dementia care training annually. This had the potential to affect all residents. The facility census was 21. Findings Are: A record review of the Facility assessment dated [DATE] revealed in Section 3.4 that staff training/education and competencies are maintained through the Relias Learning platform and the modules are completed upon hire and annually. A record review of an undated and untitled facility document revealed the following:-NA-E was hired on 8/5/2024,-NA-F was hired on 4/7/2023,-NA-G was hired on 6/26/2023,-NA-H was hired on 1/31/2024, and -NA-I was hired on 8/3/2020. A.A record review of an undated facility provided document NA-F's Relias Transcript revealed there were no completed assignments. A record…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-25 · tag F0641 — isolated
  Ensure each resident receives an accurate assessment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09(B) Based on record review and interview, the facility failed to submit accurate Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used to determine a resident's functional capabilities and helps nursing home staff identify health problems) data related to weight loss for 1 (Resident 2) of 1 sampled residents. The facility identified a census of 21 residents. Findings are:A. Record review of Resident 2's annual MDS assessment dated [DATE], Section K, item K0200 revealed the Resident's most recent weight was given as 103 pounds and height of 60 inches. Item K0300 of Resident 2's MDS was marked for weight loss and was not on physician-prescribed weight-loss regimen. Weight loss coding was further defined in MDS Item K0300 as 5% or more in the last month or 10% or more in the last six months.Record review of Resident's weights as documented in the facility's electronic medical record (EMR) showed Resident 2 weighed 105.4 pounds on 5/8/25.Record…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2024-07-23 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference 175 NAC 12- 006.11(E) Based on observations, interviews, and record reviews; the facility failed to a) ensure foods were disposed of prior to the expiration date and to label open food items, b) ensure beard restraints were in use, c) implement hand hygiene as required during meal preparation and meal service and d) ensure sanitation of the kitchen environment. This had the potential to affect all 26 residents who resided within the facility. A. A record review of a facility policy Food Handling - Storage with a last revised date of 10/17/2013 revealed foods which have been opened or prepared will be enclosed container, dated and labeled. Expiration dates will be checked on a regular basis and foods which have expired will be discarded. A record review of a facility policy Food - Handling - Leftovers with a last revised date of 10/16/2013 revealed refrigerated leftovers will be utilized within 72 hours. Items which do not have a planned use within 72 hours should be dated, labeled and placed…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-07-23 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference 175 NAC 12- 006.18(B) Based on observations, interviews, and record reviews; the facility failed to provide wound care for 1 (Resident 26) and failed to distribute laundry throughout the nursing unit in a manner that prevented the potential for cross contamination. The facility census was 26. Findings are: A. A record review of the Center for Disease Control's Implementation of Personal Protective Equipment Use in Nursing Homes to Prevent Spread of Multidrug-resistant Organisms (MDROs) with a date of 4/2/2024 indicated Enhanced Barrier Precautions, including donning a gown and gloves, should be implemented during all wound care or any skin opening that requires a dressing. A record review of the facility's policy Pressure Ulcers Treatment with a last reviewed date of 1/20/2023, under section Steps in the Procedure, indicated directions to maintain sterility. The policy did not include directions to implement Enhanced Barrier Precautions. A record review of Resident 26's admission Minimum Data…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-07-23 · tag F0842 — failed to keep accurate, complete medical records — pattern
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — the official record, unedited, may be distressing

  Licensure Reference 175 NAC 12-006.5(R) Based on observation, interview, and record review the facility failed to ensure private medical information was protected for 4 (Resident 2, 15, 22, and 23) of 4 sampled residents. The facility census was 26. Findings are: A record review of the facility policy Resident Rights Policy with a last reviewed date of 3/13, under section 3.25 revealed that privacy will be provided for residents' medical information to assure confidentially. An observation on 7/18/2024 at 2:30 PM of a medication room from a public hallway window revealed the ability to see Resident 2's name on a bottle of calmoseptine, Resident 15's name on an inhaler device, Resident 22's name on a bottle of glucose testing strips, and Resident 23's name on a bottle of MiraLAX. An interview on 7/18/2024 at 2:42 PM with Licensed Practical Nurse - H confirmed the medications were in public sight and was a violation of the resident's privacy.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-07-23 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — the official record, unedited, may be distressing

  Licensure Reference 175 NAC 12- 006.05(S) Based on observations, interviews, and record review; the facility failed to provide meal service that enhanced dignity by ensuring all residents were served at a table before serving the next table for 1 (Resident 5) of 1 sampled resident. The facility census was 26. Findings are: An observation on 7/22/2024 at 12:09 PM revealed Resident 5's four other table mates were served lunch meals. Resident 5 had been watching their other table mates eat. An observation on 7/22/2024 at 12:14 PM revealed a table of three seated behind Resident 5 were served lunch meals. Resident 5 had began to look around and continue to watch other residents eat. An observation on 7/22/2024 at 12:17 PM revealed Resident 5 was served their lunch meal. An interview on 7/22/2024 at 12:22 PM with Cook-B confirmed all residents should be served at one table at the same time.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-07-23 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference 175 NAC 12-006.04(F)(i)(5) Based on interviews and record review; the facility failed to notify the physician of significant weight loss for 2 (Residents 8 and Resident 11) of 2 sampled residents. The facility census was 26. Findings are: A. A record review of a facility policy Notification of Change in Resident Condition with a last revised date of 1/2019 revealed all licensed personnel will notify the attending physician of any significant change in condition. A record review of Resident 8's Vitals record revealed Resident 8 weighed 120.8 pounds on 1/12/2024 and on 7/8/2024 Resident 8 weight was 104.5 pounds, a loss of 16.3 pounds or 13.5% since the weight on 1/12/2024. A record review of Resident 8's medical record did not reveal any evidence that Resident 8's physician was aware of the severe weight loss. An interview on 7/23/2024 at 10:25 AM with the Minimum Data Set (MDS, a federally mandated assessment tool used for care planning)) Coordinator confirmed there was no information…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-07-23 · tag F0604 — failed to not use physical restraints improperly — isolated
  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Licensure Reference Number 175 NAC 12-006.05(G) Based on observation, record review, and interviews; the facility failed to evaluate 1 (Resident 13) of 2 sampled residents of a potential use of a physical restraints. The facility census was 26. The Findings Are: A record review of facility policy Restraints with revised date of 9-99 revealed that restraints would only be used as a last resort to prevent a patient from injuring self or others and only when alternatives to restraints are not effective. The policy also stated that restraints were to have a physician's order except in the case of an emergency. A record review of the Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual revealed a physical restraint was defined as Any manual method or physical or mechanical device, material or equipment attached or adjacent to the resident's body that the individual cannot remove easily, which restricts freedom of movement or normal access to one's body. A record review of Resident 13's Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

What families pay in NE