Nursing HomeInspections

Garden County Hospital & Nursing Home

Nursing home in Oshkosh, NE

Medicaid-certified3★ overall (CMS)

Call (308) 772-3283Send a messageMap ↗

Public-record details

Address
1100 West 2nd St, Oshkosh, NE 69154
Phone
(308) 772-3283
Listed under
Government-owned, No fines in 3 years
Medicare CCN
28E180
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
2 of 5
Staffing rating
5 of 5
Quality measures rating
3 of 5
Certified beds
24
Average residents per day
21
Ownership
Government, city/county
Legal business name
Legal Business Name Not Available
Certified for
Medicaid
First approved by Medicare/Medicaid
Mar 31, 1974
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
Yes
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 28E180. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 25, 2025. CMS lists 18 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 27, 2023 to Aug 25, 2025): 0 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Aug 25, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Aug 25, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Aug 25, 2025Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration		F
Potential for more than minimal harm, widespread
Aug 25, 2025Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services		F
Potential for more than minimal harm, widespread
Jul 23, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Jul 23, 2024Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights		D
Potential for more than minimal harm, isolated
Jul 23, 2024Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Jul 23, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 23, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 23, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 23, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 23, 2024Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 18. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.18 hours
Registered nurse (RN) time per resident per day
0.91 hours
Nurse aide time per resident per day
2.42 hours
Total nurse staffing on weekends
3.61 hours
Nursing staff turnover (yearly)
44%
RN turnover (yearly)
20%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.