Garden View Care Center
Garden View Care Center in Shenandoah, IA — inspection on October 21, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of Resident #2's EHR titled, Progress Notes documented no refusal of shower/bath.3.
The Minimum Data Set (MDS) dated [DATE] for Resident #4 documented a Brief Interview for Mental Status (BIMS) of 13 indicating no cognitive impairment.
The MDS also documented Resident #2 was dependent on a helper to do all the effort or the assistance of 2 or more helpers was required to shower/bathe.Review of Resident #4's EHR titled, Task Bathing / Showering ADL documented from 6/20/25 - 10/21/25 Resident #4 received 17 showers/baths out of the 33 showers/baths should have received.
Review of Resident #4's EHR titled, Progress Notes documented 1 refusal of shower/bath on 6/20/25.On 10/20/25 at 2:57 PM the DON stated upon review of the bath sheets it was discovered baths were missed and a Performance Improvement Plan (PIP) was developed related to the missed baths.
The DON stated of the 4 residents that had been requested there were some baths that were missed.
The DON stated a bath aide was starting the first of November as well.
The DON stated the facility expectation was a bath would be completed at least twice a week.
The DON acknowledged that baths were not being completed appropriately. On 10/21/25 at 12:12 PM the Administrator stated usually the residents at the facility would receive a shower twice a week unless they refuse.
The Administrator stated resident preferences are taken into consideration with care plans and if the resident wanted to have a bath 3 times a week they would try to accommodate.
The Administrator acknowledged that the facility had already identified resident baths as a concern and developed a PIP for the improvement.
The Administrator stated they were in the process of hiring a person for the bath aide position.Review of policy dated 2024 titled, Resident Showers documented it was the practice of this facility to assist residents with bathing to maintain proper hygiene, stimulate circulation and help prevent skin issues as per current standards of practice.
Residents will be provided showers as per request or as per facility schedule protocols and based upon resident safety.
Facility ID: