Oshkosh, NE

Garden County Health Services

3-star overall rating with 2-star inspections with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

1100 West 2nd St, Oshkosh, NE

(308) 772-3283

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

40

Certified beds

Average residents

21

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1974-03-31

CMS approved date

Coverage

Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Hospital-based

Yes

CMS reports the provider resides in a hospital

Staffing

Hours and turnover

RN hours / resident day

0.91

Registered nurse staffing · state 0.71 · national 0.68

LPN hours / resident day

0.90

Licensed practical nurse staffing · state 0.71 · national 0.87

Aide hours / resident day

2.50

Nurse aide staffing · state 2.76 · national 2.35

Total nurse hours

4.31

All reported nurse hours · state 4.17 · national 3.89

Licensed hours

1.81

RN + LPN hours · state 1.41 · national 1.54

Weekend hours

3.77

Weekend nurse staffing · state 3.61 · national 3.43

Weekend RN hours

0.75

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

1.08

CMS adjusted RN staffing hours

Adjusted total hours

5.16

CMS adjusted total nurse staffing hours

Case-mix index

1.14

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

38%

Annual nurse turnover · state 49% · national 46%

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Medicare spending per beneficiary	Not Available	1.02	This provider is not required to submit SNF QRP data.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · This provider is not required to submit SNF QRP data.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · This provider is not required to submit SNF QRP data.
Staff COVID-19 vaccination coverage	Not Available	8.2%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator Not Available · This provider is not required to submit SNF QRP data.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.0	1.8 0.2 pts worse	1.9 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.5 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.1	2.0 1.1 pts worse	1.8 1.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.1 · Observed 2.6 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	92.8% 7.2 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	92.9%	96.1% 3.2 pts worse	95.5% 2.6 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 92.9%
Percentage of long-stay residents experiencing one or more falls with major injury	5.2%	4.5% 0.7 pts worse	3.3% 1.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.3% · Q2 4.3% · Q3 4.3% · Q4 0.0% · 4Q avg 5.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.2%	4.4% 3.2 pts better	11.4% 10.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · 4Q avg 1.2%
Percentage of long-stay residents who lose too much weight	6.4%	5.3% 1.1 pts worse	5.4% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 4.5% · Q3 8.7% · Q4 4.8% · 4Q avg 6.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	7.4%	19.5% 12.1 pts better	19.6% 12.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 4.5% · Q3 13.0% · Q4 9.5% · 4Q avg 7.4%
Percentage of long-stay residents who received an antipsychotic medication	15.7%	21.6% 5.9 pts better	16.7% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 10.0% · Q3 23.8% · 4Q avg 15.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.3% 0.3 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	15.3%	20.4% 5.1 pts better	16.3% 1 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 15.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	15.9%	19.9% 4 pts better	14.9% 1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 19.0% · Q3 9.1% · 4Q avg 15.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.6% 1.6 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.1%	2.9% 0.8 pts better	1.7% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	30.0%	26.6% 3.4 pts worse	19.8% 10.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.4% · Q2 30.1% · Q3 25.0% · 4Q avg 30.0%
Percentage of long-stay residents with pressure ulcers	6.6%	4.3% 2.3 pts worse	5.1% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.1% · Q2 10.8% · Q3 0.0% · Q4 0.0% · 4Q avg 6.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-25 · Fire 2025-08-25

4 health deficiencies

Top issue: Administration (1 deficiency)

1 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 2 Health 2024-07-23 · Fire 2024-07-23

12 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-06-27 · Fire 2023-06-27

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-25

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-09-24

F · Potential for more than minimal harm 2024-07-23

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-08-12

F · Potential for more than minimal harm 2024-07-23

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-08-12

D · Potential for more than minimal harm 2024-07-23

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-08-12

D · Potential for more than minimal harm 2024-07-23

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-08-12

E · Potential for more than minimal harm 2023-06-27

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-08-11

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-08-25

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-10-08

F · Potential for more than minimal harm 2025-08-25

F940 · Administration Deficiencies

Health

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

Corrected 2025-10-08

F · Potential for more than minimal harm 2025-08-25

F947 · Nursing and Physician Services Deficiencies

Health

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

Corrected 2025-10-08

D · Potential for more than minimal harm 2025-08-25

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-10-08

G · Actual harm 2024-07-23

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-18

F · Potential for more than minimal harm 2024-07-23

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-10-30

F · Potential for more than minimal harm 2024-07-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-18

E · Potential for more than minimal harm 2024-07-23

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-09-18

D · Potential for more than minimal harm 2024-07-23

F550 · Resident Rights Deficiencies

Health

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

Corrected 2024-09-18

D · Potential for more than minimal harm 2024-07-23

F580 · Resident Rights Deficiencies

Health

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

Corrected 2024-09-18

D · Potential for more than minimal harm 2024-07-23

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2024-09-18

D · Potential for more than minimal harm 2024-07-23

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-09-18

D · Potential for more than minimal harm 2024-07-23

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-09-18

D · Potential for more than minimal harm 2024-07-23

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-18

D · Potential for more than minimal harm 2024-07-23

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-18

D · Potential for more than minimal harm 2024-07-23

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2024-09-18

F · Potential for more than minimal harm 2023-06-27

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-08-11

D · Potential for more than minimal harm 2023-06-27