Federal inspection record · CMS data as of October 1, 2026
Garden County Hospital & Nursing Home
1100 West 2nd St, Oshkosh, NE · (308) 772-3283
- Certified beds
- 24
- Residents per day
- 18
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicaid
- Certified since
- March 31, 1974
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Nebraska.
-
Staffing
★★★★★+1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Nebraska homes
Garden County Hospital & Nursing Home carries 73.5 inspection points. That is fewer than 27% of Nebraska's 178 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Nebraska: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–9 pts
- 4★ 9–31 pts
- 3★ 31–50 pts
- 2★ 50–94.25 pts
- 1★ over 94.25 pts
Bars show every rated home in Nebraska by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
18 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Provide enough food/fluids to maintain a resident's health.
Everything else, by area of care
Resident Assessment and Care Planning5E
- D
Ensure each resident receives an accurate assessment.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure each resident receives an accurate assessment.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights2D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care2D
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Administration1F
- F
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Nursing and Physician Services1F
- F
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Infection Control1F
- F
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Pharmacy Service1D
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspection history
2025-08-25
4 health deficiencies · 1 fire-safety deficiencies
Top issue: Administration (1 deficiency)
2024-07-23
12 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-06-27
2 health deficiencies · 1 fire-safety deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 4 h 20 min of nursing staff time a day, 52 min of it from a registered nurse.
This home
4 h 20 min
Nebraska average
4 h 7 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 44% of nursing staff and 20% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.5 pts worse | 3.2 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts worse | 2.6 | 1.9 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7 pts better | 100.0% | 93.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.4 pts better | 100.0% | 95.6% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.7 pts better | 3.8% | 4.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.7 pts better | 2.7% | 4.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.1 pts better | 5.0% | 5.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11.5 pts better | 7.5% | 19.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.5 pts worse | 24.2% | 20.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.1 pts better | 10.7% | 16.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.7 pts worse | 19.7% | 19.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.3 pts better | 0.0% | 1.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.2 pts better | 2.5% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.2 pts better | 21.8% | 25.0% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.6 pts better | 1.4% | 4.0% | 4.5% |
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Fire safety
6 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure that testing and maintenance of electrical equipment is performed.
Smoke2D
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Install corridor and hallway doors that block smoke.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
Emergency Preparedness1F
- F
Implement emergency and standby power systems.
·
Other homes nearby
-
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 38 min
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-
Indian Hills Manor
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- Nursing / resident / day
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