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A
Very Good

Garden County Health Services

1100 West 2nd St · Oshkosh, NE 69154

3087723283 · Government - City/county

40 beds20.8 residents30 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
A
Very Good
RN Staff
A
Very Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Garden County Health Services receives an overall staffing grade of A (Very Good). With 4.3151 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.42 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 16.67% compared to weekdays. The facility has low agency staff usage (4.19% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (0)

No significant concerns identified for this quarter.

✨ Strengths (4)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (4.19%) — mostly permanent, familiar staff
Total Nurse HPRD
4.3151hrs/resident/day▲ 0.42
CMS benchmark: 3.48
RN HPRD
0.9065hrs/resident/day▲ 0.22
Recommended: 0.75
Weekend Drop-off
16.67%
4.5284 weekday → 3.7736 weekend
Agency Staff
4.19%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.5033hrs/resident/day
Direct care aides
LPN HPRD
0.9053hrs/resident/day
Licensed practical nurses
Consistency
0.5195std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Garden County Average+0.00 HPRD
4.32
04.32 HPRD
vs. Nebraska State Average+0.18 HPRD
4.14
04.32 HPRD
vs. National Average+0.42 HPRD
3.90
04.32 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Garden County Health Services ★
Oshkosh · This facility
—
A
4.31510.9065★★★☆☆
SRMC Long Term Care, LLC dba Pole Creek Estates
Sidney
36.4 mi
B
3.68990.6831★★★★☆
Indian Hills Manor
Ogallala
37.5 mi
C
3.14210.6402★☆☆☆☆
Skyview Care and Rehab at Bridgeport
Bridgeport
42.7 mi
A
4.64690.8863★☆☆☆☆
Highland Park Care Center
Alliance
55.3 mi
C
4.76110.4666★★★★★
Chimney Rock Villa
Bayard
55.8 mi
C
3.23820.819★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
18
Total Deficiencies
$0
Fines Assessed
Aug 25, 2025Health
4 deficiencies cited
▼
Jul 23, 2024Health
12 deficiencies cited· Includes actual harm
▼
Jun 27, 2023Health
2 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.