87/100
Excellent
Garden County Hospital & Nursing Home
1100 West 2Nd St, Oshkosh, NE 69154
- Certified beds
- 24
- Occupancy
- 86%
- Ownership
- Government
- Accepts
- Medicaid
Our read on Garden County Hospital & Nursing Home
Garden County Hospital & Nursing Home runs on a county-owned model with 24 certified beds in Oshkosh, and its staffing is the real bright spot: 4.18 nurse hours per resident day, roughly 8% above the national average, with the federal staffing rating at the top of the scale. Turnover sits at 44%, basically in line with the national 45.8%. Weekend coverage dips about 14% below weekday levels, so ask how that plays out on Saturdays. The inspection record is where it gets shakier, 18 deficiencies, including one at the harm level and one abuse-related, with the most recent inspection in August 2025. That combination is worth asking the administrator about directly before you decide.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
26/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →4.97 total nurse hours per resident per day (national median 3.77)
- →0.91 RN hours per resident per day
- →Weekend staffing drops 14% against weekdays
Staff stability
12/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →44% of nursing staff left in the last year
Resident outcomes
9/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →3 of 5 stars on the CMS quality-measure rating
Enforcement history
10/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →No federal fines on record
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: August 25, 2025 (1 year ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
What families say
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Common questions about Garden County Hospital & Nursing Home
What is the ElderGrade for Garden County Hospital & Nursing Home? +
Garden County Hospital & Nursing Home holds an ElderGrade of A (87 out of 100), which we describe as "excellent". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Garden County Hospital & Nursing Home? +
Residents receive an average of 4.18 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Garden County Hospital & Nursing Home been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Garden County Hospital & Nursing Home accept Medicaid? +
Yes, Garden County Hospital & Nursing Home is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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