Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Nhc Healthcare - Garden City during CMS and state inspections, most recent first.
The facility failed to properly store medications and biologicals in three of seven medication carts, resulting in the presence of expired and improperly stored items. Observations revealed expired medications and dressings, as well as opened and non-sterile items, which were confirmed and removed by nursing staff.
A resident with chronic respiratory failure was observed receiving oxygen at 5 LPM, exceeding the physician's order of a maximum of 4 LPM. An LPN confirmed the error and adjusted the flow rate. The facility lacked a formal oxygen administration policy, relying solely on physician orders.
A facility experienced a medication administration error rate of 12.12 percent. An RN dropped a pill and administered it without proper handling, and failed to administer medications on time for a resident. An LPN did not follow physician orders for rinsing a resident's mouth after inhaler use and did not measure water for Miralax. The DON expects medications to be administered as ordered.
Improper Storage of Medications and Biologicals
Penalty
Summary
The facility failed to ensure that medications and biologicals were properly stored in three of seven medication carts, leading to the presence of expired, outdated, and improperly stored items. During observations, it was found that the East Hall middle cart contained expired Vitamin B Complex tablets, Iodosorb, Telfa Dressings, Acticoat Flex 3 Sterile Dressing, Calcium Alginate Wound Dressings, Derma Rite, Dermaginate dressing, a border gauze bandage, and Aquacel Foam dressing. Additionally, an Aquacel - Convatec dressing was found opened and no longer sterile. Licensed Practical Nurse (LPN)1 confirmed these findings and removed the items from storage. Further observations revealed that the East Hall medication cart 3 contained expired blunt plastic cannulas and a syringe, which were verified and removed by LPN2. The East Hall medication cart 2 had an expired packet of lubricating jelly and an open needle, which were also verified and removed by LPN1. Lastly, the North Hall medication cart 1 contained expired Lasix and Levothyroxine, which were being administered to a resident. Registered Nurse (RN)2 verified these expired medications and removed them from storage.
Failure to Adhere to Oxygen Administration Orders
Penalty
Summary
The facility failed to provide respiratory care consistent with professional standards for a resident who was dependent on supplemental oxygen. The resident, who had a complex medical history including chronic respiratory failure and dependence on supplemental oxygen, was observed receiving oxygen at a flow rate of 5 liters per minute (LPM), which exceeded the physician's order of a maximum of 4 LPM for severe shortness of breath. This discrepancy was confirmed by a Licensed Practical Nurse (LPN) who acknowledged that the oxygen should not exceed 4 LPM and adjusted the flow rate accordingly. The facility did not have a policy related to oxygen administration and relied solely on physician orders. The Director of Nursing expressed that the expectation was for oxygen to be administered per the doctor's order. The lack of a formal policy and the deviation from the prescribed oxygen flow rate contributed to the deficiency in providing appropriate respiratory care for the resident.
Medication Administration Errors and Delays
Penalty
Summary
The facility failed to maintain a medication administration error rate of less than 5 percent, resulting in a rate of 12.12 percent. During a medication pass observation, a registered nurse (RN) dropped a pill on the medication cart, picked it up with the medication wrapper, and administered it to a resident. Additionally, the RN did not administer Bumetanide, Questran, or Voltaren Arthritis Pain Gel as ordered for a resident. The RN later confirmed that the medications were given late, with Bumetanide and Questran administered at 10:10 AM instead of the scheduled 8:00 AM, and the Voltaren gel not administered at all. Another observation revealed that a licensed practical nurse (LPN) failed to rinse a resident's mouth with water after administering a Fluticasone Propionate Inhaler, as directed in the physician's order. The LPN also did not measure the appropriate amount of water for administering Miralax, instead pouring water from a pitcher without measuring. The LPN admitted to forgetting to rinse the resident's mouth and was unsure of the correct water amount for Miralax, as the resident's order did not specify. The Director of Nursing stated that her expectation is for medications to be administered as ordered.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 9 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Garden City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Angel Oak Nursing And Rehabilitation Center, Llc | 5.8 mi | ★★★★★ | 1 | 0 |
| Lakes At Litchfield | 10.6 mi | ★★★★★ | 1 | 0 |
| Pruitthealth- Conway At Conway Medical Center | 12.3 mi | ★★★★★ | 3 | 0 |
| Brightwater Skilled Nursing Center | 14.7 mi | ★★★★★ | 2 | 0 |
| Oak View Health And Rehabilitation | 15.2 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Nhc Healthcare - Garden City.
100% money-back within 48 hours.
Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.