Entity Details - DIAL HFD

Compliance Details

Files

Entity

Entity:
Countryside Health Care Center

Entity Type:
Free Standing NF/SNF

Address:
6120 Morningside Avenue, Sioux City

Phone:
(712) 276-3000

Visit Date:
04/06/2021

Entity Admin:
Migration

Coordinator:
Jeana Becker

Compliance Officer:
Migration

Certification Actions:
Civil Money Penalty Imposed

Licensure Actions:
Fining & Citation

Loss of NA Training Effective:
04/06/2021

Loss of NA Training Expires:
04/05/2023

Fine Summary

The maximum State fine amount allowed by Iowa law is $10,000. This fine could be doubled or trebled for repeat offenses for a maximum fine of $30,000 [Iowa Code 135C.36-44A].

Total Imposed State Fine:
$0.00

Federal Fines Imposed:

For details on federal fines, please visit the Quality, Certification, and Oversight reports website

State Waiver:
0%

State Fine Paid:
$0.00

State Fine Owed:
$0.00

Rule Codes	Suspended	State/Federal	One Time Fine	Total Fine	Actions
58.10(3)a	Suspended	State	$10,000.00	$10,000.00	Select Rule Codes
F678		Federal		Federal Fine Information	Select Rule Codes
F757		Federal		Federal Fine Information	Select Rule Codes
F880		Federal		Federal Fine Information	Select Rule Codes

Code	Description

	File Name	Description
ScannedReport1619097264748.pdf	ScannedReport1619097264748.pdf	Visit Report
ScannedFC1619097380308.pdf	ScannedFC1619097380308.pdf	Citation Report