Entity Details - DIA HFD

Compliance Details

Files

Entity

Entity:
Community Memorial Health Center

Entity Type:
Free Standing NF/SNF

Address:
231 North Eighth Avenue West, Hartley

Phone:
(712) 728-2428

Visit Date:
08/02/2022

Entity Admin:

Coordinator:
Dawn Carlson

Compliance Officer:
dawn.carlson@dia.iowa.gov

Certification Actions:
Directed Plan of Correction Imposed, Denial of Payment Imposed

Licensure Actions:
Fining & Citation

Loss of NA Training Effective:

Loss of NA Training Expires:

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:
$13,000.00

State Waiver:
35%

State Fine Paid:
$13,000.00

State Fine Owed:
$0.00

Rule Codes	State/Federal	One Time Fine	Total Fine	Actions
58.11(3)b	State	$500.00	$500.00	Select Rule Codes
58.19(2)j	State	$10,000.00	$10,000.00	Select Rule Codes
58.28(3)e	State	$9,500.00	$9,500.00	Select Rule Codes

Code	Description

	File Name	Description
ScannedReport_912_2022-09-07_105817.pdf	ScannedReport_912_2022-09-07_105817.pdf	Visit Report
ScannedFC_912_2022-08-25_072412.pdf	ScannedFC_912_2022-08-25_072412.pdf	Citation Report