Entity Details - DIAL HFD

Compliance Details

Files

Entity

Entity:
QHC Humboldt North, LLC

Entity Type:
Free Standing NF/SNF

Address:
1111 11th Avenue North, Humboldt

Phone:
(515) 332-2623

Visit Date:
09/15/2022

Entity Admin:
Stacy Benna

Coordinator:
Dawn Carlson

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

Certification Actions:
Civil Money Penalty 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:
$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

Expand for more details	Rule Codes	Suspended	State/Federal	Daily Fine	One Time Fine	Total Fine	Actions
	58.28(3)e	Suspended	State		$30,000.00	$30,000.00	Select Rule Codes
	F689		Federal			Federal Fine Information	Select Rule Codes

Code	Description

	File Name	Description
ScannedReport_772_2022-10-12_102638.pdf	ScannedReport_772_2022-10-12_102638.pdf	Visit Report
ScannedFC_772_2022-10-06_065457.pdf	ScannedFC_772_2022-10-06_065457.pdf	Citation Report