Entity Details

Basic

Entity Type:
Free Standing NF/SNF (Free Standing NF/SNF)

Medicaid #:
0802959

CCN #:
165361

Occupancy Type:
Beds

Max Occupancy:
58

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
850819

Initial License Date:

Current License Date:
08/15/2024

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
08/15/2025

Months Since Last Survey:
11

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
100 Sixth Street

City:
Nevada

State:
Iowa

Zip:
50201-2529

Phone:
(515) 382-6556

Fax:
(515) 382-1425

URL:
https://www.abcmcorp.com

Administrator/License #:
Debra Chatman / 002534

Administrator Email:
dchatman@rollinggreennevada.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: