Entity Details

Basic

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

Medicaid #:
0800227

CCN #:
165524

Occupancy Type:
Beds

Max Occupancy:
121

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
780207

Initial License Date:

Current License Date:
05/01/2023

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
04/30/2024

Months Since Last Survey:
8

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:
11/02/2023

Loss of NA Training Expires:
11/01/2025

Contact

Address:
Seven Elliott Street

City:
Council Bluffs

State:
Iowa

Zip:
51503-0297

Phone:
(712) 328-9500

Fax:
(712) 328-2304

URL:

Administrator/License #:
Chandra Gustafson / 083494

Administrator Email:
gustafson@blhs.care

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: