Entity Details

Basic

Entity Type:
Licensed Only Entity (Licensed Only Entity)

Medicaid #:

CCN #:

Occupancy Type:
Beds

Max Occupancy:
20

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
520921

Initial License Date:
11/16/1981

Current License Date:
11/16/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
11/16/2026

Months Since Last Survey:
13

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
117 South Third Street

City:
Hills

State:
Iowa

Zip:
52235-0220

Phone:
(319) 679-2224

Fax:
(319) 679-2227

URL:

Administrator/License #:
Stephanie Kronlage / 099211

Administrator Email:
[email protected]

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: