Entity Details

Basic

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

Former Entity Name:
The Madison

Medicaid #:
0801266

CCN #:
165227

Occupancy Type:
Beds

Max Occupancy:
72

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
560195

Initial License Date:

Current License Date:
01/22/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
01/22/2026

Months Since Last Survey:
10

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:
07/10/2023

Loss of NA Training Expires:
07/09/2025

Contact

Address:
1702 41st Street

City:
Fort Madison

State:
Iowa

Zip:
52627-0327

Phone:
(319) 372-8021

Fax:
(319) 372-8163

URL:

Administrator/License #:
Ann Abolt / 002437

Administrator Email:
ann@amaresourcemanagement.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: