Entity Details

Basic

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

Former Entity Name:
Kahl Home For Aged & Infirm

Medicaid #:
0802108

CCN #:
165146

Occupancy Type:
Beds

Max Occupancy:
112

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
820128

Initial License Date:

Current License Date:
02/10/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
02/10/2026

Months Since Last Survey:
12

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
6701 Jersey Ridge Road

City:
Davenport

State:
Iowa

Zip:
52807

Phone:
(563) 324-1621

Fax:
(563) 324-1723

URL:

Administrator/License #:
Kimberly Hufsey / 002869

Administrator Email:
khufsey@kahlhome.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: