Entity Details

Basic

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

Medicaid #:
0807495

CCN #:
165235

Occupancy Type:
Beds

Max Occupancy:
46

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
870126

Initial License Date:
08/01/1992

Current License Date:
02/01/2024

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
01/31/2025

Months Since Last Survey:
2

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:
10/04/2022

Loss of NA Training Expires:
10/03/2024

Contact

Address:
111 East Van Buren

City:
Lenox

State:
Iowa

Zip:
50851-0699

Phone:
(641) 333-2226

Fax:
(641) 333-4174

URL:

Administrator/License #:
Kimberley Straw / 111679

Administrator Email:
admin.lenox@arboretahc.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: