Entity Details

Basic

Entity Type:
HSP-NF (HSP-NF)

Medicaid #:
0803635

CCN #:
16E263

Occupancy Type:
Beds

Max Occupancy:
70

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
710093H

Initial License Date:

Current License Date:

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:

Months Since Last Survey:
11

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:
02/01/2024

Loss of NA Training Expires:
01/31/2026

Contact

Address:
118 North Seventh Avenue

City:
Sheldon

State:
Iowa

Zip:
51201-0250

Phone:
(712) 324-6020

Fax:
(712) 324-6020

URL:

Administrator/License #:
Richard nordahl / Adm

Administrator Email:
Richard.Nordahl@sanfordhealth.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: