Entity Details

Basic

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

Former Entity Name:
CROWN POINTE ESTATES CARE CENTER

Medicaid #:

CCN #:
165157

Occupancy Type:
Beds

Max Occupancy:
101

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
842568

Initial License Date:
01/01/2005

Current License Date:
10/01/2023

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
09/30/2024

Months Since Last Survey:
11

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:
06/22/2023

Loss of NA Training Expires:
06/21/2025

Contact

Address:
1400 7th Avenue SE

City:
Sioux Center

State:
Iowa

Zip:
51250-1398

Phone:
(712) 722-8263

Fax:
(712) 722-0787

URL:

Administrator/License #:
Karen Bentsen / 02031

Administrator Email:
karen.bentsen@siouxcenterhealth.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: