Entity Details

Basic

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

Medicaid #:

CCN #:
165618

Occupancy Type:
Beds

Max Occupancy:
32

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
318725

Initial License Date:

Current License Date:
06/26/2024

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
06/26/2025

Months Since Last Survey:
5

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:
05/01/2024

Loss of NA Training Expires:
04/30/2026

Contact

Address:
5300 Grand Meadow Drive

City:
Asbury

State:
Iowa

Zip:
52002

Phone:
(563) 690-7173

Fax:
(563) 690-9348

URL:
https://Tutera.com/area/Iowa

Administrator/License #:
Janet Warren / 080808

Administrator Email:
GrandMeadows@Tutera.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: