Entity Details

Basic

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

Former Entity Name:
The Suites of Western Home Communities

Medicaid #:

CCN #:
165622

Occupancy Type:
Beds

Max Occupancy:
72

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
075861

Initial License Date:

Current License Date:
06/07/2023

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
06/06/2024

Months Since Last Survey:
2

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
5301 Caraway Lane

City:
Cedar Falls

State:
Iowa

Zip:
50613

Phone:
(319) 277-2141

Fax:
(855) 606-2273

URL:

Administrator/License #:
Tabitha Tjaden / 002428

Administrator Email:
tabitha.tjaden@westernhome.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: