Entity Details

Basic

Entity Type:
Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID)

Medicaid #:
0880088

CCN #:
16G042

Occupancy Type:
Beds

Max Occupancy:
639

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
080069

Initial License Date:

Current License Date:
01/03/2026

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
01/03/2027

Months Since Last Survey:
9

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
1251 334th Street

City:
Woodward

State:
Iowa

Zip:
50276-0000

Phone:
(515) 438-2600

Fax:
(515) 438-3166

URL:

Administrator/License #:
Marsha Edgington / Superintendent

Administrator Email:
medging@dhs.state.ia.us

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: