Entity Details

Basic

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

Medicaid #:
0808147

CCN #:
165316

Occupancy Type:
Beds

Max Occupancy:
46

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
420076

Initial License Date:
07/01/1989

Current License Date:
08/01/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
08/01/2026

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:
1510 22nd Street

City:
Eldora

State:
Iowa

Zip:
50627-1511

Phone:
(641) 939-3491

Fax:
(641) 939-2583

URL:

Administrator/License #:
Jamie Snyder / 129743

Administrator Email:
jsnyder@careinitiatives.org

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: