Entity Details

Basic

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

Medicaid #:
807545

CCN #:
165241

Occupancy Type:
Beds

Max Occupancy:
40

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
380377

Initial License Date:

Current License Date:
02/01/2024

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
01/31/2025

Months Since Last Survey:
9

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:
08/17/2023

Loss of NA Training Expires:
08/16/2025

Contact

Address:
102 East J Avenue

City:
Grundy Center

State:
Iowa

Zip:
50638-2093

Phone:
(319) 824-5436

Fax:
(319) 824-5808

URL:

Provisional Administrator:
Anissa Steverson

Provisional Administrator Email:
Admin.Grundy@arboretahc.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: