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:
02/01/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
02/01/2026

Months Since Last Survey:
5

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:
01/07/2025

Loss of NA Training Expires:
01/06/2027

Contact

Address:
102 East J Avenue

City:
Grundy Center

State:
Iowa

Zip:
50638-2093

Phone:
(319) 824-5436

Fax:
(319) 824-5808

URL:

Administrator/License #:
Molly Ott / 106617

Administrator Email:
mott@grundyhc.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: