Entity Details

Basic

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

Former Entity Name:
Clarksville Skilled Nursing And Rehabilitation Center

Medicaid #:
0800821

CCN #:
165495

Occupancy Type:
Beds

Max Occupancy:
42

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
120205

Initial License Date:

Current License Date:
05/01/2025

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
05/01/2026

Months Since Last Survey:
12

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
115 North Hilton Street

City:
Clarksville

State:
Iowa

Zip:
50619-0159

Phone:
(319) 278-4900

Fax:
(319) 278-4166

URL:

Administrator/License #:
Heather Sells / 002680

Administrator Email:
cnhadm@clarksvilleskillednursing.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: