Entity Details

Basic

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

Former Entity Name:
Rehabilitation Center Of Allison

Medicaid #:
0804674

CCN #:
165336

Occupancy Type:
Beds

Max Occupancy:
54

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
120141

Initial License Date:

Current License Date:
08/15/2024

Renewal Cycle:
365

Entity Type Renewal Cycle(months):
12

Expiration Date:
08/15/2025

Months Since Last Survey:
1

Entity Type Survey Cycle(months):
12

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
900 Seventh Street West

City:
Allison

State:
Iowa

Zip:
50602-9440

Phone:
(319) 267-2791

Fax:
(319) 267-2422

URL:

Administrator/License #:
Jordan Kampman / 120118

Administrator Email:
jkampman@legacyhc.com

Files

Life Safety Code (LSC) Waiver:

Licensure Rule Variance: